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�11PPL�CAT1.. N FOR CONS'�'RU6', .OK PERIIAIT <br /> ;.ITY 0� [V[RETT• OUILDING UIVISION <br /> 3Z00 CEDAR STREET• EV[RETT, WA 98201 •259•8810 <br /> fl DEMOLITION f'l" COMBINATION I-I BUILDING �I MECHANICAL I'I PLUM6ING I I SIG <br /> PROJFCT ADD�E�,� �� ',��.� �� � �� <br /> OW F.fl Mn1�AounFSA Ci�v 7�r rIMINf. <br /> `��'t�Ny�� Ht�m�s �n� , �f5 6 " 5T� ao.+ �Rx�na� �, eoi3 �ob -�Li—SoC�v <br /> TENAN� M�I1,ApJt1E5S CIIY JIP P110NE <br /> ARCHITECTOBOESIGNER MAILAO[1RE55 GRY 71P PIqNE <br /> GENERALCONTRACIIXI MNI.AWf1E55 GIIY !�P PIIW�E SIMCIII[NSiI <br /> s��E �� �4o�r_ �� r�o�� K, <br /> MECHANICAI :ONTMCTOR M�ILAO�RESS GtY 76' PIIOHE 5� �EIKE��SE� <br /> PIUMBINOCONIqACTOR MNUUDRE55 CIIY !iP PIqNE SI��EIICENSE� <br /> CONL'iACT PRICECF WOfiK � HEATING SYSTEM: �CGAS f 1 ELECTRIC fl <br /> �'7.� 5"/ - <br /> DESCRIPFJ�NR CND SOUARE FOOTAOE INVOLVEO GU����C1M��t�5�1NheNU PfpNF HD ( <br /> V w �J' 'J1�O`4 ^ . ^/�1 ' ��,'1 O'\ � �t�� J� <br /> �`7Y� WIAIrJ L1V� N � ga1 "' ���� <br /> /C7't'•�� �q � I HEi7E�Y CERTIFV THAT I HAVE REAU ANU EXAMINED 7111' <br /> � (J L L/ ���'"�% ��� APPLICATION ANO KNOW iHE SAME TO BE 7fiUF AND CORRF.CT A1� <br /> PROPOSEDU,S`E'OFOUIL�INO PROVISIONS OF lAWS AND ORDINANCES GOVEiiNiNO T1115 7YPE O� <br /> � SI1v��I,9� F(�1W1!���DWI t- WORK WILL BE COMPLIED WITH WHETHER S�ECIFIEO NEREIN O� <br /> IEQ�L0E5CRIP110NOfFfiOPERtt151!OVlNOELOWIXIAiIAG��iWUCOf'IES) NOT. THE ORANTINC OF A PERMIT DOES NOT PHESUME TO OIVi <br /> wr�_o�ocK oF AUTHORITV TO VIOLATE OH CANCEL THE PROVISION OF AN <br /> /� OTHEFl STATE OR LOCAL LAW REOULATINO CONSiRUCTION OR 71�� <br /> �Y��R�� �.,`. `�C��� �11 R O�- �S F'ERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZEO OY 7111 <br /> OWNER OF THIS PFiOPERTY TO PERFORM THE WORK fOR MM�CI <br /> APPUCATION IS MAGE"'AND I COMPIV WITH THE STATI <br /> PnaCELux1.D.NUMeER CON ORS LAW' B'27 RCW AND 286.200 WAC. <br /> � � G�7-a � �1�� � �( �` =��--�— �l�-��i�l <br /> CON TqUCTIQNLOANLENOF.R D�IlAE55.lELEPNONE�f+/J�N1OLFJn L 'V�+. �� <br /> �(�QnTi ER�'i���\1� r 1 1 ~a•��� SIONI11Uf1E � U��F. <br /> /� ///��� t^ tl��;y-G �.y, <br /> � D,�Ux aa�]�I r J` R�'��1 ����� CIIY IIIIG�HFCS IN:FNGF N() <br /> v "( 1` � <br /> PLUMBING � MECHANICAI . - <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FI%TUiIE OR IiEM FEE <br /> WATER CLOSET(TOILET) � NC•-NHNDlO UNITS—H.P. :_ <br /> BATHTUB ; FORCED AIR SYSTEMS—O.T.U. M EA i <br /> LAVATORY(WASH BASIN) � � —T___ �{��T PUMP ' <br /> � SHOWER � UNIT NEATERS—O.T.U. M � <br /> � KITCHEN SltlK E DISP _ i _ I CLOTHES DRYERS _ ' <br /> � DISHWASHER � Sa' VENiILATiON FAN � <br /> LAUNDRYTRAY ; I HANGE NOOU �� <br /> ( CLOTHES WASHER � �_ WATER HE.dEft <br /> URINAL ' WOOD STOVE � <br /> DRINKING FOUNTAIN � METAL F�REPLACE(WOOD OURNIN0) !_ <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD OUfiNINC) : <br /> � <br /> BACKFLOV!PHEVENTERS i GAS FIHEPLACE �_� <br /> SINK(SERVICE—BAR,ETC.) : O/tS RANOE _ <br /> � ry2. OAS PIPINO __T <br /> , E7fHAUSTFAN /� ' , <br /> , <br /> — � i <br /> � <br /> � <br /> , — —�---�— � <br /> _ , <br /> � <br /> — - � SUDlOTAI f � <br /> SUB TOTAL $ , <br /> PERMIT $ —� PERMIT S � <br /> TOTAL FEE $ � TOTAL FEE S ' <br /> FOR OFPICE USE ONLY: �s��� <br /> � FUHCIIECKNUMOEf1 {E MGF��fNO <br /> pqpHiSETBALR/ REAR�iOACK �l SIUESETBACI( , / � ��J 7 �//// <br /> � n v� � _� <br /> <<� - FEES VALUATION F F <br /> JSE NE�!� LOlAf1EA /� VACANTSIIE q L� <br /> �d �V flViS fl NO OUILOINO C�� �",�, _.�� � I I ( '� �v��� II <br /> HEIONTUMITATICW UNIiS�WELUNO SILEOFOLWR.I. j�if-- �WUAINO � /� � <br /> L C / �M (4L <br /> OCLUPANCY HO.OFSfORIES OCCUPANTLOA CASEMENf MEC11A111CQ � <br /> R3 M i 2, N f}- mes ��o � _ <br /> �DINIION�I i'UW GIIEGK <br /> FI EALMMREO'D �EASON <br /> �'0 omen /� _ <br /> FIRESPRINKLERREO'D REASON <br /> ^�l` SiAIE OUILDIN(i 5Uf1C11RK1E � -_� <br /> /y V <br /> 7YPEOFCONST. PlANSAPPROVEDBY CITYOFEVEHE7T PUPLICW(N1N5 ..�'� �ry <br /> � �M TAX CODE S 3 05 TOTAL � �"� s� <br /> oaie (d �CJ <br />