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APPLICATIQ 1 FOR CONSTRUCTt 1N PERMIT � <br /> TO BE COMPLETE�IN BLACK INK—PLEASE PRIi'JT <br /> HEATING SVSTEM; GAS �]ELECTflIC O <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> . '. DEMOLITION i � f,OMBINATION � BUILDING �XMECMANICAL I J PLUMBING i I SIGN <br /> ovmrn u.nsoun[ss cirr zic rrqr2 <br /> A2r 7��,K.o_k�N NC 7�EcK5 i !'t/rnc7 98�-'`3 _ <br /> 1�N�N1 M�LL�D�FF55 GiY lIP AbNE <br /> enGInEC�p�OfSiGNLN 4�tt�DDNRS ��r ��� ��� <br /> GM[RALL 1ML10P GMLIUORF55 LI1Y I�i PHONE Si�LEIICENR� I <br /> V�/� ,4��/4�� ��� zaxsc3G r�r.� ff ��ae� �s-ss�. Gb//E.v�ossPM I <br /> M6�UN�C4:AN1R1CiOP MAM1�E55 COY SIP F1KKIE ,1�IELICENSb <br /> VWA1f4N6GGNIN�CTON YA0.�ODP65 CILV ZIV PXq1E Si�l[IICFN5L1 I <br /> Cp1Ifl1Li PPICE O��PN � <br /> ys"� <br /> OCSCaIBC\YMiM AIID SWAP[i00UGE IV1'IXV[� fANUCi FFRSp11 AND PIIONE NO <br /> � /� <br /> t� 7R�C /c) C�AS CN!/GtS��oN <br /> I HEflEBV CERTIFV THAT I HAVE REA� ANO E%AMINED THIS <br /> rnorouousecv euao� APPLICATION AND KNOW THE SAME i0 BE TRUE AN�CORRECT.ALL <br /> j PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE OF <br /> im��ncscninrpr�orreoveqn�sMrnmeeiowone**�cu*Nt�uwwesi WORK WIIL DE COMPLETE�WITN WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GHANTING OF A PER611T DOES NOT PFESUME TO GIVE I <br /> ior ma:n--or AUTlIURITV TO VIOLATE OR CANCEL TME PROVISIONS OP ANV <br /> OTHER SiA1E OP LOCAL L4W REGULATING CONSTRUCTION OR THE <br /> PERFORh1ANCE OF CON57RUCTION.THAT I AM AUTHOPIZED 9Y THE <br /> OWNER OF THIS PROPERTY TO PERFOPM TME WORK FOR WHICH � <br /> APPLICATION IS MADE ANO I COMPLV WITM THE STATE <br /> rencu r�e i o rvuuo[n CONTBACTORS LAW 1827 RCW AND 296200\VAC. <br /> COY�111V'f�l(H1lOANlE11UEP.ADUPE55 tEIEN�OMENUN9CN � <br /> x ' � ,� 3��s3 � <br /> PROJECT PUUfl � ���� <br /> yc . /�ECKS .�1� �i,r,�ez`� 1 5.�13 �.��.w., :�.. ... � <br /> PLUMBINC MECHIINICAL` <br /> NO. TYPE OF FI%TURE OH ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILLT) A�CrA�MNDLGUNITS—H.P. _ <br /> E3nTHTUO FORCED AIR SvSTEMS—B?.U. M E.A. <br /> LAVATORV�WAS��BASIN� UNIT HEATEfiS—BS.U. M � <br /> SHOWER CLOTHESORVERS <br /> KITCHEN SINK 8 OISP \'ENTILATION FAN _ <br /> DISMWASMER RANGE HOO� <br /> LAl1NDRY TRAY �_J �YAT[B 4EATER <br /> CLOTHES WASHER \YOOU STOVE <br /> URINAL �METAL FIAEPLACE(\YOOD BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSEFT <br /> FLOOR DRAIN MEAT PUA1P <br /> DACNF�OW PREVENTERS ��_ GAS PIPING � <br /> — E%HAl/ST FAN —T <br /> ROOF ORAWS—RAINLEADERS <br /> SINN(SERVICE—BAR ETC.� ' <br /> _�_— <br /> T— <br /> SUOTOTAL 3 SUBTOTAL $ <br /> PG�IAtIT 5 PERMIT S __ <br /> TOtnLFEE E TOT�LFEE S <br /> FOH OFFICE USE ONLY: <br /> rnorns[�a+cn nc�nsc*o�rK siocs[�e�.cK �uHu�[c� }+���m,� rcc nccnrrrw <br /> �� <br /> usrza+e �O*�n[e veeu�rs�*E FEES �ALURTION FEE _ <br /> ❑ YES C] NO puaDiNa <br /> ,�nrncc�s� Noasrm2s omac� v�oocvnwx�rs — <br /> '� PLUMBING <br /> ;ilCCKotOA iIFESvflWh[RS�EO9 BASEMENi MECIIANIGAL <br /> 7 VES ❑ NO — <br /> OCCUPu�CYlWO ihiEN/��u11[00 ��E[1NIlMifAipN ADDITIONAIPIANCHECK <br /> O1HER <br /> nc�son <br /> � <br /> SGTE OUILDING SIIRCHRqGE <br /> mu.c or nu�serrnavmm CITY OF EVENETT Pl10lIC WpRNS <br /> 1OC11L SIILES <br /> o��E TIIX COOE IS 3105 Tote� <br />