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APPLICATI�"f FOR CONSTRUCT"�N PERilA1T � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT •1EATING SYSTEM: ❑GAS f�,ELECTRIC ❑_�CX; �D� <br /> 259-8810 <br /> DEMOLITION COMBINATION Y�BUILDING� �NICAL PLUMBING SIGN <br /> OWNEfl MMLADORE55 CIiY ZIP PNONE <br /> �r�r D�C3 uoa� i ��2 sG. GJc�.��a g��3 3a3-�86� <br /> TENcANT1 - MAIIApURESS CIiY ZiP PHUtIE <br /> C.�� � <br /> ARCNITECTORDESIGNER MFILADDRE55 C <br /> Ga�GR� A'Eba-+/�� 8�t1 �4e�Q�K Q�- L'-DwbwlJNi,.)�`��n� <br /> GENERAL WNiFA lOH MAIL ADDN655 CITY ZIP PNONE STATE LILENSE• � <br /> �� %�w,.�-�— <br /> MECHAN�IGA�L�CyON_I,_F�AC N MRILPDDRESS CITV IIP PHONE STdTELICENSEt <br /> Uv����t <br /> PW�Me.B�IN,G�CO�NiRA.�CT(O�R MAIL AODRESS� \��/� CITY ZIP PHONE STFTE UCENSE r <br /> _ (J�^-�OV��� ^ M�"'Q N�C'�� <br /> GLASS OF WORK <br /> ' � NEW �DDITION ' '� ALTERATION �. REPAIfi . . DEMOLITION , � WOODSTOVE/FRPL INSERT '. ' BUILDING RELOCATION <br /> //�� // CO`TFC�T PT$ON AND PHONE N� as3���-� <br /> CONTRRCiPqICEOFWORK /�/ ��� s�/' N� lT <br /> OESCRIBE WORK AND SOUARE FOp qGE INVQIVED <br /> �-nR�k�ea�cr no0�r� � 6�Y S Fr S;a3- �b�/ woRt� <br /> PROPOSEDUSE FBUILOING � HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THI� <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> IEGRL�ESCRIPTIONOFPROPERTY�SHOWNBELOWORATTACHFO COPIE � PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ior�_ eio�K oF � � � NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AI�THORITV TO VIOLATE OF CANCEL THE PROVISIONS OF ANY <br /> JfnER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTqUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER 0= THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> � APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 C .200 WAC. <br /> X w � a-��-� <br /> PRQIECT RDDRESS ,y � S�GNnruRE o�*E <br /> � �oa� � Y� s� �. <br /> �,..e�=�„Ess�,�E�=E�o <br /> PLUMBINC MECMANICAL <br /> � NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EDUIPMENT FEE <br /> WATER CLOSET(TOILET) NC—A/HNDLG UNITS—H.P. <br /> � BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> LAVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. KpC ; <br /> SHOWER CLOTHES DRYERS � <br /> KITCHEN SINK 8 DISP VENTILATION FAN � <br /> DISHWASHER RANGE HOOD , <br /> � IAUNDRYTRAY ; WATER HEATER <br /> i CLOTHES WASHER WOODSTOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEY � <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR ORAIN � HEAT PUMP <br /> ' BACKFLOW PREVENTERS ; GAS PIPING � <br /> /� ROOF URAINS—RAINLEADERS � EXHAUST FAN - <br /> � 5!NK(SERVICE—BAR,ETG) <br /> . <br /> � <br /> � <br /> - - - — �-- <br /> � <br /> SU8 TOTAL $ ; SUB TOTAL $ � — <br /> PERMIT 5 PEPMIT $ ; <br /> TOTALFEE 5 TOTALFEE $ � <br /> FOR OFFIGF USE ONLY: <br /> FRONT SETBACK/ REAR SETBACK / SIDE SETBA N/ P�qN CH�K NUMB[R � FEE f RE PT NO. <br /> �91�a� �//. i.� �ooy <br /> USE 20NE LOT pREA VACANT$RE FEES VALUATION E <br /> BUILDING �5 36� 1 <br /> 7VFEOFCONTSALLOWABIE iVP(OFGONSi.ALiUAI ocawrtv x00�owEiuNGuxrtS <br /> �P�v pLUMBING � <br /> - -nG K 3 I ' <br /> SR[OFPLDG. NO.OFSTOFIES BaSEMENT MECHANICAL � � <br /> oS�; nQu + � O <br /> CCCUPt.NGY l OAD FlRE SPRNKI Pq5 P[OD HEI.^.HT LI'AR,410N. �n�ITiONAL PLAN CHECN _�� <br /> � <br /> n N� SPRINKLER � <br /> I�ASON FOR SPRI�IKLERS � <br /> 1— <br /> STATE BUILDING SURCHARGE � 1 <br /> �4AKE�Y PLANSAPPFOVEDBY CITYOFEVERETT PUOLICWORNS �—`- <br /> J �1 LOCAL SALES - <br /> 5, d , q TAX CODE IS 3105 TOTAI <br />