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APPLICATIC 7 FOR CONSTRUCT )N PERMIT �� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT �'�T <br /> �_ <br /> --�— — , <br /> f HEATING SYSTEM: J GAS �ELECTRIC 'J_ __ _ __ _ _ � <br /> BUILDING DEPARTMENT — <br /> 259-8810 <br /> DEMOLITION COMBINATION � BUILDING MECHANICAL PLUMBING SIGN <br /> ' OWNER b�AilpD�RE55 CRY Zia PnONE <br /> DF�r,is c-ussLc,� ,o�ti w �� m�c� ru,—�ct��, ulp qgzt..1 z�z��ti�} <br /> TENANL IARiLADDRESS LRv ?iP PNON[ <br /> ARCMRELTOFDESIGNER M4ILADORE55 CttY ZI{� PNONE <br /> f„ GENEFAI CONiRRCTOR MAIL P�OR[SS QiY ZIP PNONE SiAiE UCENSE� <br /> ,�� VIKir�cs c�N5i. (3an73yo t-vr�� �� V/}- 9�zo1 2S`I-715Zi VIKin![sCiloc�.1 <br /> � id[CMRNICAILONiRNGT011 MAILRDDR[SS f.IIY ZIP �NOY[ STAi[IiCENS[� <br /> [� �y � PWAIBINGCON'BACiOR MAILRODRC55 CITY ZIP P110NE SiA1EL2C45[� <br /> D z7 x — <br /> �y � y C1A550F WORK <br /> L� � NEW ADDITION �ALiERATION REPAIR DEMOLITION WOODSTOVE�FRPL INSEFT BUILDING RELOCA710N <br /> H H !:%�rtn .si �f /� I,/�/� ',\ CONiP^Ci,P'CRI5,0p�Nn[1PIIONftlO� (��( ^[� <br /> �y � '�rCONiRACiPfiiCEOf140P1( �J VW�w ./ Y _pttlll {.1 T�GFF-'-y�IV TJ ( _��5� _ <br /> O r�. O 0[SCRiPE 1YOfiN ANO SO�ARE FOOfAGE iNVOtVED � <br /> "�vHiH �D o2Wt�2 Tt� RGoF � � <br /> � �,� vnoroseouseoFemio�r�c i HEREBY CERTIFY THAT I HAVE REAU AND EXAh11NED THIS <br /> APPLICATION AND KNOW THE SAtd[TO BE TRUE AND CORRECT. ALL <br /> Qy d S F K PFOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> l CGAL DESCRiPiION OF PPOF[Rtt�SNOWN fiELOW Oii ATIDCN f OVR COPIES <br /> O H \yOPK WILL BE COMPLEIED\NITH WHETHER SPECIFlED HEREIN OR <br />. H �g �o* � 2 Z e�ack Z�� ov LlZ S HOD NOT. THE GRANTMG OF A PERM1117 OOES NOT PRLSUME TO GIVE <br /> Q° n AU7HORITV TO VIOIATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHEP STA7E OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> a H x — P[RFORMANCE OF CONSTRUCTION.THAT I A1.1 AUTHORIZE�BV TH[ <br /> � <br /> � H y OWNER OF THIS PROPERTV TO PERFORM 7HE WORK FOF WHICIi <br /> tyy APPLICATION IS MADE AND I COhIPLV WITH THE S1ATE <br /> � �y CONTRACTORS LAW 1B27 RCW AND 296200 WAC. <br /> �Hy X��/�"____ �O Z�D �/a2, <br /> � VHOJEGTADOPESS °��� <br /> � 6 r �r u1�lN��k�� .,���_- —�, ..— .. , <br /> PIUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> � _ WATER CLOSET�TOILETI _ A C—A HNDLG UNITS_H.P _ <br />� i BATHTUB FORCEDAIRSYSTEAIS—B.T.U. Id LA. _ <br />' �� _ LAVATORY(WASH BASIN) _ UNIT HEATERS—B.T.LL �d _ _ <br /> SHOWER CLOTHESDRYERS _ <br /> KITCHEN SINK 8�ISP � VENTILATION FAN i ; <br /> DISHWASHER / RANGE HOOD —� <br /> � ,_� — LAUNDRV TRAV _ WATER HEATER _ <br /> ` CLOTHES WASHER WOOD STOVE / <br /> URINAL METALFIREPLACEB CHIMNEr <br /> � DRINKINGfOUNTAIN / FIREPLACEINSERT I <br /> � <br />� FLOOR DRAIN HEAT PUMP j _ <br />�. I �� BACKFLOWPREVENTERS ; GASPIPIN—� __ <br /> ROOF DRAINS--RAINLEADERS �— EXHAUST FAN � <br />� SINK(SERV�CE—BAR.ETC.) _ <br /> �r — <br /> i __T_— <br /> / SU8 TOTAL S SU8 TOTAL 5 _ <br /> __� PERMIT 5 PERMIT 5 _ <br /> TOTALFEE 5 / TOTALFEE 5 <br /> FJR OFFICE USE ONLY: <br /> �PONL$[i�ACK REARSEIBAIX SIpESEiPACe PIANCMECHNU�AAl.f1 FEE R[LEIPiNO <br /> 20 ' Zo' s ' "7 � �'77i' �,�, v , �. <br /> usezor� �ol/naen q� vecnNtsrte FEES VALUATION FEE <br /> ��r (.��W N� U1111.DING �Ll—IJ�_�L�.L�l_.._��� <br />� iYPF Of CONLS A0.0W�BlE 1YPE 0�LONSt AL1Wl M[,.�4eCr nJ n�oaP.u.:n:�5 — � <br /> ��"'° PLUM�ING � <br /> �— — �3 / — <br /> SREOFBIDG NOOFSTORiES BASEMENT MECHANICAI �' <br />� � ZY7 SF PUoiY��N � ll i /J <br /> � OCCUPANCYLOAD FIRESPRNrclERS1iEOD ��[iGHTLiMrt¢A,liOrv ADDITIONALPLANCN[CN _ <br /> �U ZC: / SPRINKIEfi <br />� REASON FOR SPRINklERS � <br /> SiAT[6UILDING SURGHAHGG �,:�� �i <br /> ietarceAv r�n�+sa�rnovroor CITYOFEVERETT i�uoucwonKS — <br /> I LOCALSALES <br /> �" J� 1 (� q2 TAX CODE IS 3105 TOTAL 3 �� <br />