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APPLICATIQ^` FOR CONSTRUCT''1N PERMIT /� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT C^'/�,,._ <br /> ���., <br /> BUILDING DEPARTMENT HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> 259-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MAILADDRESS CIiV 21P PHONE <br /> Garv T ila ic , 1625 F Marina Vip� nr @9 F� Pra1-} <br /> TENANT MRILADDRE55 ��ry Z�P I ��11T QA9p� 7�'jR 7(�72 <br /> PHONE <br /> Garv Davia, samP <br /> ARCHITECT OR DESIGNE9 MAIL qDDRESS CITY ZIP PHONE <br /> BakeT Envin�Pra r,�,nnwood� P'n <br /> GENERALCONTRACTOR MqILADDRE55 CITY ZiP PHONE <br /> STATE LICENSE 1 <br /> GLD EnteL'pi� SPS� 7nr � �� E. _MarinP ViPw nr„ k? Fs,_ � <br /> MECHANICALLONTRACTOR MAILRDORESS Cli� Z�p I�—+I - �=T.DF.j�T=� � �A� <br /> PHONE STATELICENSE• <br /> PLUMBINGCONTRACTOR MAILADORE55 CITY ZIP PMONE <br /> STATE UCENSE� <br /> CONTHALT PRICE OF WORK . <br /> 232 ,� <br /> DESLRIBE WORK AND SWARE FOOTRGE INVOIVED CONTACT PE N AND PHONE NO. <br /> Stora e r <br /> PROPOSEDUSEOFBUIIDING 1 HEREBY CERTIFY THAT I HAVE READ AND EKAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGALDESCRIPTIO P �SHOWNBELON'ORATfqCHTYOCOPIES� WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or 4 •�S •.�T7 g�p�K�„Q.(�__ OF '�]]a{fPY'4 1 ef �riA NOT. THE GRANTING OF q PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> R o d d i n ol»mP Q nf nl t � rtA OTHER STATE OR LOCAL LqW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> PARCELTA%I.D.NUMBER APPLICATION IS MADE AND i COMPLY WITH THE STATE <br /> r CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> CONSTRl1CT10N LOAN�ENDER,ADDRE55.TELEPHONE NUMBER <br /> - PROJE�CfT ADDRESS qE �A ''�� �/�i.� 9� <br /> � /Z S F.� / .Z.O-Y-BA� DAIE <br /> UTY BUSiNE55 LKENSE Np <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF flXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATEfl CLOSET(TOILET) � NC—/VHNOLG UNITS—H.P. ' <br /> BATtITUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) � UNIT HEATERS—B.TU. M � <br /> SHOWER CLOTHES DRYERS , <br /> KITCHEN SINK 8 DISP ; VENTILATION FAN � <br /> , DISHWASHER � RANGE HOOD � <br /> LAUNDRY TRAY ; WATER HEATER � <br /> CLOTHES WASHeR � WOOD STOVE � <br /> URINAL ; METAL FIREPLqCE(WOOD BURNING) � <br /> DRINKING FOUNTAIN � FIREPLACE INSERT � <br /> FLOOR DRAIN , ' <br /> HEAT PUMP � <br /> BACKFLOW PREVENTERS ; GAS PIPING � <br /> ROOF DRAINS—RAINLEADERS � ' <br /> EXHAUSTFAN � <br /> SINK(SERV�CE—BAR,ETC.) � <br /> i <br /> � <br /> SUB TOTAL $ ' � <br /> � SUB TOTAL $ � <br /> PERMIT $ � PERMIT $ ' <br /> TOTAL FEE S ' TOTAL FEE $ � <br /> FOR OFFICE USE ONLY: ,�J� J <br /> FRONTSETBACK REARSETBACN SIDESETBAGN PLANCHEC NUMBER FEE RECEIPTNO <br /> -�" -�-- ' �/�/J,-2� /p � <br /> USE20NE LOTAREA VACRNTSITE FEES VALUATION FEE <br /> ❑ YES ❑ NO <br /> TYPEOFLONST NO.OFSTOPIES o[[u��Htv NOWUV[IUNGLNitS BUILDING ��� �S �J <br /> I �p 'P PWMBING i <br /> 3 � <br /> SIZE OF BLDG. FIRE SPRINKLERS REO'D B EMENT i <br /> 5"76J + �� YES ' � NU MECHANICAL � <br /> OCCUPANCY LOAD FIRE ALARM R�O'D HEIGHT LIMITATION, ADDI7IONAL PLAN CHECK ) i � <br /> �� � c i <br /> REASON OTHER � <br /> STATE BUILDING SURCHARGE ���� <br /> INTAKEBV PLANSAPPROVEDBI' CITYOFEVERETT PUBLICWORKS � <br /> tJM LOCAL SALES � <br /> DATE �a •�. TAIf CODE IS 3105 rorn� � n <br /> O I Lr-d� <br />