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���9�8���'0�.,, �=�G� c��R��`�G�����`y'� �G�3 �i�����0� , .E-' <br /> 9n ����T <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> HEATING SYSTEM: �J GAS fJ ELECTRIC U � <br /> BUILDING DEPARTtviEN7 — <br /> 259-Bf310 LUMBING SIGIJ <br /> DEMOUTION COMBINATION BUILDING MECHANICAL or+e <br /> O1'INER ld4RADDfiESS ,�CrtY Z�P <br /> * 3�40 �-�-�'l�e �£a;�i� �.�c3- 3a.f' - 3 �-�0 _ <br /> 1\.i � IL.,�•s� G�tY Z�p PHONE <br /> 3� �+.�cr.�. <br /> TENPNT MAILAD�FESS <br /> � ��v C� PNONE <br /> FRCHRECT OR OES'�GNEii MAII AO�RE55 <br /> CITV ZIP <br /> y�� LItY ZIP FNONE STAT[LICENSE� — <br /> r� GEHERALCONTRACTOR M4RAO�RE55 <br /> C�H �r, y� 21G PHONE STFTE LICENSE Y <br /> T <br /> LIECHANICRICONTRACTOR AIALLA��R[55 i-; ' <br /> a�-3 co Y� PHOI:E STPiELICENSE/ <br /> Z4 //11 <br /> y z� PL lABiNG CONTRACiOR lAAIL nD0 ,`�. l SL7� ���T�Q ^�I� � i/A?,�C�� //�1��.�<��r��I <br /> y 7a � S �ir��..� <br /> K y� �rrC!I"i N L.l> p�U � ��-c 1et.r <br /> CLASS 'WORN <br /> � px..i h�j �yy . ADDITION ALTEfiATION REPAIR DEMOLITION WOODSTOVEfRPL INSERT BUILDING FiELOCA I _ <br /> �H C04T�GT PERSON PN�P��ONE NO <br /> y r - <br /> � 0� Cp!1ifi�CiPRICEOFWORN <br /> H G DESClVIBE WORK AND S�l1AFE FOOTpGE INVOlVEO <br /> O H <br /> � ng — i NEHEBY CERTIFY THAT 1 HAVE READ AND EXAMWED TFIIS <br /> ��� vncvoseo use oF em�_airv� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> H C� PROVISIONS OF LA'f1S AND ORDINANCES GOVERNING THIS TYPE OF <br /> ZH3, <br /> y y z LEG�LOESCPIPiIONOFPROPERTV:SHOWNBELO�'lORATTACHfOURCOPIE51 yyORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> I <br /> t H y �i�� B��K oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME T <br /> d y AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF AN�� <br /> p H OTHEF STATE OR LOCAL LAW FEGULATING CONSTRUCTION OR THE <br /> O C7(A PERFORMANCE OF CONSTRUCTION.THAT I APA AUTHORIZED BV THE <br /> ❑g OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR INHIGH <br /> t-y �CrrJ APPLICATION IS MADE AND I COE.IPLY WITH THE STAT� <br /> y �� -- CONTRACTORS LAW 1B.27 RCW AND 2?6200 WAC. <br /> �Yfyl,� f � /'��i I �i--_ <br /> l. � <br /> ��;n i.m rx�� <br /> PN�JCGi ppDRE55 --- <br /> �oZ �lls �o �,..�,,,,,�.,�.��.:; ,., _ <br /> PLUMBING / MECHANICAL <br /> FEE NO. TYPE OF EOUIPMENT FEE <br /> NO. TYPE OF FIXTURE OR ITEM A�C—AiHNDLG UNITS—HP <br /> '��' � N'ATER CLOSET(TOILET) �, — FOFCED AIR SYSTEMS—B.T.U. M E.A. <br /> +�� Z 8ATr1TUB UNIT H[ATERS—B.T.U. M - <br /> LAVATORY(WASH BASW) j, CLOTHES DRYERS - <br /> SHOWER VENTILATION FAN <br /> ��`I �' KITCHEN SINK 8 CISP �S{-- — —�— <br /> � . RANGE HOOU <br /> DISHWA�HER WATER HEATEF <br /> LAUNDRY TRi.Y WOOD STOVE <br /> CLOTHES WASHER <br /> WETAI FIREPLACE 8 CHIM�EY __ <br /> �,� URINAL � FIREPLACE INSERT ' <br /> DRINKING f )UNTAIN � r -- <br /> � HEAT PUMP <br /> FLOOR DRAIN GAS PIPING <br /> ��I � _ BACKFLOW PREVENTERS EXHAUSTFAN <br /> ROOF DRAINS—RAINL[ADERS <br /> SINK(SERVICE—BAR,ETC) <br /> � ��� ' <br /> �." _ <br /> — i <br /> ' k SUB T�TAI S — pERMIOTTAL S <br /> "'d�o' — PERMIT S TOTAL FEE $ <br /> — TOTALFEE 5 <br /> FOR OFFICE USE ONLY: �eceiPrNo <br /> FrOti15E19Af,H PEARSETOACK SIDESET��CK <br /> ri.ar+c�ncKru��.ioen� Fee <br /> J I-'J % <br /> �i5[ZOtlF IOTAPEF <br /> VACANTSIT[ FEES VALUATION FEE <br /> Bl11LDING <br /> 1vPC0iLONISALLOWAOIE IYPC��GOtISLAGtUA� ncLFu r xou��wfNcr,r.'�"' PL11M01NG <br /> SRE Oi B�DQ NO OF STORIES OASEMENT �AEG�ANICAL —_ - <br /> ADDITIONPL PLnN CHECK <br /> CCCIIPANCYL0A0 FIRESPRNKLEfi5RE0'� HEIGMTUlAl1ATION ____ <br /> I SPRINKLEP � <br /> ❑E,SON FOPSPRINRLERS $iATE BUILOING SI�RCHAFGE <br /> rt;iAkEOY PIANSPPPROVEDBY CITYOFEVERETT PUBLICWORKS <br /> LOCAL SAL[S <br /> TAX CODE IS 3105 TOTAL <br />_ -,__.. <br /> __ ,.. , <br /> _ _ <br /> _ _ --- —_ _ __—_.-..A--- � , . <br /> �- —.. � <br /> � . ..�>�} t. Y.1• � ..y._ "y �6�.ntJ, <br /> � . . _ i'�v'.°f`� , , �',NL. <br />