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APPLICATIVN I�tu� CONSTR�.JCI .ON PERMIT <br /> CITY O� �VER�TT• BUILDINr, DIVISION <br /> 3200 CEDAR STREET• GVERFTT, iVA 9d201 •259-8810 <br /> f 1 DEMOLITION i I COMBINATION I"I BUILDING I� MECHANICAL f l PLUMBING ( I SIGN <br /> PROJECT ADDRESS � <br /> 5 / �vc c�lc-e.�e..n� (.� � � <br /> a.vwrn Man.nooness � c�rv r�r ��""' � � <br /> �^ �:�cvr: �, - <br /> iNTC�,—s�...,�Nss a..�.k ,z�:q w �,o� m��<�R�� 4rA .?60 - <br /> i[Nnr�r Man.nnoness ciiv zir -�=� y� �— <br /> n ,L ruo�e <br /> �`-�-��_.'�XC-CSo.v 1�/7 C��_RYS�_�_� �t.re� ��_ �.J`/r� $'J-'� <br /> ARGIII�f.CYOR[1F.SIFtICfi MqIL�DpqESi � <br /> GTV JiP PIIONE <br /> /l t� ____ <br /> " .EIIALCONiflAt.iOp MAII.MU E . I CItY ]IP ��p.��-, '— --'--'""""-- <br /> �, � -� ST/dFUCc!6E � <br /> '�e.:Yd,.o �Ti.. oti•s��.�.3/5 ��u �' n! H/ �A/c NA-tLpoR 4�i� �c`'s- oe9 7G yon�m- ,_, ., •; <br /> HECM�NICALCB! RACTOR MAIL RESS ��n. Z�� r'�ON��—L_.__zeSL.__ . �I <br /> ^^^��/ SiRTE LI�CNSF P <br /> (/Y/ � 7����}�� � <br /> PLUMBINGLONiRACiOP NAILAODRESS /�7G �.,.1�y5 <br /> ��TM Z�� PIIONE STA1F.LICENSE• <br /> CONTRACi PR.'E OP WORK <br /> ��SO,OD p HEATING SYSTEM: I l GAS ❑ ELECTRIC Cl <br /> DESCRI�E WORK AND 5 11ARG FOpTAf E INVOLVEU CO�R�Gi PFRSOY dND PNONE i l0 \ <br /> 2L✓a� T..,o SToca.a cows ;.c,To ' ov Q S S � �r '(l � <br /> ��� s��,/ •�o�� E.�,•• r, u �-1 dUG 6 � � �r��/ <br /> �p ��(� y� �,�q c ��bC� I NEREBY CERTIFY THAT I HAVE READ AND EXP'�11NED Tr115 <br /> VROf'OSED USE OF OUILDINO ' � � / - APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGPlDESCRIPTIONOFPROPERTV�SnOWNBEIOwORATTACHT\VOCOPIES� �✓ORK WILL 6E COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> ��T�__�OLOCN or S cc � AU�THOR TY T O TVIOLAO EAOR CANCELE THE PROV S�ION OF AINY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTqUCTION OH THE <br /> PEFiFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OIVNER OF THIS PROPERTY TO PERFURM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY W�TH THE STAT�. <br /> PARCFI Tn%10 NUMBER CONTRACTORS lAW 1827 RCW AND 296200 WAC. <br /> i3 2fj6 - J- o3y- o00 � A <br /> CC .�TqUCiION��n���q.�DORE55.TELEPMONENIINBER X�L�L �� l n �y� (y� <br /> C�� V ` .�l. .` � ` <br /> - �I�NU�E UATE <br /> CIiY OUSiNESS UC'NSf NO <br /> PLUMBING MECHANICAL <br /> N�• TYPE OF FIXTURE OR ITEM FEE NO. 7YPE O�FI%TURE OR ITEM FEE <br /> WATER CLOSET(TOILET) � A/C-NfiNDLG UNlTS-H.P. � <br /> BATHTUB ' FORCED AIR SYSTEMS-B.T.U. M E.A. � <br /> LAVATORY(WqSH BASIN) � HEAT PUMP � <br /> SHGWER ' <br /> UNITHEATERS-B.T.U. M � <br /> KITCHEN SINK 8 DISP ; CLOTHES DRYERS � <br /> � <br /> DISHWqSHER � VENTILATIOh FAN � <br /> LAUPIDFiY TRAY ; RANGE HOOD � <br /> CLOTHES WASHER � WATER HEATER '-- <br /> UHINAL ' WOOD STOVE <br /> DRINKING FOUNTAIN ; METAL FIfiEPLACE(WOCD C3URNING) ' <br /> � <br /> FLOOR�RAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKF�OW PRFVENTERS ; GAS FIREPLACE � <br /> SINK(SERVICE-BAR, ETCJ � GAS RANGE � <br /> ' GAS PIPING � <br /> � EXHAUST FAN ' <br /> � � - <br /> SUB TOTAL S ; SUB TOTAL S ' <br /> PERMI7 S � PERMIT 5 � <br /> TOTAL FEE 5 � TOTAL FEE S � <br /> FOR OFFICE USE ONLY: <br /> fRONT SF.TBA�K R@p�SETOACN SIpE SETBALK PUNCII�1 UM R� FCF _� ^ / REC[IPT NO. � <br /> !J o L y r � , <br /> usezone LpTApEA yACr1Ni51TE FEES VALUATION FEE <br /> nres n eo omiowc �i� / � ; � <br /> HEIGHTLIMItqT10N NOOFOWELLJNG 512EOFOLD(iRl <br /> �,���,5 •3qfa3`�Y T.I. P���ti���� � <br /> . <br /> OCGUPFNCY VO u�4Cn�[5 OCCUPANTLOAD BASEMEN� I <br /> GfiDU� ' 1AEGHANICAI <br /> 35 ❑res DCuo <br /> � <br /> FI�FALARIAFEOD RERSON ADUITIONRLPUNCHECN � <br /> i <br /> �� � <br /> OTHER � <br /> � <br /> FIRGSPRWKII,EPREOD REASON � <br /> �V $TATE UUILDING SUiiCHARGE � "' <br /> TVPEOFCONST vuHsarvnoveoer CITY OF EVEflETT ruoucwanKs � ; <br /> � JM LOCAL SALES —'—'— <br /> onTE 3 f� �JLj TAX CODF IS 3105 70TAL � <br />