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APPLICATI' N FOR CONSTRUC' ON PERMIT <br />TO BE COMPLETED IN BLACK INK —PLEASE PRN.AIT' <br />AS I CAA ALDER _(City no. ) <br />BUILDING DEPARTMENT HEATINGSYSTEM: aGAS UF.LECTRIC U___. <br />2598810 <br />I DEMOLITION IN COMBINATION I BUILDING I I MECHANICAL PLUMBING I I SIGN <br />Dyl(q unll A:IONI Sti CII, <br />CFryrm HnmEs-, ENE' 777 Fjjj +T FVFttFTT. WA _ 9.9907 <br />MIMI MAIL Ag)MLS5 CITY 7V PMM <br />APCMIECTMEWPOLKN WA WUP155 <br />vutYll <br />.rEA[P.LLLd1MClp1 4A. A,011 SS C11Y r." Iv\wl SIAIE MILHU• <br />%ZLECT unMFC EIr 217 PITY $T FVFRFTT�WA 9�j)3 250-1503 SELECH1110KN <br />4C1HM14K C0111NAC10N A4ILADD9ES5 GTY ti r',.I SIAIE IICCNMA <br />IYU9HD CO111PACiDq 1ME ADDNE55 CITY 21 ✓reNC STAR LILT MLA <br />CONTRACI PLACE OE W011R <br />Annnn <br />MURSE NpN AND%MARE I'MMS WVCtYEe <br />Car TPE .W RKW[NJ <br />Gar Klc% 339-0555 <br />SFR <br />Randy Clark 258-15 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TReE AND COPRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS I AWL 18.27 RCN' AND 296 200 WAC. <br />I' <br />__- ryil3 <br />I I r. mo USE DE eulw <br />SFR <br />LIDAL CCU"Imm vnroLRrrlsrloAYNeupv DR AnACN i cOPAsI <br />pp�Y Hanabrook Div 3 <br />LDt�LL— YDCA or <br />PAouL TAA I D NI149ER <br />. (INsrRULTInx loAx HYxR. ADell(ss. IHEhICNE NLAAM R <br />PROJECT A9 RE S1 <br />on wvASAr\rw w <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />3- <br />WATER CLOSET ITOILETI <br />rVC-AIHNDLG UNITS -HP <br />1_ <br />BATHTUB <br />FOHCEDAIRSYSTEMS-G.T.0 MET, <br />LAVATORY (WASH BASIN) <br />_ <br />UNIT HEATERS-R.T.U. M <br />SHOWER <br />1 <br />CLOTHES DRYERS <br />KITCHEN SINK f DISP <br />7$ <br />/ <br />VENTILATION FAN <br />DISHWASHER <br />1 <br />RANGE HOOD <br />�— <br />LAUNDRY TRAY <br />1 <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP_ <br />BACKFLOW PREVENTERS <br />PIPING <br />_ <br />ROOF DRAINS-RAINLEADERS <br />_ <br />_GAS <br />EXHAUST FAN <br />SINK (SERVICE -BAR. E1C.1 <br />_ <br />SUBTOTAL f <br />SUBTOTAL f <br />PERMIT } <br />PERMIT } <br />TOTAL FEE f <br />I <br />TOTAL FEE S <br />FOR OrFICE USE ONLY: <br />IIgN15111pACN <br />N[.V1 yCIBACN <br />510E Y.IBK1l <br />III CNECF MIAYCP <br />IEC <br />IUCEMIw <br />5)mo 111 <br />b—I <br />�'�3� <br />3� <br />S�,7�3 <br />'nE iol[ 7 <br />IDt A11CA <br />'.,ANTNTE <br />FEES <br />VALUATION <br />FEE <br />-L- <br />) <br />El YES ❑NO <br />BUI:DWG <br />79 �/7 <br />--u/l <br />hh/ <br />IY%pfpSl <br />NC OE SIUIIIE6 <br />uw4{A Avopluiull <br />REIMNING <br />Z <br />'XLIX IMEq { <br />ISBA S <br />TIME S%IYNEMSKOD <br />TMU <br />NECIWIICAI <br />— <br />- <br />f e <br />O <br />C7 YES Tr O <br />(]LCUPAKY ULD <br />EY1E µAIM NCOD <br />NCCrNIEYITA1011 <br />ADOITIONAI. PLAN CHECK <br />O <br />IKAsaN <br />STATE SUKLWIG SUNOEARDE�/SD <br />WAa aY <br />EENGAPPMHDBY <br />CITY OF EVEIETT <br />PUBLIC woracs <br />it <br />.J N <br />LOCH. SALES <br />d''E <br />TAX CODE IS 3125 <br />rorAL <br />Z/i — <br />