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p <br />� � <br />APPLICATIG.� FOR CONSTRUCT..aN PERMIT � <br />TO BE COMPLETED IN FLACK INK—PLEASE PRINT <br />HEATING SYSTEM• U GAS O ELECTRIC ❑ <br />BUILDING DEPARTMENT � <br />259-8810 <br />f-1 DEMOLITION Ll COM'31NATION j4 BUILDING LI MECHANICAL iJ PLUMBING f 1 SIGN <br />OWNER MAILADDqEoS CITV ZIP PHONE <br />.kP+F nccn ,nna �03 ���'A�� l.v �'ueve H �,c�-it 9�zo3 3� S- Sdy� <br />TENANT MR A�DRESS CITV ZIP � PHONE <br />ARCNITECTORDESI3NER MAILADDRESS CIN ZIP PHONE <br />GENEHALCIXJTRACTOfl MRILADDRESS CITV ZIP PHONE STATELICENSE� <br />MECHANICN. CONTPACTOR MAIL AODRE55 CITY ZIP PHONE ST�TE LICF.G5E I1 <br />PLUM6INGCONTflACTON MAILAOURE55 GITY ZIP PHUNE STATELICENSEN <br />CVSSOFWORK <br />IiF NEW [ 1 ADDITION f�. I ALTERATION I i REPAIR ! i DEMOLITION I� WOOUSTOVE/FRPL INSERT I I BUILDING RELOCATION <br />CONTACT PF.RSON AND PMONE NO. // <br />CONTRACT PRICE OF WORN � � � q 0� F�a ��, ,;� �� r%Q ��j ���� 7 a <br />DESCRIBE WORK AND SOUARE FOOTAGE NVOIVED <br />�Y ��rQ� �J <br />, IEGALDESCRIPTIONOFPROPEPTY�SHOWNBELOWORATTACH <br />LOT�_ BLOCK �_ OF y�QAAl <br />�u5/��tGt, <br />r Stqv�ewhc�nh <br />� ui Volun+e I I <br />�p� s eosu <br />SeAvre� hE <br />' PP0.IECTADDRESS <br />�03/ � <br />�� PLUMBING <br />, No. r— <br />e Sc.,4i,.e oi' <br />� <br />TYPE OF FD(TURE OR ITEM <br />LAVATORY(WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WARHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTFRS <br />ROOF ORAINS—RAINLEADERS <br />SINK (SERVICE—BAR. ETC.I <br />FOR OFFICE USE ONLY: <br />FRONT^SET�K/ REAR: <br />ttPE OF CONTS. RLLOWAeIE <br />� �� <br />SRE OF BLDG. <br />R9Z SF <br />OCCl1PANCY LOAD <br />N /� <br />REASON FOR SPRINK:ERS <br />INTAKE BY <br />9rds DtSn( <br />=tOf!-(� u�. <br />,P afl.� <br />1 <br />o rxi s <br />FEE <br />SUB TOTAL $ <br />PERMIT $ <br />TOTALFEE $ <br />/ I SIDE SET9FGK <br />� /' c% <br />VACANT SITE <br />I HEREBY CERTIFY THAT I HAYE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNiNG THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETl1ER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONfi OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTICN. THAT I AM AUTHORIZ[D 8Y THE <br />QWNER OF THIu PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I CCLI?LY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.20C WAC. <br />�Z . e <br />A/C--A/HNDLG UNITS--H.F. <br />FORCED AIR SVSTEMS—B.T.U. M E.A. <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DFiYERS <br />VENTILATION .'-AN <br />RANGEHOOD _ <br />WATER HEATER <br />WOOD STOVE _ <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT _ <br />HEAT PUMP <br />GAS PIPING <br />EXHAUST FAM <br />PLAN LHECK <br />'� BUILDING <br />TYPEC"]ONSiAC1UAL atuaeM:v NoorowfltmcuNns <br />� Gfl01v p�I�MBING _ ,_ <br />.� <br />NO.OFSTORPS �ASEMENT MECHANICAL <br />0 <br />FIRE 51'RNNlERS REO'D HEIGMT LIMITjATION ADDITIONAL PLAN G4ECK <br />No / / SPRINKLER <br />STATE BUILDING SURCHARGE <br />PUNSAPPROVEDBV CIN OF EYERETT PUBLIC WORKS <br />L�CRL SALES <br />�J Id v�/,./�qL I TAX CDOE IS 3105 TOTAL <br />PERMIT $ � <br />TOTAL FEE $ � <br />FE _ � RECEIPTNO. <br />�� �� �J // %' <br />VALUATION FEE_T <br />I o�F J��- <br />i <br />i <br />� <br />i <br />i <br />�� <br />i <br />� <br />� „ <br />