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APPLICATIC l��J�i GONS�M�I�C'�" lN P�RMIT �✓�'' <br />TO BE CO�dPLET�D IN BLACK INK—'LEl�SE PR�iJ7 <br />HEATING SYu7FM: I_j G4S ❑ ELECTRIC ❑_ I <br />BUILDING DEPARTN:ENT �--- <br />259-8810 <br />i i DEMOLITION f I COMBINATION i i BUILDING �! MECHANICAL I! pLUMBING SfGN <br />owr�ea n�a�nooaess urr ziP P"o"E <br />�.ih��i���c, �o�.iSL c� ,1�- `��f�t� P iL .��"1'\ �S�l-C� �30�0- � SCi- 00'--�L� <br />TENANT IdAIt.AO�RESS CITV ZIP PHONE <br />.n 1 <br />GEN[RM C(O�NTRACiO/RJ <br />1'il l C <br />IALCHANIGAI GONTRACTI <br />q <br />PI.OIdBING CONTflACTO❑ <br />CONiPACT PPICE OF WORK <br />[l[SCfiIBE WORN PND SW�i <br />MFIL ADDRE55 <br />ldAIL AD09ESj: <br />�E�S( <br />MAIL ADORE55 <br />MAIL A�DRE55 <br />CITV 1 Z�P <br />d�� (T��,SI�i. L.LiI" <br />CITY P <br />�� �S a�"` s± � <br />GTY Z�P <br />11 <br />GTY ZIP <br />P OPOSEOUSEOFBWL�ING <br />�ovv�r^n�'rc � o L. R ev�-1 aL <br />LE[TLO SC8IPTIONOFPROPEFTV�SHOWNOELOWORATTACHT19000PIES� <br />�or ��vA a�o�K ���� o,- �C� o� d C <br />�Je.r etl, '��aF o���'�'��1 , <br />PAFiCELT4XID.NUh+B F. <br />ae�a las.zz �� i <br />CONSTR CTIONL04NlEN0EP.ADORESS.TELflPH <br />1��1-,r��h,�n Z�-usc <br />PROJECTADDRESS <br />,�IQ� I_� t� <br />PLUMBIN <br />N0. TYPE OF FIXTURE OR <br />WATER CLOSET (IOILh I � <br />BATHTUB <br />LAVATORY (WASIi BASI�!) <br />SHOWER <br />KITCHEN SINK 3 DISP <br />DISHWASHER <br />LAUNDflYTRAY <br />CLOTHES WASHER <br />URINAL <br />D{iINKING FOUNTAIN <br />FLCOR DRAIN <br />BACKFLCW PREVENTERS <br />ROOF DRAINS—Fif.'.'JLEAC <br />SINK ISERVICE-BAR, ETC <br />SUf3 TOTAL <br />PEF�dIT <br />TnTALFEE <br />FOR OFFICE USE ONLY: <br />FRONt;ETBACr( ��EARSETBACK <br />USEZO:J[ LOTAREF <br />7YPEQFWtlSI � NO.OFSTORIES <br />SRE OF F3lD� FIRE SPRINKLERS RW'D <br />Na <br />OCGt1PA�V LqAD FIRE ALAPM RE00 <br />S /� D <br />REFSON <br />VJtAFF6Y PLANSAP ROVEOAV <br />1 �l� <br />ontep _ Ir�,C� <br />0 <br />YMVrvt <br />'1'l 1-(�l�•b l� <br />PHONE SiATE LIC[NSE e <br />;�y-s�bs �AC�,iFC�� <br />PHONE STqTE LICENSE n <br />PH01i'. STAiE LICENtiE a <br />aS9- �� &o <br />CONTACT PEASON ANO PMONE N0. <br />11 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICAT�ON AND KNOW THE SAPJE TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNIMG TH�S TYPE OF <br />WORR WILL BE COMPLETED WITH WHETHFR SPEGFIED HEREIN OR <br />NOT. THE GRANTING OF A P[RMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PCRFOR�dANCE OF CONSTRUCTION. THAT I AM AUTHOP.IZEii BY THE <br />OWNER OF THIS PROPEflTY TO FERFORM THE WORK h`JR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />�� � - 8-�v-sZ <br />9r,:nmar ,� oerE <br />��,.,� ��,���s� � ��..s, ,�� <br />MECHANICAL <br />�O. TYPE OF EOUIPM <br />AIC—A�HNDLG UNITS—H.P. <br />FOFCED AIR SYSI EMS—B: <br />UNIT HEATERS—O.T.U. M <br />CLOTHFS DRYFRS <br />VENTIL�TION FAN <br />RANGEHOOD <br />VJATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE (WOOD <br />FIREPLACEINSEflT <br />HEAT PUMP <br />�J GAS PIPING <br />I EXHAUST FAN <br />5'�ESETBACK PIANCHFCKHUTABER FEL <br />/ Z <br />V�CANTSITE FEES _ <br />G YES ,-1 NO BUILDING <br />LIICA'SV i100f:NRUM1GLi115 <br />/r�.nouZ PLUM�ING <br />e'ASEIAENT � � MECHANICAL <br />Ll YES �. %NU <br />HEic4TUMiTnnoN ADDI�IONALPLANCHECK <br />OTHER <br />STATE BUILL"NG Sl1RCHARGE <br />CITY OF E1IERETT Pueucwoaks <br />LOCAL SALES <br />TAX COOE IS 3105 TOTAL <br />M E.A. <br />SUB TOTAL 5 <br />oERMIT S <br />1'JTAL FEE S <br />RECEIPI NO <br />i <br />0 <br />0 <br />