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APPLICATIO_ . �OR CONSTRUCT► �N PERMIT �� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT ��` <br /> / <br /> � �`"�, �" HEATWG SYSTEM� `y{GAS J ELECTFIC �J _ __ - � <br /> BUILDING DEPARTMEN� <br /> 259-8810 <br /> DEMOLITION ECHANICAL LUMBING SIGN <br /> COMBINATION BUILDING �4 Y� <br /> r��o�.e �J <br /> —.. �.ni�noor�iss C .5 1�� 7 7�(r� <br /> cnv <br /> Il,�,. - 3" �{�k;, F I'�;.�i; !�,'k�� P„o.� <br /> �I'.:Vi IAPILApDHLD: C�IY <br /> -- GIiY ZIP PHONE <br /> ,.�.,�,nCCiORDESIGN[N MALLADDBE55 <br /> — AUi�A0DRE55 GTV Z�P FHONE SiATEL�CEN5E11 <br /> �,.'.!Ml CONiRAGTOF <br /> VLt.�inN�CALCONTRFCiOR MAILAO�R[55 QiY ZIP PIIONE SIATEUCENSE� <br /> H a r-� �� �� ,� 1f' _ c tE G �. .� � 77 7 ! � l �- �- <br /> � � � q Z�p CNONE STATELIC[NSC� <br /> 1'lr�!OINCCONTPRCTOR MP RODPE55 "V <br /> p�x <br /> N CLPSSOP WORK <br /> .�.� y N NLW ADDITION r�LTEHATION FEPAIR DEMOLITION WOODSTOVE%FRPL INSEFT BUILDING RELOC� I �_ <br /> � CONiPLT PERSON AND PNONE t+0 <br /> K � � CCbiFAGTGRIGEOFIYO�K ��.� <br /> [d SCRIBE WORN AN�SOUARE FOOiPGE INVOLVEO <br /> � H � � . - .nS I I c�� <br /> � H �` � � ' � i HEREBV CEf�TIFV THAT I HAVE REAO AND EXAMINE� THIS <br /> � x � I'��.:'%:.JE�USEOFBW�D�NG ' <br /> APPLICATION�N�KNOW THE SA1.9E TO BE TRUE AND CORRECT.ALL <br /> O H � <<��;u oescaianoHovaaoaeatr�s�owHonowoRettncHFouneoaiesi PROVISIONS OF LAWS AND ORUINANCES GGVEPNING THIS TVPE OF <br /> WORK WILL BE COMPLETED WITH WHETNER SPEGFIED HEREIN OR <br /> H � l7 io� e�pcK oF NOT. THE GFAN7ING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> � AUTIIORITV TO VIOLATE OR CANCEL 7HE PROVISIONS OF �NV <br /> �V �] <br /> p.� OTHER STATE OR LOCAL LAW fiEGULATING CONSTRUCTION OR HE <br /> x y� PERFORPdANCE OP CONSTRUC710N.THAT I AM AU7HORIZED BY THE <br /> C x OWNER OF THIS PROFERTV TO PERFORM THE WORK FOR WHICH <br /> H y APPLICATION IS A1,1DE AN� I COh1PLV WITH THE STATE <br /> g � CONTflACTORS LAW 1827 RCW AND 296200 WAC. <br /> H <br /> cC��. t7 V� � /' - <br /> E� � � � /�; � y �?'�� x�� �f-�71 i;v- /l��ca�`l� <br /> x y � __.,7o i (,�I,Nl � . , ,. ,r � _ �_ -..:�.r� �,,, <br /> H O U� ;�n:,�ian�oness � � - — <br /> � PLUMBING �dECHANICAL � �� <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. <br /> 7YPE OF EOUIPMENT FEE <br /> WATER CLOSLT ITOILETI _�_ _ �C—A HM1DLG UNITS=H P. <br /> � BATHTUB _ FORCED AIR SVST[MS—B.T.U. M E.A. <br /> I '_�1 LAVATORV 1W�SH B�SINI _ UNIT HEATERS—B T.U. M <br /> `� SIiOWER CLOTHES DPVERS <br /> KITCHEN SINK 8 DISP VENTILATION FAN __� <br /> DISHWASHER RANGE 4100D <br /> ' '�� L�UNDRV TRAV WATER HEATER <br /> I �_I CLOTr1ESWASHER WOODSTOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEV _ <br /> DRINKING FOUNTAIN —f� �REPLACE INSERT <br /> � FLOOR DRAIN HEAT PUMP - <br /> �, BACKFLOW PREVENTERS � GAS PIPING <br /> � E%HAUSTFAN <br /> ROOF DRAINS—RAINLEACERS _ <br /> SINK(SERVICE—BAR,ET0.) - <br /> ' '_' —' <br /> - SUB TOTAL S SUB TOTAL 5 � — <br /> !� PERMIT 5 PERMIT S �_ <br /> 1 '� TOTALF[E S TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> RECEiPT NO <br /> (t101�iSL19AGK Pil•NSfiBAGH Si0[SETORCK P�AH����K���'��� ��E �� <br /> �J( � <br /> i�s[zor+E �otaaen vacaHTsre FEES VALUATION FEE <br /> BUILDING <br /> Irt(OfL�NiSMLOWRAIF iYPE�iCOHSi.AG1UAl OC`po!pCr Aowc.e.�,'.;n's <br /> PLUMBING <br /> ':�.I[OPBLDG. No.OFStORIES tlASEMENT MECHANICAL .3��� -_ <br /> O�GUPANGVLOAD FlRF.SPRNNLERSREOD MEIGIiIlidilAtiON <br /> A�DRIONAL PLAN CHECN <br /> SPRINKLER � <br /> �� <br /> RE�SON�OR SPRV1Nl Ui5 <br /> STATE B W LDING SURCHARGE _ <br /> ..�:.�iP.+ � PLANSAPPPOV[OBV CITYDFEVERETT �uouCwoaKs <br /> LOCALSALES <br /> TAX CODE IS 3105 T�TA� <br />