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i <br />,.. .' <,..;:� <br /> . t r:>:-..,r , <br /> APPLICATIt�I FOR CONSTFiUC7�ON PERMIT �/ „ <br /> s; TO BE COMPLETED IN BLACK INK—PLEASE PRINT `e� a <br /> HEATING SYBTEM: ❑GAS O ELECTRIC ❑ __� <br />` , t, ,,, . BUILDING DEPAR i MENT <br />� 259-8810 <br /> f �� ' ' DEMOLITION COMBI�IATION BUILDING MECHANICAL }�PLUMBING SIGN <br /> � �� � ��� GWNEF M�IIADOF[FS CITY 21P P�dNE <br /> ���b��Ef�dPcdTr���t'r� 2G,�3 'i—A�c�' QP ��c.'ri L� �if�?o3 _— <br /> TENRNT MAILADDRE55 CITV ZIP PrONE <br /> ��� _(-/�UL.��tzt�E��r�1 //�.f�i" I�i�'"�?- ��v�c?T G l,� — <br /> � nncNrtecroaoesim+en Mnanooness �r ziv r���r+E <br /> � GENERALCONTqAGTOR MAILA�DRE55 CI1V ZiP PHONE„ -�JS��TATELICENSE+ <br /> H �e �RK �'.�1o�Vltr_�n/ , �- .�si Sntcu. !/5-,��"" /�YT�%�ri�'" St.. ��-L�;�t�C't?91��L.— I <br /> � A MEGHFNICALCONTRACTOR MAIL��DRE55 QTY ZIP PHONE STATE;iCENSE• <br /> ��� n�� — I <br /> PLUMBINGCONiRACTOR MAILAD�RESS CITV ZiP PIIONh SThTELiCERS[a <br /> ��Q� <br /> � ClAS50F WOFK <br /> yQ �:� NEW . ADDITION �' ALTERATION REPAIA DEMOUTIJN WOODSTOVE�FRPIINS[RT BUILDIIJG:iELOCATION <br />� O 1-1 . conTnGr veason nno r�ione wo. <br /> po C] <br /> N[9 CONTR�Ct PqICE OF WORN <br /> �� OESG WORKANDSOU�REFOOTAGEINVOLVEO <br /> �y �.� <br /> �i P oros useoFe i�oir� I HEREBY CERTIFV 7HAT I HAVE READ AND EXAMINED THIS I <br /> . u� � � ��_ APPLICATION AN�KNOW THE SAME TO BE TRUE AND CORRECT.ALL I <br /> M"� LEGSL�ESCF:PTiON ROPERTV�SHOWN BELOW OFFiTACN FOURCOPIE51 �ROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> �(p JJORK WILL BE COMPLETED WITH WHETHER SFEGFIED HEflEIP! OR <br /> �or e�oc� oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GWE <br /> ��y AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> W OTHER STATE OR LOCAL LAW REGULATING CONS'i RUCTION OR THE <br /> aERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOFIZED BY THE I . <br /> � �� ` OWNER OF 'fHIS PROPERTY TO PERFORM THE WORK FOR WHICH il <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW ANO 296200 WAC. I <br /> —�-- � I <br /> �J�S /gry�cl� ��_.F_c�E-r�r GJA, x �n� r.. �,� �(—/g'-9.2 � <br /> PROJECTAOOiiE55 sicr+uwi= 2 � /� �/� nnre <br /> .��n� ' "l��/ _ 'Yl� I <br /> � f.rtvNO5WE551uJ1S[1�0 I <br /> � PLUMBING MECHANICAL , <br /> � �� NO. TYPE OF FIXTURE OP ITEM FEE NO. TYPE OF E�UIPMENT FEE � <br /> I C�� WATERCLOSET(TOILET) AiC—NHNDLGUNITS—H.P. '� <br /> i BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> 1 � _ LAVATORY(WASH BASIN) -- UNIT HEATERS—B.T.U. M I <br /> ` SHOWER GLOTHES DRYERS <br /> � =+I KITCHEN SINK 8 DISP VENTILATION FAN �I <br /> � DISFIWASHER RANGEHGOD <br /> ' LAUNDRY TRAY WATER HEATER � <br /> �� CLOTHES WASHER WOODSTOVE II <br /> ' � � URINAL METAL FIREPLHCE 8 CHIMNEY I <br /> I _� DRINKING FOUNTAIN fIREPLACE INSERT i <br /> FLOOR DRAIN HEAT PUMP � <br /> � ' BACKFLOW PREVENTERS ; GAS PIPING <br /> '�, ' �' FiCOF DRAINS—RAINLEADERS —�— EXHAUST FAN _ , <br /> � �� SINK(SERVICE—BAR,ETC.) �; <br /> j ' — _— <br /> __ —�— <br /> I SUB TOTAL S � , SUB TOTAL S <br /> PEHMIT 5 �U � PERMIT S _ <br /> t�+ TOTAL FEE $ J > ; TOTAL FEE $ <br /> ��' FOR OFFICE USE ONLY: <br /> � ' fRONT5E19ACN REARS[TBPCN 510[SETOACK PL�NrHFCKNt1fd�ER F[E /_ RECE�PTNO. <br /> �(L' ?�/>t� <br /> usezorie IOTAREA vncnr�rstre �EES VALUATION FEE <br /> BUILOING <br /> I <br /> iVPEOiCONISAILOWhBLE lYP[0(C0119.ALNAL oc�uvpvcr b0orovrturt.6min5 — � <br /> i <br /> ceow � PLUM�IN, <br /> SREOFB,�G. NO.OFSTJRIES d15E1.tENt MECHANICAL I <br /> OCWPAKCYLOAD FIRESPPNNlEB5flL0'G I�EIGNTIIMrtpTIpN �DDITIONALPLANCHECR I�, <br /> _ SPRINKLER <br /> RE�SONI'OPSPRiNNLERS - �— <br /> STATE DUILDING SL1FiCHAflGE <br /> INTANEB" PLFNSAPPROVEDOV CITYOFEVERETT PUBLICWORK$ � <br /> —�— LOCAL SALES , <br /> TAX CODE IS 3105 rora� � <br /> , <br />