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APPLICATIOR FOR C6li5TRUCT�N PERMIT <br />� E�,�„ TO BE COMPLETED �N MY.—PLEASE PRINT <br />crtrcK <br />everett <br />BUILDING DEPARTMENT <br />HEATING SYSTEM: U VAS ELECTRIC ❑ <br />COMBINATION ✓BUILDING <br />�SICM <br />.,..__ _ .,:-rn ,-,�,_r; J-)(� !'�, .:,.�; F...f�Wti �7b•� ,-�'�: �2�. <br />T[N�NIY M�l WA�E55 CRY 2F M�OME ' <br />�i�P'G <br />�p�.:uRFCI(p11f9�]MEP W�LMURSS GT' ZA hU�< <br />'�•� �}{<•n+PS �U.h' I EL. � �Fi 991�F �OG- 2�8-3�2� _ <br />7,f �rtau rc»rn�c�w wi woncas crtr xo nawt uxr�[ � ii %'i i 192. •. <br />/ '-��� (1 oi��tr�. �n[ �0./,o-i. �.K..Yi' �-A 9ElcC� JJL �ct _ ,r <br />MEL��NLµf.pliP.�LTq1 Wl/iD�Mf54• CR� TF A�P4 IICENSf• <br />ClIY <br />55(Y WORM <br />NEW ADDITION �ALTERATION REPAIR <br />M&:PIBEMU�Y/.NOSIXII.PtfO�iI.OEMVIXVED " 1i.!� i.f. G^��ca'. <br />NCp1U4��T�_�l.L� ,�A.mhin. �`.,..F".I�::I�� /^y�I�'n r <br />rW000".,�o us!'a� Buadrn�� ✓✓ � ��' <br />(�� ��C L <br />'.F .�L CE9CPF l9N O! PiIOPCAT' IfrqW�1 BEIOW Ofl �i1IiCM iWF LO✓�E51 <br />�m 174 I� eioc� SL,/• or /�/AT �F cp� =p� <br />��4[.z,�ti.3 oFri-,�,,�<�e s� ,-«�m <br />✓ <br />�_�/ �O M"/h/<fi �O•� (.U�Q_ <br />���'r<��` r/" � � <br />PUOIFt.I�tNMi55 � � <br />/��, .,....� �.� . � � t � . �i _ <br />PLUMlIM6 ^/ <br />NO. TYoE OF FIKTUPE OR ITEM FEE <br />WpTER CLOSET iiORET� <br />BAlHTUB <br />�__T- <br />\ LAVATORV�WASNOASINI <br />__ �SHOWER <br />-- K H[N SINK 6 DISP <br />DISH HER <br />- LAUN�R TRAY � <br />CiOTHES HER <br />----� <br />UFINAL <br />ORMNING FOUIJTP <br />i ' FIOOR DRAIN <br />BRCNFLOW PRE�IENTEHS <br />qpOF ORAWS-RAINLEADER <br />SMK �SERVICE-BAq, ETC.) <br />_-- -T <br />SUB TOTFL S � �_ <br />�'FRMII f � <br />70TAL �[E 3 <br />FOR OFFICE USE ONLY: <br />lfKMi5ilB4N NECFSF1P�Cr 50FNTB�C! <br />n` � ' <br />� <br />n5f I['�IE IOII.nF� VKWiSRE <br />1 � <br />�LITION WOODSTOVE/FRPL INSERT ..� BUILDING RELOCATION <br />CPlf�CT RHSLW YN Aq,h 1q <br />/n -iq..iil.1`. ?.]k- 1�,. , <br />1 NEREBV LERTIFY THAT I MAVE READ AND EXRMINED TNIS <br />pPPUGATION AND KNOW TME SAME TO BE TRUE AND CORRECi. ALL <br />PFOVISIONS Of UWS AND OFDINANCES GOVEHNING THIS TVPE OF <br />WORN WILI BE COMPLETED WITH WHETHER SPf.UFlEO MEREIN OR <br />NOT THE GRANTING OF R PERMR DOES NJT PRESUME TO GNE <br />AUTHOPITY TO VIOLAtF. OH CANGEL THE PRGVISIONS OF ANV <br />OTHEH STATE OR IOGAL LAY/ REGULFTING CONSTRUCTION OR THE <br />7ERFORMRNC[ OF CONSTRUCTION THAi i AM AUTMORIZED BV THE <br />OWNER OF THiS oqOPERTY TO 7ERFOfib1 THE WORK FON WHICH <br />qPPLIWTION IS MAOE AND I COMPLY WITH TNE STATE <br />CONTRAG70RS lAW 18.9 RCW AND 29fi200 WAC. <br />6qN/.IUNFIXL(NiR�C�OR �UlIKK1�h��CFNi �I.TE <br />r I <br />X'-,��, .,,�.�.J:��,__? I�°.� '/?! <br />L � �r.x�vtf�u,� S,✓c <br />GOplK��S(.��PJSINES�/�M+ENQ�NpBUS�NI:SMME � <br />ri <br />RANGE <br />AIR <br />C-�- Z �Vv BURCING <br />I�TffM�C7q'I15A�L101WM11 fMTjIXCGMII�LIWI fwMKr pt�pX��+cW"� <br />�G'!�/ _y_N 2- PLUM9ING <br />silt iN ntna M� O! 5*Ou�Fs e�.sFUEM MECN�N�C�L <br />'�� � � � �D�ITNJN�IPUNCNECIf <br />OLLU�MMCYIO�D fIPfBMIIM,tLF115PFU11 NEONI1M��iNY� <br />� N� `�' OTNER <br />OPYYI fp9 fiOflMMlENS - <br />StATE BUILOING SURCH�HOE <br />-iH.�vonv vuNs.wwm�oxr CITYOFEVEHfTT PUBUGvroHKs <br />LOCAL SIILES <br />� ile Q2 , 1!/I iIIX CODE IS 3105 *ou� <br />yt.y ��� { <br />_. _,. - -7 <br />m <br />O <br />.� I s-G <br />i93 ;Sa <br />