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APPLICATItr.� F+ `R CONSTRUC7 .ON PERMIT <br /> TO BE COMPLEIL'D IN BLACK INK—PLEASE PRINT �� <br /> BUILDING DEPARTMENT HEATING SYSTEb1: D GAS f]ELECTRIC U. � <br /> 259•8810 <br /> DEIIAOLITION COMBINATION ,'� BUILDING MECHANICAL PLUMBING SIGN <br /> pYMER MARAODRESS CITY ZIP PIqN'c <br /> � 6o��N� �.. , �o, Bc� 37�7 ,l��s oF-��,����r[,E�, l�.Pr. 9�i2y 3YL -s'�'7� <br /> TEN�Ni M� �DORE55 CITY �IP P1qNE <br /> SA�r�� k5 o�^'N� r„ - <br /> ARCNITECTOROESqNEP MAK�D�RE55 ��T� zb' PMdIE <br /> �o �l-r� Gih�-k-A^`^ �SeGlM'�, <br /> OENERALCONTR�CTOR M�tt�ODRE55 dTV SiP P�E ST�TELICENUE• <br /> SEGA�t�E" V[7 d��O:�U � ..�.G.�. 9.�/� .>�:� - .��rJ SG—C i�,c vr�✓� <br /> MEGN�HIGLL CONTR�LTOR M�IL��DHE55 � CI�V 21P PNONE ST��F.LICENtlE� <br /> 3�a�r� <br /> PLUMBM6GONTR�CTOR MAtt�DORE3S CITV ZiP PMONE ST�iEIICFNSE/ <br /> C 850F W011N <br /> i NEW ! ' ADDITIi N I �� ALTERATION REPAIR DEMOLITION WOODSTOVE/FRPL INSEPT � BL9t.DING RELOCATION <br /> �/�� /� /� CONT�CT PERSON A�ND!P�HONk/� p <br /> CdlTRACTPflICEOFWORN "�'Tfl��,.J�(/OQ �O/`���W (V�TCf+ MD�ks�� r�L''�S_Ci <br /> DESCRIBF.NV11N�NO 50U�AE FOOTAOE�NVOLVED <br /> PROPOSEDVSEOFBU0.DIN0 i HEPEBY CERTIFV THA1 I NAVE R[AD AND EXAMINED THIS <br /> �^,T� Lc'�7G ,� �L,t�jcyT/L,�q�,J T71 NN�'` APPLICATIGV AN�KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> :��M DESGRIPiION Oi PROPERTV�SNOWN BELO!'I OR�TTACN FWR COPIES� PROVISIONS OF LAWS AND OHOINANCES OOVERNING THIS TVPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIEO liEREIN OR <br /> �oT e�ocK _ or NOT. THE ORANTING OF 4 PERMIT DOES NOT PHESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR Cl,NCEL THE PROV�SIONS OF ANV <br /> OTHER STATE OR LOCAL lAW REfiULA'ING CONSTHUCTION OR THE <br /> PERFORMANCE OF GONSTRUCTION. THAT I AtA AUTHORIZED BY THE <br /> OWNER OF THIS PRCPERTV TO PEFFOAM THE WORK FOR N'HICH <br /> -- — APPLICATION IS MADE AND I COMPLY WITH THE S'iATE <br /> CONTRACTORS LAN!18.27 RCW ANU 296.^_OJ WAC. <br /> . X �, , �.�� .��y�� <br /> P110JECT�DDRE55 /� s�����t �fe <br /> 300� �� `'/¢.s//�/� ��• CitY!'AMESSI���i�E1q <br /> p��yhp MECHANICAL <br /> Np, TtlpE OF FlIfTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE _ <br /> WATER CLOSET(TOILET) � NC—NHNDLG UNITS—H.P. � <br /> BA7HTUB ; FORCED AIF SVSTEMS—B.T.U. M E.A. �— <br /> LAVATORY(WASH BASIN) � UNIT HEATERS—B].U. M _� <br /> SHOWER ' CI.OTHES DRYERS � <br /> NITCHEN SINK 8 DISP ; VENTILATION FAN � <br /> DISHWASHER RANGE HO00 _ <br /> LAUNDRV TRAV ; WATER HEATER <br /> CIOTHES WASHER WOODSTOVE <br /> UHINAL ' _ METAL fIREPLACE 6 CHIMNEV ! <br /> DRINKINO FOUNTAIN � FIHEPLACF INSERT _ _ <br /> FLOOR DHAIN � HEAT PUMF' ' <br /> BACKFLOW PRE��'��TL RS ; OAS PIPING � <br /> ROOF DRAINS—IiAINLEADERS � EXHAUST FAN <br /> � <br /> SINK(SEHVICE—BAR,E fG.) 1 — <br /> � <br /> — -- � <br /> T <br /> � i � - <br /> � � <br /> I <br /> SUB TOTAL S � SUB TOTAL S �_ <br /> PERMIT S PERMIT S _._ <br /> TOTALFkE E TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> FRONi 6ETBACN REAR SETB�CN SI�E 6ETB�LK PUN CNECK NIJ�IBf.R FEE RECEIPT NO. <br /> �''a 3 <br /> U5E:ONE LOT�flEA V�C�NTSIiE FEES VALUATION FEE _T _ <br /> BUILDINO o U 7�/ '�,�j.� <br /> TYYCOitONtSAILOWMIf 7YR01LON511�C'V�l auuMMtr MOaOw[uiNcuxns � <br /> _. . . �cewr PLUMBINO <br /> Y,CD %UN��'L —_ <br /> 612EOFBLD6 NO.OFSTONIES BASEMENT MECHANICAL _ <br /> i <br /> ADDIiIONAL PLAN CHECK <br /> OCGUPWCYIO�D FIRESPRNItLERSREdU MEIONTIIMITA710N — <br /> �� SPRINKLER <br /> --�— <br /> NE/.SONFOH6PHINNLER5 iS <br /> STATE BUILOINa SURCHARGE <br /> Ini�KE Bv PLA�ROVED Bv CITY OF EVEHETT PUOLIC WORKS i — <br /> LOCAL SIILE8 � <br /> TAI(CODE IS 3705 ror�� <br />