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APPLICATIO' FOi� CONSTF�UCTI N PERMIT �� <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT �u�-r <br />BUILDING DEPARTMENT <br />259 �8810 <br />HEATING SYSTEM: <br />J ELECTRIC J <br />DEMOLITIOM COMBINATION BUILDING MECHANICAL <br />C'.Y6cR I.IqIIApDflES:. ❑iv ZIP PHpNE <br />L.n DI.Sc>r.� (,Ib LLwn_E� �� �.rPn-c� �3�Zo) 33� � <br />�eNFNi ldA�LAODRESS — <br />CiiV PP PHONE <br />ARCNITCCTORDESIGNER IAAILAGDRE55 CItY ZIP PHONE <br />�/� O�scw S�+F <br />GENERALGOIJTqACtOF ldAiLADORE55 CIiV ZIP PHONE <br />�Acnc� Caqrs}t�ss �Nc ��6 C�n_y� D2 rv�- .320) <br />PWfdgiNGGONTRACTOfl ldNLAD�RE55 <br />COHiRACT PqICE OF WORN <br />gS� �Da <br />DESCF.I2E WORKANDSOUNRE FOOTAGE MVOLVE� <br />3 <br />ar,oroseou eoFeuaoirvG <br />�M,E f �i,q P-%iC i• <br />LEGAL DESCRIPiION OF PROPERTV �SN05YN pELOV/ OR ATTqCH TW O COPIE51 <br />�oi ID� I l� 1 Z e�ocK �� _ oc �vC �CE+z �L <br />�-/JD To ��J2jj PWS VLIC, �_ �j� �� <br />CESS /�/W 'ia �l77 GF �v,Cii <br />PARCEL TA% I D IJt1MBER <br />sbiy -avv -o�o ••ac>oz <br />CONSiRUGiIONLOANLENDER.ADOqESS TELEGNONENpMBEfl <br />I�V <br />10. TYPE OF FiXTURI <br />Z WATER GLOSET (TOILET) <br />a BATHTUB <br />Z LAVATORY (WASH BP.SIN) <br />J SHOWER <br />� KITCHEN SINK & DISP <br />f DISHWASHER <br />LAUNDRYTRAY <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVEN' <br />ROOF DRAINS—RAIN <br />SINK ISERVICE—BAR <br />FOR OFFICE USE ONLY: <br />Fq0'JTSET�4CK qEAR5E7B4CK <br />U EZON� LOT�REA <br />11PEOfLpN9 NOOFSTORIE_' <br />3 <br />CITV <br />CITV <br />Z�P Pf10NE <br />ZI'� pHIIIJF <br />�LUMBING SIGN <br />� <br />STATE LICEHSE < <br />cir-G� �< <br />STATE LICENSP a <br />STATE LICENSE u <br />CONTACT PERSON AND PHONE NO. �^ O Z�,^ � <br /><J 1J <br />�S� 13�i <br />I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED TiiIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND COHRECT. ALL <br />PROVlSIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPFCIFIED H[REIN QR <br />NOT. THE GRANTING OF A PEFMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORAIANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWN[R OF THIS PROPERTY TO PERFORYI THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br />X ���� <br />g1� /i�zy�5 3 <br />s..r:nim,y noiE -- <br />orvo�..�s+.Essuci rxi u.i � <br />FOFCED AIR SYSTEMS—B.T.U. M E.A. <br />UNITHEATERS—B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WAT[R HEATER <br />FIREPLAC6INSERT <br />HEAT PUMP <br />GAS PIPING <br />! 4 EXHAUST FAN <br />SUBTOTAL 5 <br />PERMIT S � <br />TOTALFEE S <br />SIpE SETBACN <br />ai�turHLUG FIRESP �MLERSREO'D <br />I iJ S�} S f AOP.v <br />i�.> S� iiPQA4 0 <br />OCf,UPANCYLOAp FlR[ALARryIREOD <br />illiAN[[1v P�ANS�PPROVEDBy <br />3-�-i</ <br />onte -�j � <br />PLANGHECKN 1.1gER <br />�2�i,� <br />VES - NC <br />BUILDWG <br />O:,C�>1NCV HO OfpW[IUI�LUY�IS <br />fi00� <br />`. I PLUId81NG <br />oASEMENT MECHANICAL <br />ves -: rio <br />HEiGHi�MI7nTioN ADDITIONALPLANCHECK <br />OTHER <br />STATE BUILDING SUFCHARGE <br />CITY OF EVCRETT PUBLIC WORKS <br />LOCALSALES <br />TAX CODE IS 31U5 TOTAL <br />SUBTOTAL S <br />PERMIT y <br />TOTAL FEE 5 <br />