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APPLICATIO�' FOR CONSTRUCT�N PERMIT � <br /> TO BE�OMPLETED IN BLACK INK—PLEASE PRINT <br /> HEATING SYSTEM: U GAS I]ELECTRIC ❑ <br /> BUILDING DEPARTMENT "— <br /> 259-8870 <br /> I-I DEMOLITON ❑ COMBINAfION ❑ BUILDING f]MECHANICAL P�PLUMBING C7 SIGN <br /> ONbEP MAR LUDFESL OtY PP P�qNE <br /> _i.+� tin s'tN Rv6B�'' �64',?/9JG SEA �i8111 6aB66RS <br /> i`ENANi MAM1�DD11rG55Q' LiR ^• /� ZIF �1qxE <br /> YQ �AeV �Q��� 3�G� �rRA/.�Rl1/.J 4� L� <br /> UICMREC1p1OE51GNEf1 MA4MOPEuS Ci1I ZIY PNONE <br /> G[N(.qkCOHiMCiON u/.RM�PESS LIiY IiP PNONE SUiEUCEx$E� <br /> we.yAHSVN�u I'zt10 "��"�nu� aU� K1�AW g'BD3y aa�-67ay WKNn�e►��5/D/ <br /> M6MAN�L0.CpiIPICiOH I.URApOflE55 GIM1 LP IIqNE Si/.iEIKClSE� <br /> hUA101N�CONifl.1CI0B MARLOOFC55 C:IY bP PN,%1E SiAIELIGfNSE• <br /> �NY T,Ll,r�B���/. a�c l+ S � S.i�.M.,A'�aR9d 5(oSs'RBO Pan�rR]LY�75/.?E <br /> cmmr.c�enKE a vvr�n <br /> oewn�ee wone nno souenc vooreec,o-.aveo CAl1iACi PEflSMi Allp PNOYE IA <br /> ��� <br /> i HEFEBY CERTIFY THAT I NAVE READ AND E%AMINED THIS <br /> cnovoscous euaowa APPUCATION ANU NNOW THE SAME TO 9E TFlUE PN�CORRECT ALL <br /> /. �J�.aae�� PROVISIONS OF LAWS AND OFCIRANCES GOVERNING THIS TVPE OF <br /> icaiocscw *iorvarnoreArv�s�wm+enowone*ucMiwowwesi \40RK WILL�E COMPLETED WITH WHETHER SPECIFIED MEREIN OR <br /> NOi. THF GRANTING OF A PERMIT DOES NOT PR:SUME TO GIVE <br /> mr e�oce o� — AUTHOflITY TO VIOLATE OR CANCEL THE PROVI:IONS OF ANY <br /> OTfiER STATE OR LOf.A:tAW REGULATING CONSTRUCTION OF THE <br /> -- PERFCRMANCE OF CONSTRUC110N.THAT I AM AUTHORIZEO BY THE <br /> OWNLR OF THIS PROPEqTV TO PERFORM THE WORK FOH N'11ICn <br /> APPLICATION IS MADE AND I COMPLV WITH TNE STATC <br /> ��PCEL ID%10 NUMpFfl CONiRACTORS UW 1827 FC W AND 296 200 WAC. <br /> CGNS1PUGiiONIOANlCNOEN./.�ONE59.tFlEVNIX1ENUMB[P }`���.� ) � <br /> 7 J_L_SL_ <br /> PflOJECTRDDRE55 �-� "�" w�� __ . <br /> J� .PJ1 ti c�.o.,�,nss�r.r�s�m <br /> PLUMBING ( MECMANICRL <br /> NO. iVPE CF FIXTUPE OH ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATEF LLOSET(TOILET) __ _ ACrA'IINULG UNITS—H.P. <br /> BATHTUD FOFCEDAIRSYSTEMS—B.T.U. M EA. <br /> LAVATORV�WASNBASIN� ❑NITHEATERS—B.T.U. M <br /> SMOWER CLOTHESDRVEFS <br /> _�_ KITCHEIJ SINN 8�ISP _ _ VENTILATION F�N _ ' <br /> RPNGEHOOD —T <br /> DISF:4VASHEfi — <br /> LAUNDRV?RAV _1_ W�TEfl HEATER __ _ <br /> CLOfMES WASHER WOOD STOVE _ <br /> URIN4L METAL FIREPLACE(W WG Bl1RNIN�� <br /> �RINNING POUNTAIN FIREPI.AC[INSERT � <br /> FLOOH DRAIN HEA�PUMP <br /> --� <br /> � BACKFIOWPR`VENTERS GASFIPING � <br /> flOOF DRAIRS—RAIIJLEADERS E%HAUST FAN --� <br /> SINH(SERVICE—BAR.ETC.� __, <br /> T VFNfRI EQI'f R= ✓_ <br /> _ ai?T�nrc¢..,.����L.f2 ---- — <br /> SUBTOTAL $ SUATOTAL S J ' <br /> PERMIT S PERMIT b <br /> TOTALFEE 5 . � TOTALFLE 5 —� <br /> FOR QFFICE USE ONLY: <br /> IqCNi5E10�C1( PGNSETBLCR SIOESEIBACC i1NIC11ECMNUROEN RE ��ELEiFfHO <br /> �j �� � <br /> us[za+e �o*en[e v�isn[ FEES �A�UATION fEE <br /> C VES G NO BUILOiNO <br /> imacoxs� wasoqics om».,c� .cnunii�,cv.ns — <br /> °N� PLUM�I'IG <br /> GIIEOFN.OG f�PESPPNKL[R511iQJ 045EYENi I,IEGNANIGAL <br /> ❑ VES "l NO -- <br /> accuPux:nWD Fmenu,euucoo NEG�rtliurtei�Ox AD�IiIONAtPI/�NCNL6: <br /> OTlIER <br /> n�.sw� � —'— <br /> StAfE OIIILDING SOaG��GE <br /> w*u�eer c�wnsenvrovcoer CITYOFEVERETT vueuCWOnKs <br /> LOCIIL SIILES <br /> p„��� T1IXCOOEIS3705 rou� <br /> :i��e <br /> � <br />