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� APPLIGATIa.J FOR GONSTRt1CT. JN PERMIT <br /> Ci� i0 BE COMPLETED IN BLACK INK—PLEASE PRINT �Ef�s <br /> � , <br /> HEATING SYSTEM: . GAS ❑ELECTRIC J _� <br /> BtIILDING QEPARTM[NT <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING �MECHANICAL �/PLUMBING SIGN <br /> OWN[R MFILADDRE55 CITY ➢P PHONE <br /> .L�,�, n,.C'�;h�l- -PC���'�I�=�,� P.t,��-����n�� ro� - �7�i <br /> TENANT 41AI�qDOPE55 CIiY JP ?HONE <br /> ARC�1i7ECTOR0E51GNEF MAILADDRESS CITV ZiP PMONE <br /> GENEARLCONTFRCTOR MAILApDRESS CITY Z�P PHONE STATELICENSE! <br /> /�MECHANICAL CONTflACTOR MAR AOCFda�yS LITV nZIP P60NE STPTE LICEYSE� <br /> l� It. sn-11 m.i r,n . u��F7 #.)/'_5!'.`(�V� Cry�� 1'r k t� -.'IT� `�_`S��! n�`��r1-(c�/,h (�IA N-�(��QQ j� <br /> ❑LUMBINGCONiPPCT R MA1tADDRE55 QTY pIP PHOHE SiATEUCCNS[e <br /> CL/5S OF WORN <br /> v NEW � ADDITION ALTERATIOIJ REPAIR DEYIOLITION WOODSTOVE;FRPL INSERT BUILDING RELOCATION <br /> F N \^y 7 � C A^TP[RSON9Nf)PHONCNO <br /> CONTRFGTPRICEO?WOnK � �[1.�/6� � �/� �,. ���� V ����/7�������� <br /> li u C� <br /> �ESCFIBE WORKTND SOURRE FOOTAGE INVOLVED �—' — <br /> �,�],Q �'"x C�<<� -S h� <br /> vaoao„eous BU�LDING i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> � �� �",^ . / APPLICATION AIJD KNOW THE SAME TO BE TRU[AND CORR'cCT.ALL <br /> �f` PROVISIONS OF LAWS AND ORDINANCES GOVERNING i HIS TVPE OF <br /> IEGAt OE RIFTION OG PROPERTY ISHOWN BELOW Oa ATIACN FOUF CAPIE51 <br /> WORK,WILI BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �ot BtocN o� NOT. THE GR.4NTING OF A PERMIT DOES NOT PqES!1�dE TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> _ _ _ OTHEq STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCF OF CONSTflU7TION.THAT I AM AUTHORIZED BY THE <br /> QINNER OF THIS PROPFFlTI' TO PEAFORM THE WORK FOR VJNICH <br /> — APPLIrqTION IS MAUE AND I CO�dPLV WITH THE STATE <br /> AC i ORS I.A 18. RCW AND 296.200 WAC. <br /> /y�a/�naEcr aoo��ess /� � < < � R� w.�/T�— <br /> O� )" ^ �J• • � `l ' \l� CIiYflUSYt5:1�'.tl�[[ - <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET� A/C—A�HNDLG UNITS—H P. <br /> BATHTUB FORCFD<;H SVSTEIdS—B.T.U. M E.A. <br /> L��VATORY(WASH BASIN� UNIT hEA7EF.�—B.T.U. M 1— <br /> SHOWER CLCTHES DFVERS <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> LAUNDRV TRAY ; WATER HEATER <br /> CLOTHES WASHEA � ! WOOD STOVE <br /> URINAI METAL FIREPLACE&CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACE;ySERT <br /> FLOOR DRAIN HEAT NUIdP <br /> BACKROW PREVFNTERS ; GAS PIPING <br /> ROOF GRAINS—RAINLEADtRS � EXHAUST FAN <br /> SINK(SERVICE—BAR.ETC.) <br /> —_ �-- <br /> SUB TOTAL 5 � SUB TOTAL 5 _��_ <br /> PENM'T $ � PERMIT 5 f `j� <br /> TOTALFEE $ TOTALFEE S���j; <br /> FOR OFFICE USE ONLY: <br /> FRONTSETBALK R[ARSETBACN SI�ESETPACN PLANCH[ChNt1iJPER fF.L �fC[IPiNJ <br /> . � <br /> USEZONE IOTAREA VFCANTSITE FEES VALUATION FEE <br /> __r� <br /> OUILDING <br /> iYPE Ot CONiS.PLLOWABLE tYPE Uf CONSi.RLiIIAL occ:w.u. Na a uwFw�.a�^�.�s — — <br /> �;'00' � pWIdBING <br /> SIZE OF BLOG. NO.OF STORIES BASEMENT MECHANICAL � <br /> OGCI'oANCYLOAD FIiiESPRNNLERSREO'D HEIGHTLIMITATiON �DDITIOtlALNLANCHECK � <br /> i <br /> SPRINKLER <br /> P[ASON FOR SPRINKLERS -- <br /> STATE BUILDING SURCHARGE <br /> INTAl._2v PLANSAPPROVEDBY �ITY OF EVlRETT FUBLIC WORNS � <br /> LOCALSALES — — <br /> __ ��'fAX CODE IS 3105 TJTAL --- <br />