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_ _,..:i <br /> . � <br /> APPLICATI.�N FOR CONSTRUC � �ION PERMIT ���� �' � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT � <br /> HEATING SYSTEM: YI GAS ❑ELECTRIC U <br /> BUILDING DEPARTMENT , <br /> 259•881U <br /> I DEMOLITION I I COMBINATION I I BUILDING X MECHANICAL I I PLUMBING � i SIGN <br /> OWNC9 4�iL��ONE55 L�TY ZIP PIqNE <br /> . F.vE[�1T t10USING Atlttp[umY 14th a roPwt EVE[�1T rA 9azo1 zse-9222 <br /> � � N ICN�NT M�ILADDNESS CIIY 21P YNONE <br /> ro <br /> � � R8CMR8CiORDESiGNE11 �IA1lADDRE55 CIiY 21P PNONE <br /> � � GCNEMLGONTMCTOR MAIL�OOHE55 CILY 21P PNONE SiAIEIICf.NSE� <br /> IIM�� f�N1I, — 11(liY1f1P 7469 fIA17i37Ui A1] i.Yli]M7i� tim 9N�64 iSl—SS67 <br /> n M � MGGINIICALCONT^�GiON Au.IL/iDDRCSS GITY 21P PIqNE tlUiELICEN5E1 <br /> RI <br /> '� � � o0�7BY INC 1471 127th PL t� e�.[�trt�, w� �ieons �46-'+a�t mRavss�F� <br /> PWMBINGCOtITNACTOP MAIIADDRESS GTY Z1P PMONE SI�IEUCENSE/ <br /> a � <br /> n CU55 OF WOPN <br /> � 00 , I NEW I�I AODITION XI ALTERATION I I REPAIR i I DEMOLITION I I WOODSTOVE/FRPL INSERT I I BUILDING RELOCATION <br /> CONI�GT PEflSGN AND PIqNE NO <br /> N CONIR�CTPRIGEOFWORN j5252 00 �'��n <br /> � IIESCRIO[WOFN/JIOSW�flEFOOi�GEINYOLVED ��`T <br /> � � � <br /> PROPOSEOUSEOFBUI.DING i HEREBY CERTIFV THAT I HAVE READ AND E%AMINED THIS <br /> N unmm F `^iY APPLICATION AND NNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> O m �[GALDESCPiPT10NOFPPOPENtt�SMOWNBEIOWOP�TUCNFWNCOPoES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> _ WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> iar e�oc� ��F NOT. iHE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TME <br /> PEHFORMANCE OF CONSTRUCTION.THAT I AM AUTHOflIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS UW 1827 RCW AND 296200 WAC. <br /> x� .3—/7�/L— <br /> 1'ROJECTADORESS 5cw�u+e D��[ <br /> 1312-14-16-18 E�ffd(7( ���.�..Ess�Kr�sE�o <br /> � PLUMBING NECHANICAL <br /> NO. TYPE OF FIIfTUNE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> �C''t WATER CLOSET(TOILEn � A/C—NHNDLG UNITS—H.P. <br /> �. BATHTUB ' FORCED AIR SVSTEMS—B.T.U. M E.A. <br /> ' UVATORV(WASH BASIN) i UNIT HEATERS—B.T.U. M <br /> �� SHOWER CLOTHES DRYERS <br /> � KITCHEN SINK d DISP VENTILATION FAN <br /> , DISHWASHER RANGE H000 <br /> ' LAUNDRV TRAY ; WATER HEATER <br /> ��t� � CLOTHES WASHER WOOD STOVE <br /> _ URINAL METAL FIREPUCE 8 CHIMNEV <br /> ORINKING FOUNTAIN FIREPUCE INSERT <br /> - � FLOOR DHAIN HEAT PUMP <br /> � BACKFLOW PFEVENTEHS ' GAS PIPINQ <br /> ��I �1-' ROOF DRAINS—MMLEAOERS ; EXHAUST FAN <br /> SINK(SEHVICE—BAR,ETC.) <br /> . � <br /> e �1�' ; <br /> i - SU9TOTAL S SUBTOTAL S <br /> ' PF.RMIT S PERMIT S <br /> ,_ TOTAL FEE E TOTAL FEE f <br /> �� <br /> FOR OFFICE USE ONLY: <br /> �110NTSETB�GK REMSETBAC�, SIDESET&1CK PIANLHECNNUMBE�P/ FEE RECEiPiNO. <br /> ��PU YQ <br /> � usexor+e LOTMEA VACNITSITE FEES VALUATION FEE <br /> BUILDING ' <br /> I�MOFGONIS.AIIbNABIE IYPEOfLON51.AGIW1 0¢uwKr rOnV/�LLti�4wns <br /> � � PLUMBING <br /> SiZEOFBL06. NOOFSTOPiES 6tSEMENT MECFIANICAL <br /> , u(:CUPANCVLWD FlPESPHNRLEXSNEOD HE�cMT4Mii�TWN ADDITION�LPLANCMECK i <br /> � SPRINKLER ' <br /> �i[ASON FOR SPPW4ER5 <br /> STATE 9UILDIN(i SUHCHpRGE <br /> �NiNtE BY PL/�NS MPROVEDBY CITY OF EVEHETT PUBIIC WORKS � <br /> IOCALBAIES <br /> TAX CODE IS 3105 ror�� , <br /> i <br />