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r. <br /> APPLICATIuN FO�t CONST�iUC:��ON PERMIT �'°�"�'�' � � <br /> � M � <br /> ni„E�Y.�,�,�,� TO DE COMPLETED IN INK—PLEASE PRINT <br /> cirv cv <br /> ev�rett _ _ _- - --- _ _ _ _. <br /> BUILDING DEPARTIdENT HEATING SVSTEM J GAS J ELECTHIC _ J _ _] <br /> f— <br /> 259�8810 <br /> � � � _ DEMOLITION _ _ COMBINATION BUILDING MECHANICAL _ PLUMBING SIGN <br /> � owvFR IeMI n[I;)ni sS clrv zIV PUUN(. � <br /> io (�,/sne/ ��✓ �--�.�e �✓a 9�10/ �.7s�F1;�1� ..-- <br /> C - �----'a�.�.'�(1Q.q�t���— f_ <br /> LENAIIi � MAILA�U��hSS LIiP :!P vqnNF <br /> � �� � ��t �_— ___ <br /> �RLNilEC1011�E5GNE0 U�LL�DOPESS Cttv ZiP >NONE <br /> n <br /> HFn'sl — <br /> � �+O 6tNER��I jONIPAGiOl1 M�LL�Llf1ES5 CrtY 21P PIIONE IICENSE� <br /> � y�.�i _ (/C(i/L P _—_-- —_ —_ <br /> � � <br /> Oy� NECIUNICQCONIP�QOR —MNLADDRE55 - ---- f.IIV IIP VIIONE LI:ENSEI <br /> L2 <br /> H <br /> PWIA8INGCONTRACiOR MAILADGRE55 G�V ZiP PNONf: IICEN!fE.' <br /> � �g _------ -- -- <br /> 4H'1� C'l cuss or vronK <br /> ^j, H� �/�_(}2�.E.W��� ADDITION ALTERAI"ION FEPAIR DEIAOLITION WOODSTOVEiFRPL INSERi _BUILDLVG RELOCATION <br /> � y /i" CC.Ni�CIPER50N{N�PNONENO <br /> M � <br /> y� CONTR�GTVRICEOfW[�RN d00. ��t i./ (/• (./, �su4J o%Sy6y <br /> �y H OESCRIOEWORMANOSOUAREfCOT�GENVOLV[p <br /> nay �c.�a� <br /> L�Jt" naoroseouseoveuiio< ' �. I IIGREBV CERfIfV THAT I HAVE RC4D AND EXAMINED THIS <br /> M o <br /> APPLICATION AND KNOW iHE SAME TO Bi°TRUE AND CORRECT.ALL <br /> �N ieuei cescaip� /�orEan,�HowN�ae�owonenee��vouaeaaesi PROVISIONS OF LAWS AND ORDIN4NCES GOVERNING THiS iVPE OF <br /> WORK WILL BE C�MPLETED WITH WHEThER SPECIFIED HEREIN OR <br /> �or eioce ov _ �CT. THE GRAN7ING OF A PEFMIT DOES NC�f PRESUME TO GVE <br /> AUTHORITY TO VIOLAIE OR CAM�.i.l THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW RErVi.ATINCi CCNSTi7UCT10N OR THF <br /> -- - - PERFORMANCE Of°CONSTRUCTIOK.THAT I AM AUTHORIZED BV TNE <br /> OWNEF OF THIS F'ROPtRTV TO PF:RFORM THE WOFiK FOR WHICH <br /> ___ -- APPI.ICATION IS MADE AND I GOMPLY WITH THE STATE <br /> CONfRACTORS lAW 18.27 RCW AND 296.200 WA�. <br /> 9Gq�lUPFO�CONIf1AC'ORGNAUiMpNZED�GENi O�il'�. <br /> 7 � <br /> rncu[cuonn[ss � -- -- X �.��Cr�"�c.. C( �i�f v --"---- <br /> ��/�Q A��/� •PPIILRHISLIiVAIISM[SSLCENSf.NO�NDBU51NEF51UM[— _ <br /> v�� <br /> PLUMBIN6 MECHANICAL <br /> � � N0. - TVPE OF FIXTURE OR ITEM FEE NQ. TVPE OF EOUIPM@NT -�EE <br /> WATGFi CLOSET(IOILF.T� A/C-leHNDLG l,N1T5-H.P. —�- <br /> � �� BATHTUD FOPCED AIF S'!STEMS-07.U. M EA. <br /> i � __ LAVATORV QNASH BASINI __ -� _ UNIT�IEATERS-3 TU M - ; - <br /> SHO W EP. CLCiTHE S DFYE R 5 —�- <br /> � � , _ -- _ - _- - � <br /> KITCHEP!SINN 8 DISP VENTILATION FAN <br /> � OISHWASHI_R RANGE NO00 —�- <br /> � __ <br /> � LAUNORV TRAV WATER HEATFR <br /> � CLOTHES WASHEF WOODSTOVE <br /> I �-' URINAL __ METALFIREPLACESCHIMNEV <br /> DRINKING iOUN'AM FIRCPL9CE INS[RT <br /> - - - _' _ --*- <br /> FLOOR DHAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS P�PING <br /> ' 1 ' _ ROOF DfiAINS-RAWLEADERS _ Ex11AUST FAN __ -�- <br /> � SWK�SERVICE-BAR,ETC_) , _ <br /> __ -__ _� - _ - <br /> ' � _ __ _- - _ _- , - <br /> �_ --T <br /> I __ SUBTOTAL E " ___ _ SUBTOTAL _ S _____' <br /> PEFMIT $ P[RMI7 S <br /> �I� ��-� -�-� ------ fOTAL fEE E -- _---�- �-------_���--TO1AL FEE S -T- <br /> � FOR OFFICE USE ONLY: <br /> - --_ _ ___-- — - - - ___- _ _- <br /> (HOIIIoLIp�qF 11F�RSEf6ACK SIf1F`(iHACY P�ANCHFf.XNU1APFR VFC ��LCEIPiHO <br /> usr zor�e �or enre veuNr srte FEES VALUATIOH FEE <br /> --�- <br /> _ _ BUII^MG pdoi ' $ c•' <br /> IYP(0{CfINiSRlOW1BiE ivVEOi[ONSIACNU �r.n�ww 4onew�,i�.� •..... ----.-..-. -. - . . -.. .-. _.- J - ---- "'-"---�-` - <br /> ''0" PWMBWG <br /> 9tk Of E�W NO Of S�ORiES 9�SEMENf � MFCIIRNICAL <br /> :Xf.Ui�NCYlO�D fiRFSFpNKLER5RF0'0 I IiEiGeiiiMiuu�w AUDIiIONALPUNCIIECK - __ <br /> �'____"_'__-'_ OiHEP <br /> nfeiON�ORL?RMKlENS ' __. __ -...____T- <br /> tilAlE BUIL�ING SUFG��ARGE I <br /> .; <br /> . .'_-"__ -. __ _._..-._... _ "�S"_ <br /> ���u�in. _-. vur+s�rPn;,�.•nu, I CITYOFEVERETT i�unnrwn�rs � <br /> IpCALSAIE� <br /> I TAX C9DE IS 3105 T�T•� . - % <br />