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APPLICATIC''1 FOR CONSTRUCT'"1N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC U <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> X 1 DEMOLITION i I COMBINATION I_i BUILDING f 1 MECHANICAL f_I PLUMBING �l SIGN <br /> OWNER MAILADDRE55 CITY ZIP PHONE <br /> Af1Q�tG gn$$� TN(` P,_Q., HOX 7823 RVERR7'P WA OA90� 258-2214 <br /> TENFNT MAILADORE55 CITV 21P PHONE <br /> Mf,MITECTORDE5IGNER MFILA�ORESS CITY 21P PHONE <br /> GENERALCONTRACTOR MAILADDFESS CITV ZIP PMONE 3TPTELICENSE� <br /> y�l'IMaR COPSTRIICTION� INC 6526 240th STRSST SB F100DINVILLE NA 96072 <br /> MECHANIC�LGONTP�CTOR MAILADDRESS CIiV ZIP PMONE STATEUCENSE� <br /> 483-3586 VANMI�CI158PZ <br /> PLUM9ING CONTflACTOR MAIL��DRESS CITV LIP ^ PNONE STATE UCENSE� <br /> GONTRACT PRIGE OF WORK <br /> ; 3 000 <br /> DESCRIBE WORK AND SOUAFE FOOTAGE INVOLVE� CONTACT PERSON�ND PMONE NO. <br /> VANPRMRRT <br /> �� <br /> . <br /> 483-3586 <br /> ner. 1i Ap 1 Sf1ev - � " ���`��- <br /> I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> PROPOSEDUSEOFBUILOING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> �p1TR STTR F[1R NRiI nDPT i{X PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGALOESCRIPTIOIIOFPROPERTVISHOWNBELOWORATTACNTWOCOPIES� WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> i.oT ---- e�ocK --- oF --- AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> ��aSR� DIV H PLAT OF HL1C 772� D-OO- OTNF^ crn7E OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> pf���L !1 �.� '.S OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> p,�i°n`., OP t8 PROPERTY TO PERFORM THE WORK FOR WHICH <br /> TISR i1M'3 �7 d� �B B 7 2 Ai'P�.1�lr�n�J IS MADE AND � COMPLY W�TH THE STATE <br /> PARCEL TA%I.D.NUMBER CONTRACTORS LAW 1827 RCW AND 296200 WAC. - <br /> 1i7�s-7-.7T7- <br /> CONSTRUCTIONLOANLENDER.ADDRESS,TELEPHONENl1M8ER n� <br /> � 3-I-v <br /> PROJECT ADDRESS smN+*uae onre <br /> LIIVBUSME55VGLNS[ O <br /> PLUMBING MECMANICAL <br /> NO. TYPE OF FOCTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � A/C—NHNDLG UNITS—H.P. � <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORY(WASH BASIN) � UNIT NEATERS—B.T.U. M � <br /> SHOWER ' CLOTHES DRYERS � <br /> KITCHEN SINK 8 DISP ; VENTILATION FAN � <br /> DISHWASHER � RANGEHOOD ' <br /> LAUNDRY TRAY ; WATER HEATER � <br /> CLOTHES WASHER � WOOD STOVE ' <br /> URINAL ; METAL FIREPLACE(WOOD BURNING) ' _ <br /> DRINKING FOUNTAIN � FIREPLACE INSERT � � <br /> FLOOR DRAIN � HEAT PUMP � <br /> BACKFLOW PREVENTERS ; GAS PIPING � <br /> ' ROOF DRAINS—FAINIEADERS � EXHAUST FAN ' <br /> SINK(SEFVICE—BAR,ETC.) � � <br /> � <br /> � ' <br /> � � <br /> � <br /> � ' <br /> SUB TOTAL $ ' SU8 TOTAL 5 <br /> PEFMIT $ � PERMIT 5 � <br /> TOTAI FEE $ TOTAL FEE $ ' <br /> FOR OFFICE USE ONLY: - <br /> FRONT SF.TBACK REAR SETBACK SIDE SETBACN PL4N C�N NUMr�BER FEE <br /> �IECEIPT NO. <br /> USEZONE LOTqPEA VACANTSITE FEES VAVJATION FEE <br /> ❑ YES ❑ NO BUILDING ' <br /> 7YPE Of CONSi. NO.OF STORIES D[Cuvastr NO Of DwFwNGuxrtS � <br /> i <br /> cxoue pLUMBING ' <br /> 52E OF BIOG. FIRE SPRINKLERS REO'D 61SEh1ENT MECHANICAL � <br /> ,�� YES G NO ; <br /> ADDITIONAL PLAN CHECK ' <br /> OCCl1P4NCY LOAO FIRE�LARM REO'D HEIGNT LIMITATION i <br /> � <br /> O7HER � <br /> i <br /> REASON <br /> STATE BUILDING SURCHARGE ' <br /> INTRNEBY PLANS�PPROVEDBV CITYOFEVERETT PUBLICWORKS � <br /> LOCAL SALES � <br /> DATE TAX CODE IS 3705 TOTAL <br />