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' �� APPLICATIO(' FOR CONSTRUCT(�N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT f HEATING SYSTEM: U GAS �ELECTRIC !J_ 1 <br /> 259 8810 <br /> �, DEMOLITION i ' COMBINATION �( BUILDING ; 'MECHANICAL i '.PLUMBING I 1 SIGN <br /> owr+Fn uuieooncss att z�n c�e <br /> �E,�c�[ ••�lon /4/S l,Tm/Y� .ArE• �EVr7?elt Jf�i/ !1'�to/ .Cb9'GYS7 _ <br /> �tv+vt u�neoon[ss urv tiv e�qN[ <br /> ANQ�I�FCLOflOES�GNER M11LA(IpqEW Clry tIP PHONE <br /> �:l111:III.ICONiflALipR 4�4AD�PE55 CIfY I�F pPCNE SiaiEIILENSE� <br /> �ALCIIANIG1lC011iPI.LiON MAII/�O�RE55 CILY ZIP 1ry1CHf $iAi[LILENSF• <br /> PWM�iN6LCNiR/.C�0�1 ML4�Dd1E55 CIiY DP pMQVE Si�iCLILCNSE• <br /> COYIqALi GIIiCC C(\'rORX <br /> DCSCN111LWORXANfISCU�P[IOOi�GEI11VClVC� N1�f.11'EqSpty.�rypP f1q �� <br /> i>Ni l� <br /> ����I _IN��.cno—�loF-fY�nnka `�UJ <br /> I HEREBY CEFTIFY THAT I HAVE READ AND E%AMINED THIS <br /> ��+o��tn os'[o�na�m�nc pppLICATION AND KNOW TME SAME TO BE TRUE AND CORRECT.ALL <br /> __��R�. PROVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS TYPE OF <br /> uc,untsn��r�uc�rvixanoocanis�rowrve[iavoneitec«rvrocwrtsi WORKWILLBEGOMPLETEDYIITNWMETHEFSPECIFIEDHEREINOR <br /> ❑OT.THE GRPNTING OF A PEPMIi DOES NOT PRESUME TO GIVE <br /> �ot — o�ace oF AUIHORITY TO VIOLATE OF CANCEL TNE PRGVISIONS OF ANV <br /> S�E A��a cNEn OTMER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TNE <br /> — ///��� PERFORRIANCE OF CONSTFUCTION.THAT I AM AUTHORIZED BV TME <br /> / � � �j� 'O OWNER OF THIS PROPERTY TO PERFORM THE WORN FOR WHICH <br /> �n.�� l�-� «� APPIICATION IS MADE AND 1 COMPLY WITM THE STATE <br /> ruacn uv i u r�uun � CONTRACTORS LAW 1827 RCW AND 296300 WAC. <br /> corvsteucirorvw•naxoEa eoonEss r[�ENuusch`� � �., ,,�,,' <br /> `1��5"�°i�tir—, �r-�'r►'��a�qxav�. ��.:�:,.s,.,� '��"�`� <br /> PLUMBING MECN�NICAL M <br /> NO. TYP'_�OF Fl�'TUflE Oi11TEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WAT[R CLUSET�TOILET� A C—A HNDLG UNITS—H P <br /> BATMTUB FORCEDFIRSVSIEMS—B.LU. M E.A. <br /> LAVATORY�WASNBASIN� UNITHEATERS—B.TU. M <br /> SIIOWER CLOTHES ORYERS <br /> KITCHEN SINN B OISP VENTILATION FqN <br /> OISHWASMER RANGE MOOD <br /> LAUNDRY TRqV WATER MEATEq <br /> CLOTHES WAF'�ER WOOD STOVE <br /> URIN�L METAL FIREPLACE(WOOD BURNING� <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR�RAIN HEFT PUMP <br /> 13ACNFLOW PREVENTER$ GAS PIPING <br /> ROOF ORAINS—RAINLeADERS E%NAUST FAN —�— <br /> SINK�SERVICE-9AR.ETC.� <br /> — __� <br /> SUBiOTAL 5 SUBTOTAL 5 <br /> PERMIT b PERMIT E <br /> TOTALFEE b TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> IBIXI�iC16AC�t �EAPSEIB.�IX SIpCSF�B.ICR MANCHFCRNUMO[R !CF P6E�oi11p <br /> u,cnwi iorene� wcervrsrtt FEES VALUATION FEE <br /> :�" YES :� NO BUROING �,� <br /> �nfo�[OrF� NOOf510PiE6 a¢'s�w _ntmnr'.vm's <br /> —� , I "� PWNDiNG <br /> l�l <br /> SVto1P11%: iiRESFPWMtE115PE0U B�SE4[N1 � / MECIIANILRL <br /> 5-��� � ' .. VES vN0 — <br /> q:CUP�NCYIO�D n�[�leq4PEOD MEqN�UuitetiOH ADpIt10NRLPLANCHECK <br /> J �'� � orHen <br /> B(I.'.0Y — � <br /> S1AiE F1ViL01NG SlIRC11ARGE � <br /> iY'<el Ov �Y�xSAFPpOy[DBv CITY OF EVEflETT PUI1lIL WORNS <br /> -�1 N LOCAL SIILES � <br /> �„E � ,� TR%COOE IS 3105 Tou� �(� �— <br />