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r <br />� <br />— �fab E��euw�w« eA�� <br />APPLICATIC� 1 FOR CONSTRUCT�N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPAFiTMENT HEA7ING SVS7EM: Aj GAS J ELECTRIC iJ _ _ l <br />—1 <br />2$9-8810 <br />� I DEMOLITION i � COMBINATION '�' BUILDING i/jMECHANICAL ipLUMBING SIGN <br />��EP M�IL�OOfIFSS tltY ZIP P�qNE <br />C.W Aa�v T R�� C�ox ��'�6 SNo�cmitti, WR 98a9� y8S 13/9 <br />1ENANi M�II �ODRE55 QiV ZIP p��pqE <br />•HCNIiECT Ofl DESIONER MNl �DORE55 qJy <br />Ll►ory��lAvrnnN �si�q�w l68/'- 6 <br />G NER�ICONTq1CTOR MRiI �UpP. 5 �ity <br />,w ; ;- ecNsl.�Q_f�,s_►a� <br />4ECHANIL�ICOHiR11 M111L�DDqE55 CRY <br />ssoci►9'1ed 't1eq� itin �Y303 NE /9,� <br />P UMBiNGCONfR�CTOR MAiL�D1�11�55 CITv <br />'� IC P[u ;Na Ro. �o�s l70� �3, <br />CONTR�CT PqILE OF IIORK <br />DESCRroc <br />PROPOSED �SE Oi BUILDING <br />IF.GA/ DESCRIPIqN OF FppPERlV �SNOWN BE�OW OP �T��CM TWO GOFIESI <br />lOi� flIOCN nF <br />_ NE %y NW%y aec,ao TwP a <br />R6ESE <br />P�RC[I.T�%ID NlrMfltR <br />GOI+STRIICTI IO�N 1 CIAER. �f10RE55 11 <br />A /� �� � <br />PR CTADDNES�I, - <br />�.� / 1 n 6jjQll�jf � <br />PLUMBINO <br />NO. TYPE OF FIIRUR! <br />WATER CIOSET �TOILET) <br />SHOWER <br />KIT(;HEN SINK 6 �ISP <br />DISHWASHEP <br />LA: 1FlV TRAY <br />CLOiHf3 WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACNFLOW PREVENTERS <br />ROOF URAINS—RhI�LEAC <br />SINK ISERVICE—BAF. ETC <br />FOR OFFI�E USF ONLY: <br />FpONT SETBRCN RE�RSETB�CN <br />rl/l' n r� � <br />�-� � <br />rv' ^oNn <br />517�yG��y <br />�t,F� if fi <br />940 SP G <br />occuvuuvio�o <br />�I-�A <br />RE�60N <br />IN1�KE B� <br />�RF• <br />NUMBEP <br />� L��� <br />SUB TO <br />PERMI7 <br />TOTALF <br />fIRE SPRINNIERS REOD <br />u <br />�LANS �1PQROyEO Bv <br />JN <br />D�TE C % R �G <br />FEE <br />0 <br />ZIP <br />�i <br />a <br />zm <br />rHONf <br />PN(ulEI�P�_I,�11 SL�TEIIf.�NSEI <br />'cti,wa 9ra9� cwsni��iox6 <br />VHONE STRTE IICENSE � <br />��$��� NSsoc.i�38R7 <br />F40NE St�If.I�CENSE• <br />?az� a���-��s� n K O[uxr ivP.TU <br />. _ . ....... .....�.. ,.., <br />vcY T J - I � <br />i HERFdV CERTIFV THAT I HAVE R��D AND EXAMINED THIS <br />APPLi.:ATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PRO �ISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE Cf <br />WORK W;�L P,? COMPLETED WITH W'�6iNl-R SPFCIFIED HEREIN OR <br />NOi. THE GIi?.NTIN a OF A PERMIT DOES PIOT �'RESI'�dE TO GIVE <br />AUTHORITV TO V�Oi qTE OR CANCEL TME PIIOVISiONS Or ANY <br />OTHER STATE OR LOCpL LAW REGULATIN6 CONSTRUCTION OF �yE <br />PERFORMANCE OF CONSTRUCTIGN. THAT I AM AUTHORIZED BY THE <br />OWNER OF 7HIS PROPERTV TO PERFOqM THE WOFK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CON CTOR LAW 18.^7 RCW AND 296.200 WAC <br />w �-.� ',a � 3 <br />p� oe�f <br />�,..,��ri��s «n.?�l�v . — __ <br />MECHANICAL <br />A%C—A�HNDLG UNITS—H.P. <br />FUPCFD AIR SVSTEMS—B.T.U. M <br />UNIT HEATERS—B TU. M <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANCEHOOD <br />WATER HEATER <br />METAL FIREPLACE i <br />FIREPLAC F !►IGipT <br />HEAT PUAAI' <br />GAS PIPING <br />EXHAUSTFAN <br />SIUF SEiBRCN PI.4��CeFC� NUM9 R <br />� <br />v�c�n re FEES <br />VES NO BUILDING <br />.�'�Of[l�o�M. 4ii nirMqiiW�WaS _._ _.__...— _ <br />' PLUMBING _ <br />B�SEMENI MECH�NICAL <br />vES �i0 <br />HEqH7 uMlTqtroN ADDITIONAL PUN CHECN <br />.� � -- <br />OTHER <br />STATE BUILOING SURCHARGE <br />CITY OF EVEHETT PUBLIC WORNS <br />LOCAL SALES <br />TAX �O�E IS 3105 70TAL <br />SIJB T07AL S <br />PERMIT $ <br />TOTAL FEE S <br />✓/ RECEIPi NO <br />i��� ni n. <br />� i � <br />� <br />/�� ;� � � <br />I <br />� /:/�f 1 <br />! <br />�% J i 1 . t� "� <br />