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APPLICATIC A FOR CONSTRUCT _JN PERMIT <br />TO BE COMPLETED IN BLACK INK —PLEASE PRINT <br />BUILDING DEPARTMENT HEATING SYSTEM: 1 J GAS U ELECTRIC U <br />259-8810 <br />DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING <br />OWNER <br />MgIL LDDRESS <br />CITY 21P <br />�oAct>�u/EsT' <br />PHONE <br />ZVa <br />I~� <br />��., 297Z /� <br />&49 9�a5 <br />TENANT <br />>p6- z,�ausrxi�s <br />Mplt ADDRESS CITY LIP <br />sss � �,�o ,�rro <br />PHONE <br />/A40" <br />ARCHITECTLINER _ gIL�0RE55 <br />CITY xr a <br />A/P SEfJ <br />PHONE <br />zzzc <br />Q/ <br />GE E )CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIF, <br />PHONE <br />STATE LICENSED <br />�;/gi � <br />� �u�kc <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE <br />STATE LICENSE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE <br />STATE LICENSE) <br />CLASS OF WORK <br />NEW ADDITION }-"ALTERATION REPAIR <br />DEMOLITION <br />WOOOSTOVEiFRPL INSERT BUILDING RELOCATION <br />CONT^Ci PERSON AND PI/ONE NO <br />Le yz3 tt fC ) <br />CONTRACT PRIDE OF WORK <br />DESCRIBE WORK AND SQUARE FOOTAG INVOLVED i A.'i![ `w.r <br />0 S/6.US <br />PROPOSED USE OF BB/UILDINGn ]]�� ��7 ./ <br />70 19�I SS ,/J -(7X144VQp(1 <br />I HEREBY CERTIFY THAT I HAVE 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 WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 16.27 RCW AND 296.200 WAC. <br />�� 1' . <br />LEGAL DESCRIPTION OF PROPERTY ISHOWN BELOWOR ATTACH FOUR COPIES) <br />LOT BLOCK of <br />- ooe - e7a o - 0 30 1 <br />�Y <br />!fL 6c A <br />S irE F /vav Yanf 4;. .fug <br />PROJECT ADDRESS pal/ <br />Oµ O� <br />scInum ��� 6 � D11l. <br />CRVRV5Mf55t""ENO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENTFFEEWATER <br />CLOSET (TOILET) <br />AtC-AIHNDLG UNITS-H P. <br />BATHTUBFORCED <br />AIR SYSTEMS-8.T.U. M E.A. <br />LAVATORY (WASH BASIN)UNIT <br />HEATERS-B.T.U. M <br />SHOWERC' <br />' THES DRYERS <br />KITCHEN SINK 8 DISP <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE 8 CHIMNEY f <br />�_ _ <br />DRINKING FOUNTAIN <br />_ <br />FIREPLACE INSERT <br />_ <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PRE, NTERS <br />GAS PIPING <br />ROOF DRAIN RAINLEADERS <br />EXHAUST F <br />SINK (SE CE-BAR, ETC.) <br />T <br />SUBTOTAL $ <br />SUBTOTAL $ <br />PERMIT $ <br />PERMIT $ <br />TOTAL FEE $ <br />TOTAL FEE $ <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SE TRACK <br />PLAN CHECK NUMBFR <br />FEE <br />RI: CEIPT NO <br />7 <br />— J <br />USE ZONE <br />LOTARFN <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />N c <br />BUILDING <br />- <br />TYPE Of CONTS ALLOWABLE <br />TYPE Of CONST ACTUAL <br />OECVAK, -mmUlm ORBS <br />G", � <br />PLUMBING <br />SIZE OF SLOG <br />NO OF STORIES <br />BASEMENT <br />MECHANICAL <br />ADDITIONAL PLAN CHECK <br />OCCUPANCY LOAD FIRE SPRNKLERS REO'D HEIGNL LIMITATION <br />�'��4 <br />_ <br />SPRINKLER <br />I <br />REASON FOR SPRINKLERS <br />STATE BUILDING SURCHARGE <br />INTAKE BY <br />PI ANS APPROVLD BY <br />CITY OF EVFRETT <br />PUBLIC WORKS <br />SALES <br />TOTAL <br />37 f jr <br />�LOCAL <br />�y J� <br />TAX CODE IS 3105 <br />