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APPLICATIC _ J FOR CONSTRUCT_ )N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEATING SYSTEM: U GAS ' ELECTRIC i] <br /> 259-8810 <br /> ' ' DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> OWNEP MAILADURE55 CITV ZIP PHONE <br /> Dr1�.�1P A/t��� � Cg.�y ��TIt D�C� :F �'I/�%7J' 9.iik�✓ - ,. <br /> TENANT MAILAODRESS CITY ZIP PHONE U �_/� /,Y <br /> ARCHITECTORDESIGNEA MAILADDRE55 CITY ZIP PMONE <br /> GENERALCONTRRCTOR MAILAUDRE55 CIiY ZIP PHONE STATELICENSEt <br /> e'W�.i7 <br /> MECMRNICAL CONTRACTOfi MAIL ADDRESS CITY ZIP PHONE STATE LICENS[� <br /> PLUMBINGCONTRRCTOP MAILADDRESS CIiV ZIP PHONE STATELICENSGI <br /> ClASS OF WORK <br /> : i NEW I ' ADDITION ALTERATION �. REPAIR DEMOLITION . WOODSTOVE/FRPL INSERT ' BUILDING REIOCATION <br /> (] /� GONTACT PERSON AND PH'/O�NE NO. 7 <br /> CONTPRCi PRICE OF WORN � / •J�,C� �y(��wy. L�� J�—�j. /�, <br /> ( 9 ' <br /> DESCRIBE WORK AND SOUARE FOOTA E INVOLVEO <br /> IQtilfi� � ` D :S . ry�; c� <br /> PaovoseouseoFeuaoiNc • I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> , - APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGAL ESCRIPTION OF PROPERTV�SHOWN BELOW OR AT7�CM FOURCOPIES� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or B�OCK oF NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WNICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTOFS LAW 7827 RCW AND 296.200 WAC. <br /> x G'�—��O'./G� c� �=o?�^�r.� <br /> PRQIECTADDRE55 ��D O ���y�/� lS SiGrvniUnE o��[ <br /> L {� <br /> ❑tt BUSiN[55 LRENSE NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) NC-AIHNDLG UNITS-H.P. <br /> BATHTUB FORCED AIR SYSTEMS-B.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) � UNIT HEATERS-B.T.U. M ; <br /> HOWER � CLOTHES DRYERS � <br /> KI HEN SINK 8 DISP VENTILATION FAN ; <br /> DISH SHER <, } � RANGE HOOD fIN✓QNtGO <br /> LAUNDR RAY � y% ( WqTER HEATER IL� <br /> CLOTHES WA ER ) � WOOL�STOVE ; <br /> URINAL �" METAL FIREPLACE 8 CHIMNEY � <br /> DRINKING FOUNTAI � � FIREPLA�E INSERT ; <br /> FLOOR DRAIN � HEAT PUNP � <br /> BACKFLOW PREVENTERS ; GAS PIPING � <br /> ROOF DRAINS-RAINLEADERS � EXHAUST FAN � <br /> SINK(SERVICE-BAR.ETC.) ; <br /> � / � <br /> � <br /> � . � <br /> � <br /> � <br /> SUB TOTAL S SUB TOTAL 5 <br /> PERMIT 5 PERMIT 5 � <br /> TOTAL FEE S ; TOTAL FEE 5 � ('J � �- <br /> FOR OFFICE USE ONLY: <br /> FRONTSETBACN REARSETBACN SIDESETBACK PLANCHECNNUMBER FEE FECEIPTNO. <br /> 2Or 7�'� S� �i �I� �h sa <br /> � <br /> uSezoNe LOTAREA vncnNr,strte FEES VALUATION FEE <br /> t2�� ��� Nv BUILDING fjOQ y� � O'U <br /> 7VPEOfCONiS.ALLOWABLE 7YPfOFL011STACIOAI oCCUC�Htr r:oof0�v[uMGUNns i <br /> cnour ' pLUMBING <br /> _ � <br /> S�E�tOF��DG qSO� NO.OFSTOFIES BASEMENT MECHANICAL �Q i pG <br /> 3 C� <br /> �< < <e 1 N� <br /> OCCUPANCYLOAD FIRESPRNNlER5RE0'0 HEIGHTLIMITATION ADDITIONAI.PLANCHECK J '.SO <br /> u A �� SPFINKLEfi i <br /> REASON FOR SPRINKLERS � � <br /> STATE BUILDING SURCHARGE <br /> INTANEBV PLANSAPPROVED6Y CITYOFEVERETT PUBLICWORNS ��� <br /> LOCALSALES ' <br /> Jf� 7�Z���Z TAI(CODE IS 3105 rora� / �� <br />