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r <br /> APPLICATIOrI FOR CONSTRUCT�ON PERMIT �°e'e'� <br /> �E»q�� TO BE COMPIETED IN INK—PLEASE PRINT � <br /> aTv ov <br /> everett HEATING SVSTEM: ❑GAS ❑ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259-8810 ! <br /> DEMOLITION - COMBINATION � BUILDiNG � -MECHANICAL : �.PLUMBING �(SIGN � <br /> lP � �" M�p EDMFSS CiiV IiV Rl'M1F <br /> �a��! �t7u��F,� Zni,- ��CbA9rJq•l y`�ver rr 9�z� G S3 —Zb �S <br /> nx�r�r u�n�.onness —��*�'� no w� <br /> •H[4RECiOPMSIGYFR M1R�OONE55 L'TY ZI� ��KWF <br /> S,�n�ssr�asJ� <br /> CNEP�ICONiF�LTC9 IMIIAWNC55 CIiY ZIP PWNE IICENSE• <br /> .�I ,N'��nc.F- �('�cA�cn� zzu� �ut,.h�4r� G�v� J1 `7�'zo/ 7-S�ur�Fj ussriijt� <br /> M[CN�MULLP1iP�CtOP M�XAODPESS LIIY 21P P�OIE IILEQS(• �L� , � <br /> PL�M6CP11NACt011 MI.RWONFSS CITY IIV P1qNE I�CCN$E/ <br /> cuss a wonh <br /> �� NF"� � AUDIt10N . ALTERATION . REPAIR � DEMOLITIDN WOODSTOVE/FRPUNSERT ��. BUILDINGRELOCATION <br /> — 'J LU�i�Li PCNSON AND%(4NE NJ <br /> COI(f0....f PFII'E O'wJRR (. V� <br /> MS�, �BCVIUIIM/.N[�$Ul1A4EfW11GCiNVIXVf� <br /> vadrouowE�o�c I NER[BV CERTIFV THAT I HAVE READ AND E%AMINED THIS <br /> /.rLs.a APPLICATION ANO NNOW THE SAME TO OE TRUE ANO CORRECT ALl <br /> � -L� ✓ PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF <br /> Lf AIDE .IIViRMI(YGRO^ERiY�SNOWNBEIOWOfl.\i1�CNFCUflLLPlf51 <br /> WORK WILL BE COMPLETED WITM WH[TMEfl SFECIFIE�HEREIN OR <br /> ipr eia:� o� NOT.iHE GRANTIN a OP A{'ERMIT DOES NOL PRESUME TO GNE <br /> AUTNORIiY TO VIOLATE OR LANCEL THE PROVISIONS OF ANY <br /> OTHER;iiATE OR LOCAL LAW R@GULATING CONSTRLICTION OR TME <br /> PERPOPMANCE OF CONSTRUCTION,THAT I AM AUTHOR12ED BY TNE <br /> OWNER OF THIS PFOPERTI'TO PERFORM TME WORN FOR WHICH <br /> APPLICATION IS MAOE AND I GOMPIY WITH TME STATE <br /> CONTRACWRS LAW IB.D RCW AND 296200 WAC. <br /> sav�,uNraca+rn�c*ononAurronisor.ccnr o�*c <br /> � Loil x � <br /> �rnaic.�ooucs$$�� ' <br /> 7�y� //�^��^'� l�L f� // C."1 APM , ISCILYBlI51M SSIICFNS[Iq N�BII>iy(SN�ME <br /> �•�� �r � a� Tr �w <br /> PLUMBING M RNIC�L <br /> NO. TVPE OF fl%TUNE ON ITEM FEE NO. TYPE OF EOUIPMENf FEE <br /> WAfER CLOSET(TOILET) A'C-A'HN�L3 UMTS-H.P <br /> �ATNTUB fORCEDAIHS`.'STEMS-B.TU. M EA. <br /> LAVATORY�WASHBASIN) UNITH[AiEPS-B?.U. M <br /> SHOWER CIOTN[SDRYERS <br /> KITCHEN 3�NK 8 DISP VENTILATION fAN <br /> DISHWASHER RANGE HO00 <br /> LAUNDRY TRAY WATER NEATER <br /> CIOTMES V/ASHER Yl000 STOVE <br /> UPINAL METAL FIREPLACE 8 CMIMNEV <br /> DRINKING FOJNTAIN FIREPLACE INSEflT � <br /> FLOOP DRAIN HEAT PUMP <br /> ---� <br /> �ACKFLOW PRE:FNTERS GAS PIPING ' <br /> ROOP DHAINS-RAINLEADERS E%HAUST fAN <br /> -�— <br /> SINK ISERVICE-BAR.ETCJ <br /> SUBiOTAL 5 SUBTOTAL E <br /> PEflMIT S PERMIT E <br /> TOTALFEE S TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> IRqIlSEiBI.CR PUqS[iB�Lv 50LSEiPIiCM FV�NCII[C'INVVBER FEE AECEIFINJ <br /> 0 3a... ' <br /> �s[za+E �c�+cudW � ��µTs�*E FEES �i VALUATION FEE <br /> 8�,G_t- I — eoi�niH� ' � r , �� J '���� <br /> ttRM[ON15k�PMMI[ MfIXC�4. �[111A1 omnu� nbNn��n:�*��s <br /> ��p^ PIUMBING <br /> SIlE Cf iLLOG NO Of STJ11iF5 B�SFMENi MECNRNICAI <br /> __J <br /> CCNPI�NCYIMD PINESPPAXlEP5RE00 MEbNiUM:ilfqN ADDI?IDNALVUNCMLGK <br /> OTM[R <br /> HE�SOMfONSFFiM✓.LERS �— <br /> STATE BUILOIN(35URGNARGE �/`J7� <br /> iv*.—xrxv n�vs�oruov[onr CIiYOFEVEflE1'T rueut.vonKS i <br /> � 1OC11L SIILES <br /> T11X CODE IS 3105 *or�� ; ..i._•��., <br />� -- — -- <br />