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APPLICATION FOR CONSTRUCTION PERMIT � <br /> TO BE CS �LETED IN BL.ICK INK—PLEASE PRI� n <br /> BUILDING DEPARTMENT HEATING SVSTEM: � GAS J ELECTRiC ❑ —� <br /> 259-8810 � <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDIkG � MECHANICAL ❑PLUMBING ❑ SIGN <br /> n wanwa[u cm z � v c <br /> -u �v �s�� <br /> ch���- � -,�i�, 11'l��ou l�l,�C�-��^er4 c�c� I,��S6�, 9RaLV � ��a s�ro <br /> reru�Vll / ^ w.t�.00uss on. :ir vw�e ' . <br /> hl <br /> /JiLN$C7�SIGMFR u�Li1WfIE55 Giv Iiv p�pr�E . <br /> �� ' I <br /> � <br /> OfMF�LQN�OM �MlA00NEb9 CiT' iia vMHE 6T�tEL1CFN6E/ <br /> 1 <br /> YECM.w_ wnry,F.on WLLnpppF65 G1r ZW prqNE 6T�fEL�CENSE� <br /> �_ <br /> YyUY8W6Cp1iPALiOfl W\.NONf55 C�lv Iiv prpxf Si4ELqEN$E• <br /> � l <br /> GYR T�R WOHKh <br /> `1 i. � <br /> ocscnec waw riu swrae rao*.ac Nvav[o v,...._.-.�"^ti,..,,,...,...... <br /> i J � <br /> �-��I<� c .- �n��• r• _._ ._ . _ . . _ . _ <br /> ��� 1 HEREtlV CERTIFV THAT I MAVE FEAD AND E%AMINED THIS <br /> vrorosEous[ euaoma APPLI;ATION AND KNOW TME SAME TO BE 7RUE AND CqFRECT ALl <br /> PPOVISIONS OF IAWS AND ORDINANCE$GOVERN�NG TMIS TVPE OF <br /> LEpLLDESCFiPTqN0�PR0VEqtt�S�qWq9ElqVpq�pl,pNf WCOV451 WORK WI��BE COMPIETED WITN WHETHER SPECIFIED HEREIN OB <br /> loi x�Ots q NOT THE GRANTING OF A GERMIT DOES NOT PRESUME TO GIVE <br /> AUTMORITY TO V10LATE OF CRNCEL THE PROVISIONS OF ANY <br /> OTHER STATE OA LOCAL LAV!REGULATING CONSTRUCTION OR THE <br /> -- PEFFOHMANCE OF CONSTRUCTION.THqT I AM AUTHORIZEO BY THE <br /> OWNER OF THIS PROPERTY Tp PERFORM THE WORK FOR WHILH <br /> - — qPP�ICAT10N IS MAOE AND I COMPLV WITH THE STATE <br /> v��-`-u i.o.xuwen CONTRACTORS��y 1827 flCW AND Y96200 WAC. <br /> i ; <br /> Cd�TPUCTqVL SEMDEN � 3.TEtE- 1{MyM EP,. /� <br /> L�� � � � <br /> flOJECT ADDFES � � <br /> ,� I1i993 <br /> 'u ';�Jij, �j W [� �.'S'—— —�w�7 <br /> PL BING MECMRIlICAL <br /> NO. TYPEOFFI%TUqEOR'TEM FEE N0. TYFEOFEOUIPMENT FEE <br /> WAT CLOSET�TOIIET� AC—A�HNO:GUNITS—HP <br /> BATHTU FORCEDAIRSYSTEM$—B.T.U. M E.A. ' <br /> LAVATORY( GSNBASIN) UNITMEAiERS—BT.0 M <br /> SHOWER � ' GIOTNES DRVERS <br /> KITCHENSINNdD19P ' \'ENTILAiIONFAry <br /> OISHWASHER � RFNGE HOOD <br /> LAUNORV TqAY 1VATER MEATER <br /> CLOTMESWASHER WOO�STOVE <br /> URINAL � METALFIREPLACEIWOO�BVqNINGI <br /> DRINKING FOUNTAIN FIRF.PLACE INSERT <br /> FLOOR DRAIN � HEAT PUMP <br /> BACNFLONPR[VENiERS ' GASPiPIKG <br /> ROOFORAINS—RAINLEADERS —T EXHqUSTFFN <br /> SINK(SERVICE—BAF.ETC.) <br /> `\ _ <br /> � <br /> SUD TOTAI S SUB TOTAL f y� <br /> _ _ PCRMIT 5 �� _ _ PERMIT S j�� <br /> TOTALFEE S ', \ TpTALFEE S _,�S � <br /> FOR OFFICE USE ONLY: <br /> FPCNTSEt9�CN pEMSEtB4d( b�ESFiBed PtµCnECKNUMB[P fEE pELfiGilq. <br /> ��Z��� <br /> us¢zaH[ loreq[e y�pHrsn[ FEES VALUATION fEE <br /> . VE$ � NO BULLOiNu <br /> Tl(pCON51 NOOiSi(MiF4 O[0.sKr yppt�ryuy.�bry <br /> � FWMBING <br /> 86EOf&D0. fIUEWNWKlEP5PF0D B/SEufNi MECHANICAL <br /> ❑ VES ❑ NO <br /> OCCUPIHLYLOW finFAURURFOU NFiGHill4ii�IpN AODITION�LPIANGHELK � <br /> GTHER . <br /> PE15(MI <br /> SiAiE 9UiLDiNG SUACH�RGE <br /> wrwter VL.wSAPPqpvFO6Y CITY OF EVEflETT PUB4G WORMS <br /> LOCRL SALES <br /> o.+e TAX COOE IS 3705 rou� <br />