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<br /> EVEHETT, WA :,uxo� COMOINATION • BUILDING • MECH/�NICAL • PLUM[31NG �'`�
<br /> OWNL i MMl AUUIIL�' LII• 1•IIUNL
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<br /> AH�'.�I]'CC7 Olt U[SIGNER � � MAIL ADDNLSS PHUNh UClNS6 NU. 3
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<br /> GENL�LCOn��RACTOR MNLAO/q fi'SS � PHONk IICEN5EN0. �
<br /> �.� I/ G. :_�'�C�y 5 �S��r ( /Ci N/P''v� ✓1• �fj'' i''��l %2���/- S O. �:/_ �`_,Y:';.�.'
<br /> MECHANICAICONTfiAClOfi MAILADDfiC55 PNONE LICENSENO. 3
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<br /> PLUMU G/CONiRACTOfi MAILADUfl[55 PHON[ LICENSENO. 2/ �� A
<br /> ��/N/.S%(�(' Q` . . / �j7
<br /> PEflMIT LLA55 OF WOIIK 7/���
<br /> ❑COM�INATIOtJ
<br /> ❑DUILOING ❑PLUMUING �M[CNANICAI
<br /> ❑NEW ADDITION ❑qLTERATION ❑PEPAIf1
<br /> VALUq710N OF WORK
<br /> - S� � �p�✓�� ❑DBMOUSH ❑FENCE ❑SIGN ❑SWIMMItuG POOL
<br /> C/ '
<br /> DESCRILiE O K �/ � / -/ J �
<br /> . ��D.'t/ U� :'��/� J�C7 .!! 7 UD,i f/ cn/l! DI-, //����, 1�,�i i� jJ'�,
<br /> PRUPOiEU U5G MECHANICAL
<br /> J� �/,� TYPE OF CNCHGY
<br /> LEGAL AESCfiIPTION OF PqOPERTV lSHOW UELOW OR ATTACH ❑GAS ❑ELEC.
<br /> FOUq COPIE51
<br /> LO BLaCK OF �� �i N�� ___ TVPE OF EDUIPMENT FEE
<br /> '�¢—� �-�� „O0 rye AIR CUfJD.UNITS-H.P. E4. S 1'�
<br /> R[FHIGERATIONV(J�TS .M.P. En. �—
<br /> f101LEf/5-N.P. EA. �"'--- �
<br /> • FORCBD AIR SYSlE�AS-�.T.U. A7EA. �
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<br /> JOO AUOfiC55 SPACE R YlALL HEATFIIS - Fl T.U. -�—
<br /> UNIT IIEATEf15 fi.T.U. ' 1
<br /> hVAnpq�IIVECOOLfNS �
<br /> PLUMf31NG c�on�[s onv�.Fis i
<br /> v[Nri�ntioN r.�rv �—
<br /> Pl�NGE �IOOD I
<br /> NO. TYPE UF PUCTURE Ofi ITEM FEE AI1t HANDUNG VNII- C.F.M17.
<br /> OATH TUP.S $ . �
<br /> CLOTH[5 �7�15HfR i WnTER HEATE�i
<br /> DISH 'A�15HEfl$ 1 --------' — , i
<br /> UHiNKING FOUPlTAlIJS � _ FAC. OUILT F�q[PLACF. R CHIh1N[V
<br /> f1.001t DiIAIVS � GAS. SVSTEM: NO OP OUTL[TS ---T '
<br /> KITCHGN S�NKS F: UISP. i
<br /> SU[i TOT4L 5 �
<br /> OAIi SINKS � PEHMIT 5
<br /> ROOP URAIN.S - HNN LF:ADENS � iOTAI FEE 5 �
<br /> $HOWF:N O�THS � T1a5 P[Hh11T PCCD�dES NULL ANU VDIO If 170RR Ort CONSTRUG
<br /> SEfiVICE SIP:Kti � 110N AVTIIOIUZLD IS NOT COh1WEff�CED WITIIIN 120 D�YS, ON IF
<br /> CiUhiPS - tiL4YAGE PUMP CONSTNUCTION UN \vORK IS SU5�'[NU@f) OR nISAN[JONf.D FOR \
<br /> PERI00 OF IZO nAY$ AT ANY T�h1E AI'TER WOfil: iS CO\1n1[NCED.
<br /> URINALti
<br /> WM-F.ii CLO:iFTS 1 1 HEH@ItV CERTIPY 111AT I IIAVE REA� �Np F%AMINED TIIIS AP�
<br /> PLICMION AND Y,NOVI lllC SAME TO Uf. 1RU[ AND CORRf.CT AL�.
<br /> WATER HCAT[RS_=_ELCCTRIC � PROVISIOA$ OF I.AWS AND ORDINANCCS (iOVhfiMNG Tl11$ TVP[
<br /> WASH B/�SIN$ � OF WORK \YILL [lE CONVLIED \YITII \VHETII[R iPCCIPI[U IILREIN
<br /> LAUNPNY lRA1'S � OR NOI, TNE (iRAN1iNG Of A PCqMIT DOE.^a NOT PltESV'.1E TO
<br /> � GIVB AUiRpqITY TO VIOI.ATE 00 CANCE� TMB Vf10Vi510N$ OF
<br /> l�NY p�11CR STn R IACAL LAW IILGULATING CONSTRUCTION
<br /> �_ OR TIIE PLRfOiiMAN OP CONSTRUCI ION.
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<br /> WATEfI $ERVICF SIZE [ILDG. SUI'PLY SIZG $IrNATUNGOFC nG1011 fi UT1I.AGLNT UA7F
<br /> SIUEYAHUSG714ACK IIffiL6i5GTIlAC1: IIGAHYAllDS[TIIACY. I'LAMCU6CKNUM1111EN YLANCIIECKFEh
<br /> �� �� FEE ��' �O flECGIPT NO.
<br /> USE 20NE LOT AR@A � VACANT SI?E
<br /> ❑Y�+ Q'� fECS VALUATION FE[
<br /> TYI'E Uf CUNST. OCCUI'ANCY GliOltl' NO.OI' UWLLIIN(:
<br /> UNI75 I
<br /> � i_I I�- 2 --
<br /> 512E O� I1LDG. NO.UF S70(IIL5 MAX.00G LOAD ❑UILDING , S��; � �' �1 �OO
<br /> _ 1'LVMOING
<br /> f111L'"LONE UASGMI:NI' I-!III.51'111NK1f.1t;
<br /> NLUU1111:U
<br /> �L � ' ❑YCS Q` NO �tEC1111NICAL ---���
<br /> SYLCIAL f.ONU1T10NG: pT����i I
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<br /> PCNALI Y SEC.�OJ la) I
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<br /> � TOTAL � j
<br /> 19iI1MIT Vl�LIUAl1UN
<br /> .._—..______.—_-- WI11 N 191U1'I 111 V VA1 IUN 1 U IIN 7111::il`AC.LI T111!i 1� V11U171'1'.II
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