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APPLICATIC,1 FOR CONSTRUCT'� 7N PERMIT � <br />TO BE COMNLETED IN BLACK INK—PLEASE PRINT <br />HEATING SYSTEM: �] GAS ❑ [LECTRIC � <br />BUILOING DEPARTMENT <br />259-8810 <br />C] DEMULITION i ! COMBINATION <br />rao <br />TEN�NT <br />f 1 BUILDING i� MECHANICAL <br />CITV ZIP PN�NE <br />r.EvereN" 98Z» SZ-4� <br />C11Y 21P PHONE <br />CI PLUMBING SIGN <br />ARCNITEGTOROESIf.NER MAILAOORE55 CITV ZIP PMONE <br />GENf,�ICONTRACTOR MAIIADDRE55 CITY 2iP PNONE STATEIICEkSEr <br />mc..�..�.n,n�.,vn�nn�ivm m�r�nvoneaa �u� ur rn�ne S�qTELIGENSEi <br />PLUMBING CONTRqCiOR MAIL pDDRE55 CITY ZIP PMONE SiFiE LICENSE / <br />CUNTRACT PFICE OF WORR <br />DESCRI9E WORK ANO SOVARE FOOTAGE INVOLVE� <br />PROPOSED USE OF BUILUING <br />G r <br />LEGALDESCRIPTI NOFPROPERTVISHOWNBELOWOHATTAGMTWOCOPIE: <br />LOT I V'r �� BLOCK � OF e , � <br />PABLELiA%ID.NUMBER <br />4968-1ZS—Ol0—OU04 <br />CONSTPUCTIONLOANLENDEP.AD�RESS,tELEPHONENUMBEP <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />SUB <br />FEE <br />FOR OFFICE USE ONLY: <br />FRONTSET�ACH REARSETBnCK SIDE <br />. �' ir / '7.n � <br />USE 20NE <br />TYFE� <br />S¢E� <br />216 S <br />OCGUPANCY <br />� <br />REASON <br />INTANE BY <br />CONTACTPERSONANDPHONENO. <br />�.._ ... �J l` % _ <br />i IIEREBY CERTIFY THAT I HRVE READ AND EXAMINE� THIS <br />APPLICATION AND KNOW "'HE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS ANU ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETcD WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWN�R OF THIS PROPERTY TO PERFORM THE WORK FC9 WHICH <br />APPLICATION IS MADE AND � COMPLY WITH THE STATE <br />CONTRACTORS LAW 7827 RCW AND 296200 WAC. <br />X ,.�� 6 �,��-y ��' g-�� i � <br />scvuune oae <br />FORCED AIR SYSTEM: <br />UNIT HEATERS—B.T.U. <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATEF <br />WOOD STOVE <br />METAL FIREPLACE (Wf <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />FEE <br />SUBTOTAL 5 <br />PERMIT S <br />TOTALFEE 5 ! <br />PLANCHECNr UMBER FGe <br />H5/�1,�� �'J IO <br />LOTAREA VACANTSITE FEES <br />;] YES ',l: NO BUILDING <br />NO.OFSTORIES aCcuo�Y[v �,�MpxYu.N,uvns � — <br />r.aoor pLUMBING <br />FIR�NLEFSPEO'D BaSEMfNT MECHANICAL <br />Q � � YES �O <br />FIFEALARMFEOD MEIG TLIAIIIDTION ADDITIONALPLANCHECK <br />� / <br />��-! OTHER <br />STA7E BUILDING SURCHARGE <br />PLANS�PPROVEDBY CITY OF EVEflETT PUBUC WORKS <br />LOCAL SALES <br />na,E TAX CODE IS 3105 rora� <br />rmeei���r�� <br />FEE <br />�..�—�� <br />°��a�, <br />� <br />--! ,— .'_ <br />�v C <br />�T— <br />