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APPLICATIC`1 FOR CONSTRUCT`1N PERMIT ,;� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT �rn <br /> BUILDING DEPARTMENT HEATING SYSTEM: iJ GAS U ELECTRIG J _____ __� <br /> 259-8810 <br /> D_E�OL�T COMBINATION BUILDING MECHANICAL �PLUMBINf3 31ON <br /> nWNFR � M1il �DONESS LIiV 21P PIqNF <br /> ��Ek- 1�23 leor�'��C 5['- ``c vhzv?.�__�37-Jz ��/ <br /> IEN�NT M�II�pORESS �ItV z�p pq�JNE -" <br /> Ca N � <br /> 11NCNITEflpqDESbNER MML110DRE93 CITV IIP p�p <br /> GENER�LCbNiR�f.ipN p��L�OORE9S GIY SIP PHINIE 9T�IE/ICENBE� <br /> ' � �►3� S ulutio;r s j��� � �C� I%u s �•/�1/ .�yiiii�v �G� �5'<�l• i!v'PJl3 ,y t/N i'L 5 3 0 7 7 PrZ <br /> MECH�NICM CONIP�f,iOR MIUL�ODRE35 C�tY � IIP PH!k!F Si�IE IICEN9E i <br /> PLUMBINO CON/PI1f,10fR MMl• RFab /!��Z (@Ij`(�� ZIp PNp�E Si�TE LILEN9E� <br /> F�v�r �� f�tC (��vn��j1�1[' . /�e�� ' `� � ���_ f-�j�� <br /> CONTR�Ct PPICE 1Y.'�Rlc �"_ <br /> L� � 3 •�. <br /> �0 PIBE Wp�1t�N�y�U�qE FOpU6E�!V VED CONTACT PER90N�ND P110NE NO <br /> -� i * i�,: ,�f" S �.. afs '����11e�-,, � <br /> ��� � � � i � ri� clL: v, �,' .. <br /> I�P�+� � ( � Y � :lt ; I� G. i HEREBV CERTIFV THAT I HAVE READ AND EXAMWED THIS <br /> PROP09ED JSE O� unnx�o APPLICATION AND NNOW THE SAME. TO BE TRUE AND CORRECT. ALL <br /> �'� � � � PROVISIONS OF LAWS AND ORDINhNCES OOVERNING THIS TVPE OF <br /> IEO�lD28CRIPiqNOFFRpPEP7V�9NOWNlEIOWOR�TT�CNTVqCOPIESI WOHK WILL BE COMPLETED WITH WHETHER SPECiFIED HEHEIM OR <br /> ioT aaK � NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEL iHE PROVISIONS OP ANV <br /> OTHER S1A7E Ofi LOCAL LAW RE3ULATINO CONSTqUCTION OR THE <br /> � — PEFFORMANCE Of CONSTRUCTION THAT I AM AUTHORIZED BV THF <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICA710N IS MADE ANf) I COMPLV WITH THE STATE <br /> F�Rf L tyt Il NUMBER <br /> S C�OO ��/ OO�'lC" CONTRACTORS�W 18.27 RCW.1ND 296200 WAC <br /> CONSTPULIiONIO�NIENDER.�DDNE%.fEIEPMONENIIMBER {� �'��1 ) T <br /> ■ i'. lil.tit'/ I I ` � ��� � �' - �I J <br /> PyOJECT AUDHEbB sM��w n� —�— n�rr — <br /> 1�.� I cu'�' PL s°� �' �. �,,,«:,,,„���„�•..—.« – ------ - <br /> PLUMSINO MECMANICAL <br /> NO. TYPE OF FI%TURE OR REM FEE NO. TYPE OF EOUIPMENT FEE <br /> _ WATER CLOSET(TOILET� � 0.�C—A�NNDLG UNITS—H,P <br /> . BATHTUB FORCED AiR SVSTEMS—B.T.U. M E,A. <br /> LAVATORV�WASHBASIN) UNITHEATERS—B.T.U. M � <br /> SHOWEF � CIOTHESDRVERS � <br /> KITCHEN SINK 8 DISP � VENTILATION FAN <br /> ' DISHWASHER � RANOE HOOD , <br /> � LAUNORVTRAV � � <br /> I WATER HEAiER <br /> I CLOTHES WA9HER WOOD STOVE , <br /> UFIh4t METAL FIREPUCE(WOOD BURNINO) � <br /> DRINI<WG fOUNTAIN i fIREPLACE INSERT ' <br /> — i <br /> FLOUR DRAIN HEAT PUMP —r <br /> � BACNF:OW PREVENTERS GAS PIPINO <br /> �' ROOF DRAINS--RAINLEADERS E%HAUST FAN <br /> SINN(SERVICE--BAR EtC <br /> � ; <br /> --- <br /> — � <br /> SUB TOTAL S ; SUB TOTAL S <br /> PEFMIT S PERMIT S <br /> TOTALFEE S TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> PR(kliSttP�CL Rf�BSFt9PCe S�D'SETB�CN PIANC f[M 40ER FEF RECF�i'iN0 <br /> I�� <br /> --t/ <br /> use��e LOT�qEA VIICANi G:TE FEE9 VALUATION FEE <br /> � � VES ' � NO BUILDING L (�1 � ti <br /> irttoirnxs�I �+oastonies uccu.ux� roaorrti��w�,x��s . . � •'' <br /> N�J G/7/�,V�i axnic PLUMBING _ —_ — _ ""_ -- a�i <br /> Silf OF Bl Wi Fl BPRINMlER9 REOL BII9EMENT MECFI�NICAL. <br /> VES ' NO — — <br /> OCLUP�N(:Y�0�0 FIRE� �RM REO D MEqH �M11T�t1(X1 ADDITIONAL PUN CHECN ; <br /> _ ' _________ OTHER <br /> 11E�90N — - - <br /> STA7E BUILDING SURCHARGE �5,. � <br /> —��� <br /> MTMEBY ci�r�A�rPaovFnP� CITYOFEVERETT PUBLICWORKS <br /> dM LOCAL SALE8 <br /> ,,.rF �� � 'S TAX CODE 18 3105 TOTAL �� , � <br /> J <br />