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��� <br /> I <br /> ���L��A°T90,..: FAR COTISTRUCT )N PERl1AIT �� � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT � <br /> �UILDING DEPAflTMENT �L-ATING SYSTEM: iSl GAS ❑ELECTRIC U _— . 1 �I <br /> 250-8810 <br /> DEMOLITION f7 COMBINATION Ix BUILDING I ! MECHANICAL IJPLUMBING I I SIGN <br /> y r .�,-� Ov:Li:R MFRA�DIiE55 LIiY ZIP PHONE '— <br /> p � y� ll.�lly Ilomes, Inc. 3240 Gastlake Avenue E. Soattle, 98102 (206)326-3770 __ <br /> Fy iEtLWI IAAiLAD�PE55 CIIY 21P PMONE <br /> y � N <br /> N /.BptRECTO00ESIGNEH MAILnD�RE55 CIiY ZIP Pf10NE <br /> K (� <br /> .`O <br /> bH �T GGNERALCONiflACTOfl AIqILA�ORE55 CITY ZIP PHONE STAiELILfAuE1 <br /> RI N <br /> yC Same as above <br /> [*] S` tn MECMANILAI GONTH�CTOfl MAILAD�flE55 C17Y ZIP PHONE SihiE LICENSE R <br /> Ei <br /> °zno <br /> M M O FIUMBING CONTFlFCTOfl MAILApDflESS CITY ZIP PIIONE ST�TE LICENSC/ <br /> c. • n <br /> 7 H � C1A550FWOflN <br /> t N y I g NEW I I ADDITIO�t I I ALTERATION I I REPAIR I I DEMOLITION I I WOOCSTOVE/FAPL INSERT i I BUILDING RELOCATION <br /> C N <br /> O M CONTAGi PEBSON�ND P��01+E NO. <br /> nq¢ � y WNTHACTPOICEOFWORN Ron Pearce 252-9098 <br /> DJ � [rA DESCRIOEWOlIRAN�SOURREf00TAGEIIIVOWEO <br /> y o U 5ingle Pamily Jim Schmidt 328-3770 <br /> rna��oseouseoFuuaoinG I HEREDY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> 2esidence APPLICATION AND KPIUW TNE SAPdL 70�E TNUE AND CORRECL ALL <br /> IEGALDES flIPTI0Y0FPpOPEFTY�SHOWN�ELOYIORATTACHFOIIfiCOVIES� PROVISII'NSOFLAWSANDORDINANCESGOVERfJINGTHISTYPEOF <br /> WORK WILL BE COMPLETED WITH WHETHEP SPECIfIED HEREIN OR <br /> ior o�ocK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE UR CA;�CEL THE PROVISIONS OF P.NY <br /> See a t tached OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTIGN OR THE <br /> ��S l C� II;1 PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THL <br /> OWNER OF THIS PROPERTY TO PERFORM THr WORK FOR WHIGH <br /> APPLICATION IS MADE AND I GOMPLY WITH THE STP�TE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> ,� '`,::;.� 11 �T��.tA�_ 7;.,,I? �l `� <br /> ' y PNpJGCiRDDHESS <br />� � �,� 70� � yl� �a ��,—,�����,�.�,����,,.�,,, — — <br /> � P W M BING MECHANICAL <br /> 1 NO. TVPE OF FIXTURE OR ITEPh FEE NO. TYPE OF EQUIPMENT FEE <br /> f�_ WATER CLOSET(TOILET) _ !vC—A�'HNDLG UNITS—H.P. _ <br /> o= BATHTUB ; FOf�CED AIR SYSTFMS—B.T.II. M E.A. _ <br /> I IAVATORY�WASH BASW) i UNIT HEA7ER5-6.T.U. M <br /> SHOWER � CLOTHBS DRYE7S <br /> KITCHEN SINK 8 DISP V6NTILATION FAN <br /> . I _ JISHWASHER RANGE HOOD � <br /> � LAUNDRY TRAV WATER HEPTER � <br /> �— <br /> . CLOTHES WASHER WOODSTOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEY ��— <br /> �I I�t 1 _ DRINKING FOUNTAW FIREPLACE INSERT ; <br /> � FLOOR DRAIN HEAT PU61P � <br /> � <br /> BACKFLOW PREVFNTERS GAS PIPING ; <br /> FOOF DRAINS—RAINLEADERS EXHAUST FAN <br /> a M 1� SINK(SERVICE—BAR,ETCJ _ <br /> I <br /> '�_t — —r— <br /> ��' SUB TOTAL $ SUB TOTAL $ <br /> PERMIT $ � PERIdIT $ <br /> TOTALFEE $ TOTALFEE $ <br /> FOR OFFICE USE ONLY: <br /> FRONiSEiBACH flEAH5Ei0ACN �SID€SE DACH PIANG�iECKNI1tdlIGH F[L R[CEIPTNO. <br /> zo -� ���� ��� - -° �'° � n <br /> use NEI �oinn�� v a�+isrtE FEES VALUATION FEE — <br /> �UILOING (.1 '� _ � � <br /> tYPEO![ONIS.AIlOWAOLE tYPEOFCONSi.AL111hL an�vui:r rwmoxflu��cw�ns — � <br /> "� _� � -7 ' PLUM�ING —�-- <br /> SREOF LpG ti NO.OFSTORIES OASEIAENT MECHANICAL <br /> �SIJ FliJ � <br /> 678 i: Z J � <br /> OCCUPANCYLOAD FIPESPRNKLEfl5RE0D MEIGMiL11AITAiION AD�ITIONALPLANCHECK T <br /> 'Y N� SPf11NKLER <br /> REA501! flSPRINKLEflS --j— <br /> . STATE OUILOING SURCHARGE '/�U <br /> INTRKE�Y PlANSAPPROVEOBY CITYOFEVERETT PU�UCWOFlKS ZOi � � ' <br /> LOCAL SALES + �? <br /> J� 3 Z TAX COOE IS 3105 TOTAL 7�� �� ! <br /> � <br /> _ . <br /> __ _ -:,� <br />