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,..�.�..,.o.��._...�._—._ ____ __ _ _..� . .��_._.. <br /> ,.� <br /> ARP;�ICA'T9� t E=0� CQ►R!'STRt�C�' `�� P�Ri�i�T �i,'�*� ' <br /> TQ 8,:COMPLETED IN BLACK IIVK—PLEASE PRINT C�V]__. ;-, <br /> HEATING SYSTEM: f�GAS ❑ELECTRIC ❑ �" <br /> BUILDING DEPARTMENT — �� <br /> 259-6610 <br /> i I DEMOLIITION I I COMBINATION � BUILDING I I MECHANICAL I I PLUMBING I I SIGN ;;� <br /> 05'lHER �IpILADOflESS CiTY ZIP PMONE I <br /> Dallv l�omes, Inc. 3240 Gastlalce Ave. East, Seattle, 98102 (206)328-3770 <br /> T[IJANT MNLhDDRESS CITV ZIP PNOHE <br /> ARCMITEG70FDIi51GNEfl IAALAODflE55 CIiV ZIP PHONE <br /> GENERALCONTPo�CTOP MFILADDRESS CITY ZIP PHOYE STATEUCENSEK <br /> � <br /> Dailv Aomes, Inc. DALLYIII120L7 `� <br /> MEGHRNICALCONTRACTOR MAILADDRESS CITY ZIP PHOIIE STATELICENSE4 �� <br /> PLUMpINGCONTflACTOfl lA4�LAODBE55 CITY ZIP ?HONE STATELICENSEI � <br /> CLASS OF WOFN � <br /> IX NEW I I ADDITION I I ALTERATION ! ! R[PAIR ! I DEMOLITION I I WOODSTOVEIFRPL INSERT I I BUILDING PELOCATION <br /> WNTaCT PERSON AN�PHONG NO. <br /> ccNrarr.Trq�CEOFWORK Harr R znar 252-9D93 <br /> �E�C ' iN AIID SOUARE FOOTPGE INVO.VED j� <br /> C rur.tion of sinele family home Sherr Aunter 328-3770 � <br /> PROPO:..,_ iEOF9UILDING I HERE6Y CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Residence APPLICATION AND KNOW Tf'9 SAME TO BE TRUE AND COF1RECi,:L! <br /> �ecn�oe5ceianonioFraoaearvisHowr+oetowonnrrncHFouacoaiesi �PROVISIONSOFLAWSANDOFl�INANCESGOVERNINGTHhTYPEc;� - <br /> 1} �'! WORK WILL�E COMPLETED V'�IITH WHFTHER SPECIRED F'EREW O!t � <br /> �or�_ OLOCK oF I f I� I�ILG. .LILU� NOT. THE GPANTING OF A PERMIT DOES NOT PRES'IMF. TO GIVi_ - <br /> AUTHORITY TO VIOLATE OR CANCEL ?HE PROVISION;i OF AN'�. <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTIOV OR Tt-I: '�{ <br /> e <br /> - PERFOFMANCE OF COPlSTFiUCTION.THAT I AM AUTHORIZED BY llii- . <br /> OWNER OF THIS PROPERTY TO PERFORM THE 'vVORK FOR WHIC!', <br /> APPLICATION IS MADE AND I COMPLY WITH THE�. STA�F � <br /> CONTRACTORS LAW 18.27 RCW AND 256200 WAC. � <br /> �'' / <br /> ��'���Z!/��i,��n�fili l� �J/��— <br /> PROJECTGO�RE55 �G!uru - //' � p�r <br /> ��I 4�� � � � w —_— <br /> ��.�a��s��Ess���E�=�, <br /> PLUMBIt�G �dECHANICAL `" <br /> NO. 7'VPE OF FIXTURE OR ITC•M FEE NO. TYPE OF EOUIPIdENT FEE <br /> WATER CLOSET(TOILET) A/C—NHNDLG UNiTS—H.P. <br /> BATHTUE� FORCED AIR SYSTEMS—�.T.U. M 'c.A. <br /> LAVATORY(WASHBASIN) � UNITHEATERS—B.T.U. M ; <br /> SHOWER � CLOTHESDRYERS �— <br /> KITCH'cN SINK 8 DISP ; VENTILATION F,1N ' <br /> DISHWAS�iER RANGE HOOD <br /> I LAUNDflYTRAY ; WqTERHEATER <br /> CLGTHES WASHER � WOODSTOVE <br /> URINAL � METAL FIREPLACE 8 CHIMNEY � <br /> DRINKING FOUVTAIN � FIRCPLACE INSERT ; <br /> FLOOR DR.41N HEAT PUMP <br /> BACKFLON�PREVENTERS ; GAS PIPING <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN <br /> — — <br /> SINK(SEfiVIbE—BAR,ETC.) ; <br /> — ' <br /> � <br /> — � <br /> � ; <br /> �— <br /> SUB TOTAL $ SUB TOTAL $ ! <br /> PERMIT g � PERMIT 5 � <br /> TOTAL FEE 5 TOTAL FEE ;, _ <br /> FOR OFFICE USE ONLY: <br /> FRONTSETBACK REARS�TBACK SIOESETBACK PLAtlCMECKNUAIOEP FFE REC:JPTNO. <br /> — � �� � <br /> �" �_ <br /> lISEZONE LOTAREA VACANTSITE y FEES VALUATION FEE <br />� � —� � � <br /> � BUILDING �� �� � ���( : <br /> 1YPE Oi CONiS.RLLOWABIE TYPE Of Cf•NSL ACiUAL otturzh[r uo d onFwxG uuus — <br />� � � �� � "'3 PLUMBING <br /> SIZEOFBIUG NO.OFSTORIES �ASEMENT IdECHANICAL � <br /> � � sf �4a Z v � <br /> OCCUPANCV LOAO FIfiE SPRNKLEflS RE�'D NEIGHT LIMITATION AD�ITIONAL PLAN CH�CK i <br /> '� �/� �� I , SPRINKLER /�� � — <br /> REASONFOn PRINKLERS —_- � <br /> _ STATE BUILDING SU(iCHARGE � � �) <br /> INTANEBY P:.4NSAPPf'10!VE0BV CITYOFEVERETT PUBLICWORKS —L(T� <br /> �p LOCAL SALES <br /> �i -7 /` �� TAX CODE IS 3105 Torn� �' � � � �i� <br /> � �'�' G .:..,,.. � <br /> � .�s�+�-�,- ■ — -- _.____.� __._ <br />