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APPLICATIG_J FO1� CONSTRUC'i`_"�I� PERMIT � <br />TO BE COMPLETED IN BLACK INK–PLEASE PRINT a' <br />HEATING SYSTEM: C] GAS p GLECTRIC ❑ _� <br />BUILDING DEPARTMENT — — <br />259-8810 <br />: i DEMOLITION i I COMBINATION <br />OWNER MAILAJDRL55 <br />��d ��1i n-i-(�o'��i:L. St17f' <br />TENANT ,(� 3SCJ� MAILADORE55 <br />Rod��, pau,+- „ <br />ARCHIiELTOfl�ESIGNER lAAILAOORESS <br />_—^ <br />GENERALCONTRAC'OF MAILAOUFG55 <br />�1�QS� <br />MECHANICM CONTfl�CTO MAIL ADDRESS <br />PWMBINGCONTFiACTOR MAILADDHESS <br />CLASS OF WOFK <br />i✓tiEW I-I ADDffION I I ALTERATION <br />FOOTAGEINVOLVED <br />PROPOSEDUSEOFDUILDING ( � <br />�LLX v <br />LEGAL OESCNIPTION OF PROPERTY (SHDWN BELOW Ofl ATTACH <br />LOT BLOCN OF <br />aaaecr <br />NO. TYPE OF FIXTURE OR 1' <br />WATER CLOSET (TGI:_ET� <br />BAIHTUB <br />LAVATORY(WASH BAGi'. <br />SHOWGR <br />KITCHEN SINK & DIS? <br />DISHWASHER <br />IAU�.DRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS—RAINLEADERS <br />SINK (SERVICE—BAR, ETC.) <br />BUILDWG <br />� <br />cin <br />„ <br />cin <br />CITY <br />I �F�� <br />Cltt <br />cirv <br />f i AdECHANICAL <br />ZIP� PHONE <br />zm <br />,, <br />ZIP <br />21P <br />ZIP <br />L't `f � <br />PHON� <br />,, <br />PHONE <br />PMONc/_7: <br />�� <br />1X(li4_ <br />PHONE � <br />PHONE <br />� I PLUMBING I %SIGN <br />31�TATE JCENSE u <br />NF�rurJ <br />STATE IICENSE a <br />STATE LICFNS[ p <br />'�. REPAIR I.. DEMOLITION I J WOODSTOVElFRPL INSERT I I BUILDING RELOCATION <br />I CONR.CT PERSON AND PHONF. KC.. <br />i HEREBY CERTIFY THAT I HAVE READ ANO E:.AMINED THIS <br />APPLICATION AND KNOW THE �id. C TO uc 5 rtUE ANG CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDI.NANCES GOVERNING THIS TYNE 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 CONSTRUCTIOtJ OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHDRIZEJ BY THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />.�PPLICATION IS MADE OND I COMPLY IVITH THE STATE <br />CONTIiACTORS LAW 18 27 RCW AND 296.200 WAC. <br />� � � � D n � .-. �,. / <br />FEE I NO. <br />NC–A/riNDLG UNITS–H.P. <br />FORCED AIR SYSTEMS–B.T.U. M E.A. <br />UNIT HEATERS–d.T.U. M <br />CLOTHES DflYERS _ <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLAC E & CHIMNEY <br />FIREP�CE INSE�T <br />HEAT PUMP <br />GAS PIPING _ __ _ <br />EXfiAUST FAN <br />SUB TOTAL 5 ; SUB TOTAL $ <br />PEPM!T S —r PERMIT S <br />TOTAL FEE 5 ; � TOTAL FEE $ <br />FOR OFFICE USE ONLY: <br />FRONTSETBFCK REAR �ACK �� � SIDESETBACK PLANCH�NOM ER� FEE�� nv FE <br />�� � l� �� S f <br />I15E/ZON�E LOTAREA VACA`lTSITE FEES VALUATION <br />[�' BUILDING j '(�[� <br />lYPEOFC�NiS.AILOWA9LE TYPEOFGONSiAC7UAL otCuvANo NOOf0ltiEluNGUNiiS <br />OCCUPANCYLOAD <br />PEASON FOfl SPRI <br />rtlTAKE G'/ <br />eaouP � PLUMBING <br />NO,OFSTORIES BASDAENT MECHANICAL <br />FIRE SPRNNLERS REO'� h�nIGHT LIMITATION ADDITIONAL PLAN CHECK <br />, SPRINKLER <br />STATE BUILDING SURCHARGE <br />PLANSAPPROVEDBY CITY OF EVEFiETT PUBLIC WORKS <br />,�/� LOCALSALLS <br />V►� '1 " �� TAX CODE IS ;5105 TOTAL <br />R <br />H <br />� <br />