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APPLICATIG_� FOR CONSTRUCT )N PERMAIT ���� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> �3 o HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> �j .�j'j � BUILDING DEPARTMENT <br /> � H 259-8810 <br /> C N DEMOLITION COMBINATI�N � BUILDING MECHANICAL PLUMBING SIGN <br /> ��yc y OWNEH MAILADDRE55 �Itt 21P PHONE <br /> y �x H Ld,Y17 .S' ��it�,lf �� ��c[ �i�.E:�"�T 9�=��� 3ss-sfjzs _ <br /> K y � TENANT MAILADDFESS CITV ?i^ PMONE ' <br /> � ~ M' FRCMREGTOR�ESiGNER MAllA0DRE55 CITY Z�P PHONE <br /> V1 H <br /> H�Cz <br /> [sJ Q GENEPALCDNTNRCTOH MAI�ADDRE55 Cltt ZIP PHONE STATELICENSE� <br /> o H d Uf/ii� �,Pi7fiu�KSi�� ,�s 3J13-�- l�rJcL�F,Q 9,f��o/ �7-o,�s 7 fjNr:�'N81nlvH <br /> M� � AIECHANICRIWNiPRCTOR MAILADDRESS CITY ZIP PMONE STATE�iCENSE• <br /> Hy � � � <br /> �y � PlUM01NGCONTflRCTOR MAILADORE55 Cltt 21P PHONE STATELICENS[� <br /> z <br /> �—{ H] CUSSO�WORK y <br /> g y �„� . NEW '�. '. ADDITIUN � '�. ALTERATION /\REPAIR ' �� DEMOLITION � � WCODSTOV6FFPL INSERT BUILDING RELOCATION <br /> �5CCO..��5C7� ,j�j GONtACT PERSON A D FHONE NO �� <br /> C']� �ONTRRCT PRICE OF WORN �f � �YQLt, .�1' S/`�2�7 <br /> y y OESf.R18E WORH AND 50UARE FOOTAGE iNVOLV � <br /> H O v� TEkH Ll�f cIL<) t �Si L o� 3 N C�arr <br /> PROPOSEDlI5E0FBUIL�II.G i HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNO�V THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGALDESCPIPiIONOiPROPERtt�SHOWNOELOWOFATTACHFOURWPIE51 PROVISIONSOFLAWSANDOR�INANCESGOVERNINGTHISTYPEOF <br /> WOHK WILL BE COMPLETED WITH WHETHEfl SPECIFIED HEREIN OR <br /> tor e�ocrc oF NOT. THE GPANTING OF A PERh11T DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE GR CANGEL THE PpOVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORM1IANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TG PERFORM THE WORK FOF INHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> x `�r,�G1/'�.`�//���2>� ��� �Z <br /> VROJECTFp�RESy_ n scavuAn. —� . <br /> � /Y <br /> '�j i.� Yi../C��/� cnveus.:rs:i•r.n�sena — — <br /> PLUMBINC MECHANICAL <br /> 1�' NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOU�PMENi FEE <br /> WATER CLOSET(TOILET) hC—A�HNDLG UNITS—H.P. <br /> '�1 BATHTUB FORCED AIR SVSTEMS—P.T.U. M E.A. <br /> ' ' LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M ; <br /> � SHOWER CLOTHESDRYERS —� <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> 1 DISHWASHER RANGE HOOD __ �— <br /> ' LAUNDRY TRAV WATER HEATER <br /> CLOTHES WASHER WOODSTOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEV � <br /> 1 � <br /> DRINKING FOUNTAIN fIREPLACE INSERT <br /> � FLOOR DRAIN HEAT PUMP �— <br /> �I BACKFLOW PREVENTERS GAS PIPING <br /> � ROOF DRAINS—RAINLEADERS EXHAUST FAN � <br /> ' SINK(SERVICE—BAfi.ETC.) _� <br /> 1�' — — <br /> � <br /> '�� � �— <br /> ' SUB TOTAL $ ; _ SUB TOTAL $ <br /> PERMIT $ � PERMIT $ <br /> '----� TOTAL FEE 5 ' TOTAL FEE S � <br /> FOR OFFICE USE ONLY: <br /> FBONTSET9RCN REARSEtPACN SIDESETB0.CK PLANCNECKNtIl.lpEii F[E �EC[I�'iNO. <br /> 3�/570 <br /> ❑SEIONE �ornaen VACANTSItE FEES VALUATION FEE <br /> �� <br /> BUILOING <br /> IYPEOfCON15.ALlOWABIE iYGfOFL�NSCAtNAL Occu>�aa x0o�pwmni�u�..i5 <br /> aPauv ' PLUMBING <br /> SIZEOFBL�G. NO.OFSTOPIES BASEMENT MECHANICAL <br /> OGCLIPANGVLORD FIRESPPNKIERSPE00 HEIGHiLIMii4iiON ADDIiIONALPLANCHECK <br /> SPRINNLER � <br /> P[ASON FOR SPRINKlEBS — —� <br /> STATE UUILOING SURCHAHGE <br /> INTANEBY PL�NSAPPROVE�OY CITYOFEVERETT PUBLICWORH$ <br /> LOCALSALES <br /> TAl(COOE IS 3105 TOTAL <br />