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APPLICATIPN FOR CONSTRUCTJ�ON PERMIT � <br /> TO BE CuMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEATING SYSTEM: O�S ,�ELECTRIC ❑ --� <br /> 259-8810 <br /> ❑ DEMOLITION ❑ COMBINATION �BUILDING ❑MECHANICAL ❑PLUMBING ❑ SIGN <br /> SoNG W kTM ��73�-36t1� S� EuEQETt'. q82�1 2�� If� <br /> �uNr ��ooa�ss cm nr pia+e <br /> Sfl �C- � <br /> �nantccroaoes�n eud�oonEss cm nr v� <br /> m�aricaNtw�cron ww�opcess cm n r� ar�re��r <br /> ►�uuMCKca�tn�cion ww�oonEss cm zir n�a� st�te��:�� <br /> r�uwMo ca�rn�crai �uti�oonese ciTr ar r�ar� srae��se� <br /> cartMcr m�cc a warc <br /> �. �� <br /> pE WpPo(NlU SOUARE fODTAOE RIVOLVED CONTACT PERSpI MID M70NE N0. <br /> �� !� <br /> � 1 HEREBY CERTIFY THAT I HAVE AEAD AND EXAMINED THIS <br /> �� rnoroe�o u owo APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> �R_ PROYISIONS OF LAWS AND ORDINIINCES OOVERNINO?MIS TYPE OF <br /> �oiu ntfctarraNaFrnorenn�&awneeiowa{�Tr�cNTwocov�s� WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> � NOL TME ORANTINO OF A PERMIT DOES NOT PRESUME TO OIVE <br /> �or �� � - AUTHORITY TO VIOIATE OR CANCEL TNE PROVISION8 OF ANY <br /> OTiER STATE OR LOCAL UW RE(iULAT1N0 CONSTRUCTIOM OR TME <br /> PERFORMIINCE OF CANSTRUCTION.THAT I AM AUTHORRED BV TNE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR NM�CH <br /> � � APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> r��tac i.o.nw�n CONTRACTORS LAW 1827 RCW AND 298.200 WAC. <br /> OONBTRUCYION LOIW IENDER.11D011EM.lRFFl10NE MMER � / _ 7 . )G,��.^ O/�// �• <br /> � C/C/ � <br /> �IIOdECT ADORE6s Muwn� arz <br /> � a a �. �,..�..�..,���. <br /> Kuw��o �eaw�c�� <br /> No. TvnE of AutunE on rtEr �e No. Tr�oF Eouir�Nr � <br /> / WATEH CLOSET(TdLET) � M�AMNDLO UNITS--H.P. � <br /> �TM�g ' FORCEO AIR SVSTEMS--B.T.U. M E.A. ' <br /> LAVATORY(WASH BAS�N) � UNR HEATERS—B.T.U. M � <br /> Sf/OYyEp � CIOTHES ORYERS ' <br /> KITCMEN 81NK i DISP � � � VENTILATION FAN � <br /> DISHWASHER � RANOEHOOD ' <br /> LAUNDAYTMV ; WATERMEATER ' <br /> CIOTHES WASHER � WOOD STOVE � <br /> URH�AL ' METAL FIREPLACE(W000 BURNMKi) i <br /> ORINKINO FOUNTAIN � FIREPLACE INSERT � <br /> FLOOR DMIN � HEAT PUMP ' <br /> BACKFLOW PREVENTERS ; UAS PIPINO � <br /> ROOF DRAINS--RAMILEADERS � EXHAUST fAN ' <br /> SINK(5EHVICE�IIR,ETC.) . � , <br /> , � <br /> � � <br /> � <br /> � ' <br /> � <br /> SUB TOTAL S ' SUB TOTAL { ' <br /> � PERMIT S � PERMIT i � <br /> ���� � TOTAL FEE S ' TOTAL FEE t ' <br /> FOR OFFICE USE ONLY: 76 <br /> ' FppN{tETMCK REM6ETlACI( 6�DESETB/�CK PLAN FE� RECEIPTiq. <br /> , ��zd,� iotµ�� VACNIT BITE FEES YALUATION fEE <br /> ❑ YES ❑ NO BUILOINO ' <br /> TYPEOFCON6T NO.OFBT0111E8 axuvrM[r �a.awrtudcuwtts ' <br /> � <br /> '/— / onour PLUMBIN6 � <br /> 1' �\� i <br /> 812EpFll,pp. FIRE6PRRMLERSREdO MSEMENT MECHANICAL � <br /> s � �J ❑ YES �O � <br /> � <br /> �pCU1MNCYLOW FIRE/ilA1M REOD HEIONTLIMITATIOX ADDITIONAL PLAN CHECK � <br /> � NV OTHER i <br /> REI180N � <br /> STAiE 9UILDMO SUHCMARGE � <br /> nrt�er Pu on' CITr OF EYERETT PUBLIC WORKS � <br /> LOCIIL tAlEt � <br /> o�� �� -S3 TA1I CODE 18�105 �T�� � <br />