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��� <br />H <br />b �3 fn <br />� <br />K � n <br />� Q'i � <br />�C H �q <br />N H <br />� H � <br />Q M <br />� � � <br />M <br />[' y <br />�r �3 <br />O N <br />N <br />O N <br />� � N <br />O N <br />� ( 1 <br />� �� <br />APPLIGATIG I FQR CONSYRU�T _�iN PERiNIT � <br />3 TO BE COMPLETED IN BLACK INK—PLEASE PRINT ���T <br />�� i HEATINGSYSTEM: UGAS JELECTRIC .d��:_.___ __ � �I <br />6UILDING DEP��RTT�4ENT <br />25J-6810 <br />DEMOLITION COMBINATION )( BUILDING MECHANICAL PLUMBING SIGN <br />..� iuv �vP.CG!' rani�nocness cnv ziv Pi�ONE <br />-T��1 llp .i d,�/ �.ZOfi � �J�L�I�OC.aC''rl�'�- �L�V=L�S `��7ir� t�St�- -- <br />" — 61At1 ADDfiE55 CITY IiP PMONi <br />�F,��.,r <br />�,r,i,��ii[CLOROESIGNER IAFILADDPE55 CIiY ZIP ���ON[ <br />G!GER4lCONiP4CiOli IIAilA0URE5S CITV 21P �HONE STAiEUCENSE• <br />_�� ' tiu� t��ry� r'u��r'�'� �P��, zs�7-�zst, un<�,�eJcuu�u� - <br />1.9 QN!YCALCONiRACTOR ��A�L R��RESS CITY 21P PHONE SL�LE UCCNS_ � <br />�'��UA'.piNGCONiRRCTOR MFRADDRE55 CrtV ZiP PHONE STATEIIC[IISEa <br />Cl �55 OF \40RK <br />�('NEW ADDITION ALTERATION REPAIR DEMOLI-iON WOODSTOVEiFRPLINSEFT BUILDINGRELOCATION <br />p�� i, �V � �a1�. CONTAGTPERSONANDPMONEIN. <br />CO'IiPACTFRiCEOFWORK ��SQO — '" - - <br />C�C;CRiEE lYOPH AND SOUAFE FOOTPGE RJVOW E� <br />—�Y_��-���d��-� t �-x zN ?3 �sF — <br />reorosEouseocomiowc i HEFEBV CCRTIFV THAT I HAVE READ AND Ei(AMMED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />u.cn� oescaianor+oF rAoaear�� �s�owH oeiowaa arrac��Fouacoaies� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WNETHER SPEqFIED HEREIN OR <br />ior /—Z e�ocK �-/�b oF �! l O� /LL NOT. THE GRANTING OF A PERMIT DO[S NOT PRE-SUME TO GIVE <br />N OF ANY <br />i�HOJEGTADDRE55 <br />C <br />WATER CLOS[T <br />BATHTUB <br />LAVATORVIW�S' <br />SHOWER <br />KITCHEN SINK 8 <br />DISHWASHER <br />LAUNDRV TFiAY <br />CLOTHES WASH <br />URINAL <br />DRINKING FOUN <br />FLOOR DRAIN <br />BACI(FLOW PRE <br />ROOFDRAMS— <br />SINKISERVICE- <br />[�l:l <br />SUB TOTAL 5 <br />PERMIT 5 <br />TOTALFEE 5 <br />FOR OFFICE USE ONLY: <br />IHONTSEIOACF RfrN$ETf1ACN <br />zo > <br />Ils[ 20NE LOi Aq[A <br />��VLONfSAILOWABtE tYPkO COilS�l <br />— / �—/✓ <br />siiCOF�LU(3. NOAFSWFIES <br />3 SF � <br />OCCUPANCYLOAD FlRESPRNKLERSREOD <br />A�/� u� <br />INiANE�Y �'14N5�r.PRObEfDUY <br />�C/?'�.� �i� ��3i <br />FEE <br />SC <br />AUTHOR�TY TO VIOLATE OR CANCEL THE PROVISIO 5 <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTIGN OR THE <br />PERFORAIANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTV TO PERFORM THE INORK FOR WHICH <br />APPLICATION IS MADE AND I CO�dPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br />���' ���� �,�1 � <br />,. � <br />.,`....__ _ — _ <br />MECHANICAL <br />VO. TYPE OF EOUIPMENT FEE <br />A C—��HNDLG UNITS—HP. _ <br />PORCED AIR SVSTEMS—B.T.U. M E.A. <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN � <br />RANGEHOOD � --T— <br />WATER HEATER —T <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIR[PLACE INSERT � <br />— --:— <br />HEAT PUA1P <br />G�S PIPING <br />CXHAUSTFAN � <br />SUBTOTAL 5 <br />P[RMIT S <br />TOTAI FEE 5 �— <br />r��nNa�[crcrvur.mFr� r[e( ( �/ n[rci.�ir�o r+ <br />•'J')<�"�G J �� VC� //C,C�J <br />V/CdNi SIT[ YtCJ <br />BUILUING <br />acncu¢. rmmva..�-.;i=.�n — <br />�,aouv+ �y PI UM1�UING <br />Xl <br />BASEMENT h7[CHANICAL <br />HEIGHiII'IAi�ION ADDITIONALPLANCHECN <br />1 <br />7 � SPRINKL[R <br />STATE EUILDING SURCH�I�GC <br />CITY OF EIIERETT ruo�icwoaks <br />LOCALSALES <br />TAX COOEIS 3105 TOTAL <br />� <br />