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fM Ewryn�n <br />cin or <br />everet� <br />BUILDING DEPARTMENT <br />259-BH10 <br />APPLICATI�N FOh <br />CONSTRlJCTION <br />PERMIT <br />TO BE COMPLETEO IN INK- PLEASE PRINT <br />■ <br />❑ DEMOLITION ❑ COMBINATION ❑ BUIL�ING ❑ MECHANICAL ❑ PLUAflBING ❑ SIGN <br />OWNER MAII.�It0AE55 On' LiV PHONE <br />Timberland Ilomes, Inc. 1201 37th N4J Auburn 98001 772-6444 _ <br />♦NLHIIELTORpFS�(iNER M�IIApORFSS CITV II� PHOFL <br />f.ENER�LGON7RAGTOR IAUL>ObR[55 Girv tin v��pNE ULENSE• <br />See a5ave <br />MECN�NIGLCONTR<GTOq MaiLA00FC55 f.ltv ZIO PIIONE IIGENSE• <br />PLUMBIN�CONIR�GiOR M�II.�Oft�E;S Cilv IIP PUON[ UCENSE• <br />�V NEW ❑ ADDITION ❑ ALTERATION ❑ PF.PAIR ❑ DEMOLI110N ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING REIOCAT10N <br />vetU�l�oN oF worin Icosr OF Mar[uu�s i��u; uoon� <br />OESLRIBE M'OAK <br />Place 2 tempora <br />USE OF BUiLDING <br />Dieplav <br />lE6�L DESCRIPTION OF PqOP[HTY1: <br />L01� BLOL�(--OF_ <br />O��R�G� <br />I HEREBV vERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE THUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTVPE <br />OF WOFK WILI. BE COMPLE'i ED WITH WHETHER SPECIFIED HERE• <br />IN OR NOT. THE GRANTING OF A PERMITDOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCFL THE PROVISIONS OF <br />APJY OTHER STATE OR LOChL LAW REGUTATING CONSTqUCTION <br />OR THE PERFORMANCE OF CONSTP.UCTION. . <br />SIfiN4TUFE OF CONLRnCTOR OR AUT110fi1ZE0 4GENT DnTE <br />X _?J l,V, �� j-_ <br />PP�IUNi5CI1V8U5WE55uCF��SE NO <br />9610 19[h Ave. SC; @verett, WA 98204 <br />PLUMBING <br />OR ITEM <br />WATEN CLOSFT �TOILET� <br />B�THTUB <br />UVATOA� IWASH BASIN� <br />SMOWER <br />NITCMEN SINN d DISP <br />UUNDRY TR�� <br />CLOTHES WASHEF <br />UHIN�L <br />DRINK�NG FOUNTAIN <br />F�OOR DRAiN <br />B: ^KFLOW PREVENIEAS <br />ROOF DRAINS — FA�NLEAOLRS <br />SINK ISERVICE — DAR. ETC 1 <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />fRONiSET��CN �E�N <br />occuner+cr cnour <br />NO CP SiORIES <br />RED ❑ VES ❑ <br />PI AN$ CIIECKED OY <br />MECHANICAL <br />FEE NO. TYPE OF EOU:PMf <br />AlL — A�MNOLG UNITS — H P <br />REFRIGERATION UNITS — M P EA <br />BOILERS — B T U/H P. <br />GASFIREOAC UNITS—BT.U. <br />FOPC[� AIR SYSTEMS — BS.0 <br />WALL HEnTERS — B.T U. <br />UNIT MEATERS —D.TL. <br />EVAPORATIVE COOLERS <br />CLOTHE`.if]RYERS <br />VENTIIATION FAN <br />nANGEHOOD <br />WATERHEATEP <br />WOOOSTOVE <br />METAL FIREPUICE 6 CHIMNEV <br />fIREPLACEINSERT <br />NEAT PUMP <br />GA$ PIPING <br />E%HAUSiFAN <br />t <br />S <br />siut sunw� <br />VAGAM SILE <br />UYGS IJNO <br />NO OF OWF.ILVlG URIiS <br />nr�'n roP issuu�C[ ar <br />9UBTOTAL <br />PCRMIT <br />TOTALfEE <br />VI.nN CHECN NUMOEH � FEE <br />FEES <br />�U�LDING <br />PLUM�ING <br />MECMANICAI <br />OTIiER <br />STAT£ BUILDMG SURCHARG'� <br />S7ATEENENGYSUHCH�RGE <br />PUBLIC YlORK` <br />1'OTAL � <br />S <br />M EP <br />M <br />M <br />FECEIPT NO. <br />FEE <br />PROPERN OWNERS ARE RESPONSIBLE FOFl DEfF.RA1INING ALL <br />PROPF.RTV LWE LOCATIONS AND RFLHTFG EASE\tENTS. <br />