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APPLICATIO'. ' FOR CONSTRUCT: ��N PERMIT `""'"'" <br /> � TO BE COMPLETED IN INK—PLEASE PRINT � <br /> � f,�P L�PrQipPn <br /> �ITY OF <br /> eve rett HEATING SYSTEfd' _l GAS �ELECTRIC ❑ — <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> �� rp DEMOLITION COMBINATION BUILDING xMECHANICAL PLUMBING SIGN <br /> y Eq S1 wa r,00a s cirv ,*°��n I °O c�- , l l C1�.0 <br /> ,o � x �1 �C'� C's r nP R I� I � �oc�d�G�I � J . j6�/r rrronE �� -- <br /> C �"� MAII WORE55 �_�-.�a— f� ' <br /> THN�NT /I�V . GC r �OV <br /> �5 �' /�u�,e s�° - . /rZ 9 �J ?1i,ca-�..�J-< <br /> H � � cirr zm virD+E <br /> y y N �RCNITEL�OA�E9u�AI �� MAILMDriE55 <br /> � H .� Cli Z PNONE UCENSE• <br /> O�H O� LENERA GONTR,C*Y^, I ��Il�ODAE55 — <br /> VJ M Zp �y �Jp�NpNE ^1 y/./� u^C�EN{SE• <br /> z uECr�NIG�ICONTRALTOP�O��I`/���ES �/ .\ "� JI . I��✓ � �/�J/ �Jr.J / <br /> O^� ' ` r� Cn�Pf �I I V �� I 1 �1, � PMONE LICENSE� <br /> rj Citr 2iv <br /> 1'IUMBiNGGONTP�CTOR ' ^M�RADDRE55 ,/�oY IA�, \1r� 'J� '�J l <br /> ��� ;-� F' i / 7l w. � d- <br /> Q� C� SS OF WOAK <br /> N <br /> NEW � ADDITION ALTERATION REPAIR DEMO:ITION WOODSTOVE�FRPL INSERT BU�LDING RELOCATION <br /> xy � CO � T�ERSON�NO PNO E NO <br /> � ~ y CONTRACT PH�CE OF WOAK _ <br /> N <br /> H DE IBEW�RNI,NOSOUAREF ��GE�NVOLVEP C_�p/ <br /> � �y 1 fou� ' � n ; � <br /> t' vnoroseouseoveuao�r+c I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> [s� APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT ALL <br /> � PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OP <br /> y� � �EG��oEs.A�o�� +c�ou��o�F�v�S�ewr+eu0wo �T�aenFOVacOoiesi WORK WILI BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> toi e�ocn or NO?. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSiRUCTION OR THE <br /> PERFORMANCE OF CONSTFUCTION.THAT 1 AM AUTHORIZED BV 7HE <br /> OWNER OF THIS PROPEATV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LA\4 19 27 RCW AND 296200 WAC. <br /> SiGM1AtU4[OFCONTRRCTORORRUIHOAREDAGENi DATE -,/a�l�� <br /> X �,.��..� I��a z���� <br /> iRQI G D�RE55 � pp�NTSG�S�B`S�NE �C� S 0 NDB S�H �ME � ���� <br /> � � Q�`�c. v.,�� � � �� Ef'�J' �� <br /> PLUMBING MECMANICAL <br /> FEE N0. TYPE OF EOUIPMENT FEE <br /> /��� Np, TYPE OF FI%TURE OR ITEM — ' _ <br /> I WATER CLOSE7 ROILET) A�C—ANNDLG UNITS—HP. <br /> � � BATHTUB FORCEDAIRS`!STEMS—BS.U. I•� E.A. <br /> UNIT NEAlERS—B T.U. Id <br /> i � LAVATORV�WASH BASIN) CLOTHES DRVfiRS � <br /> __t. SHOWER <br /> KITCHEN SINK 8 DISP VENTILATION FAN _T <br /> 4�� RANGE HOOD <br /> i DISHWASHER s ' <br /> � LAUNDRV TRAV WA7ER HGATER ._, <br /> 'i CLOTHES WASHEf7 WOOD STOVE <br /> METAL FIREPLAGE 6 CHIMNEV <br /> i � URINAL FIREPLAC[INSEPT ' <br /> w� DRIIJKING FOUNTAIN �— <br /> NEATPUMP <br /> i FLOOR DRAIN <br /> BACKFIOW PREVENTEFiS GAS PIPWG _ __— <br /> �.., '�1_' POOFDRAWS—RAINLEADERS__ EXHAUSTFAN _ <br /> � SINK ISERVICE--�AR,ETC.1 _ <br /> I � ��� ' <br /> SUB TOTAL $ SU8 TOTA: S /S� � _� <br /> � PEPfdIT $ PERMIT 5 <br /> �1�� ' TOTAL FEE $ TOTAL FE[ 5 3 <br /> FOR OFFICE USE ONLY: Aece�P*r+o <br /> f'LANCHECnNUi�BER iEE <br /> ' ' FRONTSEiBALN REPFSET6PGN SIDESETBRGN ',,C <br /> S F_F <br /> USEZONE <br /> lOT�FEA VAfANT51TE FEES VALUATION <br /> BUII�ING i— <br /> rvPE Oi CONiS AIIOW�BIE rvP[JI fANSi ACN�I p[cae�iqr qo m oxni�u:�e"s <br /> �°w° f•W�ABRJG - <br /> SiZ[OFBI�('i NOOFSTORIES B�SEMENT MECNANICAL �O <br /> OCCUP�NCY LO�D flFE SPA��ERS RE00 <br /> NEIGNTLIMIiATiON ADDITIONALPLANCMECN <br /> OTHER <br /> REASONFORSPRiNKLERS <br /> STATE BUILDING SURCMARGE <br /> iNT�NEBv PUNSAPPROVEOB� CITYOFEVERETT PUOULWOANS <br /> LOCALSALES <br /> TAX COOE IS 3105 *oT^� `�u I - <br />