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APPLICATIC 1 FOR CONSTRUCT:"�N PERM17 �� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> E3UILDING DEPARTMENT � HEATING SYSTEM: J GAS J ELECiqIC__J __ —� <br /> 259 881G � / <br /> DEMOLITION COMBINATION y ttUILDING MECHANICAL PLUMBING SIGN <br /> 'C:':C❑ M4iLAUDRE55 CitY ZIP PHONE S�^ '�� <br /> �/��i-�.s��"h�1,i�5a.,s�l�t'�.D��`��, Ev�k11tCT �43�Y3 2 � o <br /> iLrinNi MR�IRDDPE55 C�iY Dc CHONE <br /> n�v:�ai[LTORDESIGNER M1IAiLRODRESS Giv ZiP PHONE <br /> GV;CqpLGONiRACTOR IAAILADORE55 LILV ZIP PMONE Si�TEUCENSE� <br /> �.v}�Ph� — <br /> NLC���MCAICONiRAGiON AIpILADOPE55 QTY ZIP PNONE SLAiELICENSE• <br /> � r� . <br /> Ct1 ciwdp�NGCONTRACIOR IARiLR�OPE55 QTY ZiP CHONE StAtELiCENSE• <br /> 9H <br /> O �1 x <br /> [ y y ttn�uu�oFwo�n .--_ <br /> H � � ✓NEW ADDITION ALTERATION REPAIR DEMOUTION WOODSTOVE;FRPLINSERT BUILDIiJGRELOCATION <br /> y H ��f�l'/ — CONiPCiP[RSONANDPMONENO <br /> � y � CONiRPLiPRIC[OF WGRR �d�� <br /> O r�i O pESCRIBE WOHK 1ND 5 IARE FOOiAGE INVOLVED <br /> � v�,N coA�A6� �c � CQ2¢$l^ <br /> xz i=r+oroseouseoFou��o c i HEflEBY CERTIFY THAT I HAVE FEAD AND EXAMINED THIS <br /> H <br /> [Tl y � �O/-���C�E� b�G'CK APPLICATION AND KNOW THE SAh1E TO BF TRUE AND CORRECT ALL <br /> u nn�,oesceiPnonor pnoaEarv is�ow�+ne�owon nrrr,a�wun owes PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> � �J C�2^�j WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> [�i7 p ior�_ e�ocK ` or� ������� � NOT. THE GRTNTING OF A PERMIT OOES WOT PRES'�ME TO GIVL <br /> 'n` n AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> N <br /> Z y OTHER STATE OR LOCAL LAW REGULATING CONSTHUCTION OR THE <br /> A �, PERFORMANCE OF CONSTRUCTIO�J.THAT I Atd AU7HORIZEO 0V THE <br /> H y OWNER OF THIS PRO?ERTV TO PERFORM THE WORK FOR l7HICN <br /> g� APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> ~ CONTRACTORS LAW 1927 RCW AND 296.200 WAC. <br /> c7Cy� <br /> � r�r - <br /> z y � x ���-�g'`^-�''�" �o=Z.3-�Z. <br /> H o n vi�o��crnoonrss . — — --� <br /> ���.� Sc��.'. ���r IJLI�I� — - - �e, _ . <br /> ' L..1 - ,, ,,. .. <br /> PLUMBING IdECHANICAL � <br /> NO. TVPE OF FIXTUFE OH ITEM FEE NO. TVPE OF EQUIPM1IENT FEE <br /> � WA7ER CLOSET(TOII.ET) A�C--A HNDLG UNITS—HP. ' <br /> � BATHTUB FORCEDAIRSYSTEMS—B.T.U. M E.A. � <br /> I�� _ LAVATORV(WASH BASIN) UNIT HEATERS—B.T.U. M ' <br /> ���' SHOWER CLOTHES DRVERS <br /> KITCHEN SINK 8 DISP VENTILATION FAN ' <br /> DISHWASHER RANGL HOOD <br /> I !��' LAUNORVTRAV WATER HEATER <br /> ' CLOTHES WASHER WOO�STOVE <br /> URINAL METAL FIREPLACE 8 CHIMKEV <br /> DRINKING FOUNTAIN FIREFLACE INSERT <br /> � �1�� FLOOR DRAIN HEAT PUMP <br /> � �ACKFLOW PREVENTERS GAS PIPING <br /> ROOF DFiAINS—RAINLEADERS El(HAUST FAN <br /> SINK(SERVICE—BAR,ETC.) � <br /> Ie — <br /> �� <br /> �f SUB TOTAL 5 ; SUB TOTAL 5 <br /> �I��. PERMI7 S �— PEFMIT 5 <br /> TOTAIFEE $ TOT�LFEE 5 <br /> FOR OFFICE USE ONLY: <br /> ��10Ni5ET8r1CN FERRSETOFLK SIDESEL6ACN PLANLHECKNUid!?LP IL{' RECEIPiND <br /> ?��, z � , � 7 � �'-� c>9G� <br /> u;e�oue �ornn[n wcnrursrte FEES VALUATIJN FEE/ <br /> —�^ I BUILDING 1�,�72-- /,5�./elS. <br /> 11VIO�GOIIiS.ALlOWA9LE 1VPEOfCONSiAGiUA� OCGu�•rrv 4nMpW[llM1Lv":��5 J —1/ U�� <br /> cuovo p�,U1d�ING <br /> _�' � ' <br /> ',',.COFpLDG NOAFSTORIES BASEMENi MECMANICAL <br /> L^i_Y Sf G�A f T <br /> L�~ Sr �� 'J ADDITIONAL PLAN CHECK �// ^ <br /> occbPnNCVlOAO FlRESPPNrctER5RE0'D NE�GNTLiMIiAT:ON �tiX� <br /> ti A No Z I ' � <br /> SPRINKLER <br /> FCASONfOPSPRINKLERS -- �;�� <br /> STATE�UIIDING SUPCHARGG Ij <br /> _7 <br /> r�inx�nv v�nusnevaoeeoer CITYOFEVERETT i�W3ucWo�vks <br /> LOCALSALES y— <br /> J� 7 2i TAX COOE IS 3105 TOTA� � <br /> : <br />