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� �d <br />H <br />ayxy <br />H Z� <br />� H 7nJ <br />"OG M "�{1 <br />� �o� <br />OM� <br />��g <br />�V � <br />H M <br />Zyy <br />ryH <br />g H <br />Ol7N <br />��+ <br />O t�/� <br />'� � <br />� �� <br />'� � <br />� �� <br />„-.. ._. <br />APPLICATIVN FOR CONSTRUCI.l�N PERMIT ����'��"� <br />TO BE COMPLETED IN INK—PLEASE PRINT � <br />I�P f 1r�p•nr•^ <br />CIiV n{ <br />everett I Hl:ATiNGSVSTE�d JGAS �dELFCTRIC J <br />BUILDING DEPARTMENT - - � - � -� - - - - <br />259-8810 <br />DEMOLITION COMBINATION �' BUILDING MECHANICAL PLUMBING _ SIGN <br />' � �;��,� �� � � � � � � ,�� �.�. ��. � �� �•�� <br />� � . -• - <br />1'� - _._ � ...1� i 1'111 l_ __�.�1 ; a .— ; � i ' _� _ '_�. _ 1 1�� �� I � _ ��4 � �---- <br />h IaNI MA1 R PqISti l-1 f`M'JNE <br />1�,, <br />enr�orra oa s�r.Nrn MAiI AO�RCS!. ��t� l'° i�"�+E 7� <br />G��__�' _T �-l.. ,� <br />-�' ��J,-d ��EJ'r i i l.tL1 15 �( � , r 1 <br />�.IINCPqCONID.1LtOR M�R�UORKS QIY lIP PII(M�E IICENS[• <br />�C l� OCilI� c /' � — <br />�RCH�NIUIC iR/�GtOR 4�IlApORE55 CItY IN f�HN1E L FISf• <br />)'�� f” �i)L.�.�i it� � — _—_ <br />PIUMPIHGCONiR�C�ON iA�IIApDlIE55 lliv 11� �INNIf UCENSE• <br />:�/ <br />(`���I_ l ------ -- <br />�I�fiSCH WONN <br />NEW ��DDITION ALTENATION REPAIR DEMOLITION WOODSTOV6FRPL INSERT BUILDING RELOCATION <br />ii�rpnerinaiCFO�WOR. u(f(((�U� <br />DI'�tiUfl[ WORN�NI� l\�If �p)I�GI ��NMVEf <br />(`).�� _7 � 1���.��s�.���. <br />rao�roseu eaouun�nr, ��� �� ���� <br />� � L1J,11:.[1IS <br />icceinc cairr�wanortnrvis�mwr�neio� <br />l01 ��_ BIOCM __ Ov <br />� r ). _ . . � � . . -� . . <br />r,n�a�ci ntnso��er�orrx»�r �m <br />' � . � . .. . . . .. <br />� �--i .i' l:� � i.''[:.��1i7�: �' �'j. �,._ <br />.�. ,, <br />_1���--Uutr� u� i-� ---------- -- — <br />I HEREBV CERTIFv THAT I HAVE READ AND EXAMINED THIS <br />APPIICATION AND KNOW iHE SAME TO BE TRUE AND CORREC7. ALL � <br />Hroimcnric;�� �� -� PROVISIONS OF LAWS AHD OfiDINANCES GOVERNING THIS TVPE OF <br />, j 1��\ �, WORK WILL BE COMPLE7ED WITN WHETMER SPECIFIED HEREIN Oii <br />y1. ��- � Ll� NOT THE GRANiWG OF A PERMIT OOES NOT PRESUME TO GIVE <br />' AUTFIORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />� I/� /'t �' ��j,. OTHER STATE OR LOCAL LAW REGULATWG CONSTRUCTION OR THE <br />PERFOqMANCE OF CONSiRUCTIOtJ THAT I AM AUiHORIZEU BV i HE <br />1 OWNER OF THIS PROPER7V TO PERFORM iHE WOFN FOR WMICH <br />� � � � APPUCATION IS MADE AND I COMPLV WItH THE STATE <br />CONTRACTORS LAW 18 2� RCW AND 296 200 WAC. <br />1/i(-�Jv11i({--�', s�n��numorco�nnecrnnoaeuiNorntro�.rru or.rf �/2�/�/ <br />1�1� ,I111 IJ �� __ __ X <br />��Cti'�+ L�a.1. �C11 <br />n arcr enum s�' � _ , � <br />i.�l /JU-iH U�/ii I�I"�_f-..r:l��i��T,i�-)� �f�'��'L.i �nvn.er�r;cnvnusirs,uq•isrr� �mrwcortssr�Aui __'- -- <br />PLUMBING MECHANICAL <br />NO. TVPE OF FI%TURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br />WATER CLOSET ITOILET� �- �� A�C-A�HNOLG UNITS--H P ---� <br />. �. . _-_— __ _______ _ __ _ __-_�-_ <br />_____ -__--- _ _'_ <br />BATHTUB FORCEDAIRS`.'SiGMS-BSU. M_EA __ <br />__� _LAVATORV IWASH BASIN) � UNIT HEATERS _81_U M ___ _ <br />SHOWER ' � I CLOTHESDRVERS <br />.,._� � : ;....., . ..�..,. . /T - VENiILATION FAN � <br />DISHWASHER <br />LAUN�RV TRA <br />CLOTHFS WA'. <br />URINAL <br />DRINNING FOl <br />FLOOR DRAIN <br />G7: <br />RANGENOOD _ <br />WATER NEATER <br />WOOD S70VE <br />MEiAL FIREPLACE 8 <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXMAUSiFAN <br />FOR OFFICE USE ONLY: <br />FR(NI�SFtanra�� � nURs[�N�cM sinCSFiP�Cr� rieNo�tnNounrR r�t <br />- '^ i - �-- —� � �, � � ^ � <br />- f11 <br />OS! TfN11 101 AI�I A V�CANi S�IE FEES <br />SUf3TOTAL <br />PE�iMIT <br />10TAL FEE <br />�(J� � ����1' <br />"y -- --- <br />euauiNc �41 j35 3�Lz;,$fJ <br />irW a CON�s �LLfiW�BIF hrf n C Wsl qlus� .��.r A ni rH�, �. n�• _--_' __ ._ 1 7 • <br />,•"�� f'lUM[fING . _Y�.-Li�/.. <br />_ __�-N -- _-1F�,�-- — -} __ ` — _ _ _ <br />tiVf (N OIUf NO iX StORIFS 0�5[1ALNt MF.CN�NIC�I .. �5 �."1 <br />�Z3�f_�PUN-- ----- � <br />ADOIIIONAI PUN CHFGk <br />(%:LUPANf,vlO�fl �'�4 WPNMIEPSREOD IIOGIIt1�AU1AlION� . . . .. _ ___..._-.. <br />_�I� ^ ua _.Z�. onn�n : <br />nresor�fonsvnme�tns � � � � � � � � <br />s�n�r nunnwc sunu�nr�r� ----6t_.'.l� <br />- - <br />. _-- - _ .__ � _. . , <br />nn�rirn�� rin�+s�rrnu��uxr ��jYOFEVEREn ruoncworaKs <br />I =! f 5�� I TA COOE SL3105 TOT�� �I O 7 I GU <br />