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� �> � <br />Oxlx <br />C y <br />y4�r�-i <br />^ � <br />H� <br />�I H 'sl <br />NM <br />�O�H <br />��g <br />�Y �] <br />t"y� <br />HH <br />g �' <br />��� <br />��� <br />� <br />� <br />! �� <br />�� <br />�� <br />�1 � <br />��� <br />APPLICATIC 1 FOR CONSTRUCT �N PERMIT �" <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT �� <br />— -- <br />--- -- - --- - -- I <br />I� HEATING SYSTEM: J GAS _J ELECTRIC J_. ----- <br />BUILDING DEPARTI�IENT <br />259-8810 <br />DEMOLITION COMBINATION BUILDING �ECHANICAL PLUMBING SIGN <br />o1VrvER HNLnGCR[55 Crtv �Iiv O�.E <br />.t � . � �� a l�a'�, -. -- j � __ 1 � <br />,C�i1_�\�_.�.�\�.:� C\���=.-.+.-4�� Cliv-- 2iPS PHOt1E <br />'CpANi h1AILADLHi55 J� <br />nRCNii[CiCFDESIGNER IAAILAOD(1E55 LIiY 21P PHONE <br />G[NEFRLCCNiRACTOR MPiIRODPE55 <br />GITY ZIP PHON[ SiRiE LICENSE • <br />I,�ECIIANILRI.CONiRAGTON 'AAILAD�RE55 <br />�iT� ZiP PNONE ST�TE IICENSE • <br /><-r : <br />\��a C� ���i� <{-1 1 � C l�CC'C'�{�C O,"�.--- <br />PWM�MGCONiRACTOR I.IAILADORESS QTY �IP PHOHE STALELCENSE <br />55 O( IYL'iiN <br />NEW ADDITION <br />��nnrinl]IfGl1LVX1PN `\ <br />OESCPiOE WORK ANO <br />��1 � <br />`rnoaoseo use oF ei <br />INVOWCO <br />l[ GdL OESCRIPTION OF PROPERtt ISIIOKN OEL01 <br />c <br />���i ` ` "�� BLOCN �� OF <br />REPAIR DEMOLITION WOODSTOV6FRPL INSERT BUILDING RELOCATION <br />ICONiRLTPER50NANDPHONENO. „ [� <br />�, ��.�' �C'C.��`-c• `\� �� \ l�\2-�� <br />I HEREBY CERTIfY 7HAT I HAVE READ AND EXAh11NED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />nnacH vouacowesi PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WORK WILL 8[ COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />�� '`�'«� �' NOT. THE GtiANTING OF A PERMIT DOES NOT PRESUIdE TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER 5'�TE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF TNIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTFiAC10RS LAW 182i RCW AND 296.200 WAC. <br />�'% /r � l � � . c��« ��\ �A� � �� <br />>��;�.�,:,�� , _. � ._ . �.,� <br />�,��� �-�c c. c-� �<- � � <br />Y ` <br />PLUMBING <br />N0. TVPE OF FIXTURE OR ITEM <br />WATER CLOSET ITOILET) <br />BATHTUB <br />LAVATORYIWASH BASW) <br />S40WEFi <br />KITCHEN SINK d DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />�RINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOf nRAINS—RAINLEADERS <br />SINK (SERVICE—BAR, ETC.) <br />SIJB TOTAL S <br />FOR OFFICE USE ONLY: <br />fR0'1Tc[LOPCK RLAH: <br />USB20N[ <br />RGSON iOR SPR�NKlERS <br />INtANE OY <br />LOi PRE� <br />ivP( Oi CON51 �L100. <br />NO OF STORIfiS <br />F�RE SPRNKLERS REC <br />PLANSAPFPOVLDOY <br />sioE sE*e�cn <br />VALANT SIIE <br />uca�oc¢. I �:oamnu�.r:.�.is <br />aao.v <br />CITY OF EUEHETT <br />LOCAL SALES <br />TAX COUE IS 3105 <br />NO. TYPE OF EOUIPN <br />A.C—A HNDLG UNITS—H.P <br />FORCED AIR SYS7EMS-8. <br />� UNIT HEATE(iS—B.T.U. M <br />CLOTHLS DRVERS <br />VENTILATION FAN <br />NANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIM <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />�WLDING <br />PLUTABING <br />M[CHANICAL <br />AUDITIONAL PLAN CHECK <br />SPRINKLER <br />STATE DUII�ING SURCNAFGG <br />PUBLIC WOf1N5 <br />TOTAL <br />rE� <br />PERMIT 5 <br />TOTALFEE 5 <br />