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,�, <br /> ! <br /> � � 'AI.�pUCAT1ON FOR CONSTRUCTI.jN PERNlIT e�e�e�' ;; j <br /> ��a E�ero��� TO BE COMPLETED IN INN -PLEASE PFiINT � � <br /> cm oF � <br /> }} I <br /> �. eVerell .HEATING�SYSTEM: GAS ❑ELECTP.IC ❑ � j <br /> � � BUILDING DEPARTMENT — i <br /> 259-8810 <br /> q�� ❑ DEMOLITION j� COMBINATION ' � BUILDING ❑MECHANICAL C_' PLUMBING ❑ SIGN i <br /> h~•]�� O/ M� L� �WL �JI /l. IIADDPES� �Kl // u�i Irylftti �Y(//N�/( , yU�N/E � <br /> �, �I,�da�r�5s�D��y � <br /> ,. � r¢wwt MAIL�OORE55 --��iT�' —Tz�p�� PHOHE I <br /> �� l� ARCHREGTORDESIGNF.q A1AIL D E55 ��TY Z�P P�E � � <br /> Dl1z Q'pch £ i�,�nn�r� �rY(�nD G.A �'�?-�7a y � <br /> �� �0 CONTRACTOR MA0.AUDRE55 � Cltt 21P PMONE LICENSE• <br /> �d i7s�Um2rK .�2�'ac (�n��cY�.lx�� 7�'v�J ilG f9St.L <br /> �(��J YECH/�NICQ ONTMLTON M�ILADDRE55 GITY ZIP PHONE UCEHSE� <br /> �� <br /> 4�� O�! — I <br /> C H� PLUM9MGCONTRACTOR IMRMDFESS CITV ZIP PHORE LICENSE• i <br /> � y S OF WOIiN <br /> �� H C�IdEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLiT10N ❑ WOODSTOVeIFRPL INSERT � BUILfiING RELOCAT:ON <br /> �y(p LONTACT PERSON ANO GNGNE NO. <br /> �� <br /> [ r �ONTR�LTPF'�GEOFWORK _ - - <br /> ���� pEo p'9EWOHNANp50U�REf00TAG INVOLVED � � <br /> � r1 Li. t � � .:3s3- d <br /> � C , �S7LL(.( I <br /> � vrroroseouscoFaua nc ' I HEREBY CEPTIFY THAT I HAVE READ AND EXAMINED THIS i <br /> ���If ��,�(� ��Sl(�'/�� APPLICATION AND KNOW THE SAA1E TO BE TRUE AND CORRECT.ALL <br /> � i oe flIPTqNOF PROPERtt( oNmeEiowo�ti WPCOPIES� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS NPE OF <br /> � . I-�� ��y� WORK WILL BE COMPLETED WITH WHETHER SPEGFIED HEREIN OR I, <br /> i -1 e�ocK cF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE � <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY , <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTFUCTION OF THE <br /> — PEFlFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BI'THE <br /> i1. � OWNER OF THIS PROPERTY TO PERFORM THE V/ORK FOR 'NHICH i <br /> }'�' APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. i <br /> SK'iNAtUREOFCOMTRnCTONOR�UTNOR2E0�['YT OATE . <br /> _ ) -5� 1�� S� X <br /> PF0.IECTADONE55 <br /> .� � APPIICANiSGIttBUSINESSIICENS[NO.ANOBUSMESSNAME � <br /> �C� PLUMBIN6 MECHANICAL � <br /> i NO. TYVE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> � WATER CLOSET(TOILET) - h'CrA/HNDLG UNITS-H.P. <br /> BATHTUB � - / FORCEDAIRSYSTEMS-B.T.U. ME.A. ' <br /> �� LAVATORY(WASH BASIN�� UNIT HEATFRS-B.T.U. M i <br /> � SHOWER - CLOTHES DRVERS <br /> '�� KITCHEN SINK 8 DISP ,�; - VENTILATION FAN <br /> � � DISHWASHER 'i�- RANGE HOOD ' <br /> � I �� LAUNDRYTRAY ; / WAiER HEATER ' <br /> ��, CLOTHES WASHER �;�- WOOD STOVE _ , <br /> URINAL METAL FIPEPLACE 8 CHIMNEY - <br /> DRINKING FOUNTAIN FIREPLACEINSERT _ <br /> FLOOR DFAIN ,r�- IiEAT PUMP <br /> I �� BACKFLOW PREVENTERS GAS PIPING I <br /> ROOF ORAINS-RAINLEADERS � EXHAUST FAN _ <br /> SINK(SERVICE-BAR,ETC.) C l'?(Yl0 - '. <br /> �� <br /> �/�� <br /> 1_'�i _ SUB TOTAL S / r PE�MOTAL 5 C <br /> `� PERMIT S <br /> TOTALFEE b TOTALFEE 5 ' <br /> FOR OFFICE USE ONLY: <br /> FPONTSEI�ACK 9E�FSETBACN SIpE5ET0AC'( PUNCM[CNNUMOEN _� FEE AECEiPTNO. <br /> � ' —� , <br /> •'l 7 "'� <br /> )] <br /> us E ^ LOT�PEA v�c rSirE FEES VALUATION FEE _ <br /> � J �WLOING � � /�' — <br /> tt OfCONiS.ALIOWABIE lYPEOit�NSi.AL10�1 OCCuosav wdDxYwxcUxns <br /> _ _ dPa'� .� PWMBING ^ � � <br /> 5¢EOFOLDG. NO.OFSTOPIES OeSCMENT MECMANICAL � <br /> �� �� � � � � <br /> OCLUGANGYl0�0 FIRESPPNKLERSREO'0 HEiGMTL11.�iAiiON AODITIONALPLANCHECK <br /> _ Nn � i <br /> OTHER <br /> pEA50N FOP SPRiNKLERS <br /> STATE9UILOIHG,"�1CHAfiGE ( i�: �1 <br /> INIAYf.S� PIANS�PPNOVEDOY � , � <br /> CITY OF EVEflETT PU�UC WORK$ (J ; � <br /> — J� LOCAL SALES —T <br /> I/3�/j L TN(CODE IS 3105 '�TA� �",� , ��� <br />