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�� <br /> . .-�I <br /> APPLICATI�N FOR CONSTRUC'. �ON pERMIT �'`'''""' <br /> �_.,,,. . � <br /> , TO BE COMPLETED IN INK—PLEASE PRINT �I ' i " _ � � <br />. Inp!.n"Nnrnr ,/ ' <br /> CIiY nl �v� <br /> _—_._- . _ _ _ <br /> _ ____—__. —_____ __ ' —__ . .. _� <br /> everett L HEATING SYSTEM J GAS ELECTRIC J I <br /> BUILDING DEPARTMENT -- --- -�--- —--- I <br /> 259�8810 I <br />' DEMOUTION COMBINATION X BUILDING MECHANICAL PLUMBING___ SIGN <br /> ----- ----�— <br /> . o�in — u�nenn�uss .S�,.lU � � �tT i�c —.—��r�or�v <br /> � i ; 1 /� (�i-I _.�T11�—L.���,�c�: __ ' �,�- ��_�1�_.� <br /> iEN�Nt A11itApURFtiS Clfv lln P�qN[ <br /> ��� A�CLiORI1E51GNfR MMLAppRF.55 CIiY IIP PIqNE <br /> p � f /)� //��� l��C/ � c-ri-il l- r�;LL[� iT %I JC� �3 �6� 5%4_j <br /> r,cNEn�ycor��a�Yinn M�n�oonEss cnv zir vHowe uceNse� <br /> �� � f�{� /V��L , <br /> MFC�UHiGI LONiR�GiOP M�II�DORE55 G1Y IiP PNONE LiCENSE� <br /> O�� PWI.IOINGCONtR�C10H MMl�0�RE55 — ��t� lIP PII9NE _ UGENSEI <br /> Itl <br /> ��� f,1A550F WOFN — <br /> p ?( NEW ADDITION ALTERATION R[PAIR DEMOLITION WOODSTOVEiFRPL INSERT BUILDING RELOCATION <br /> Ncor+��ct n[nsor��r�o o��oNE uo <br /> �p coNinecT cnwE Or vm.nn I � OG ---- . -=,�'��--' /G � — I <br /> �r �FSCRiBEWOBh�NOSW��E�WT�GEINVOLVED • ��OS(_ <br /> � � ��'� � <br /> rnorro nus�ovnuam�+c �� I HEREBV CERTIFV THAT I HAVE READ AND EXAMWED THIS <br /> � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEMl0E6CAiPT10NOFVROPERIYI3��OWMBELOWOP�RACNFWRCJPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISiVPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEfiEIN OR <br /> I �� io-_>� mceK __ o� _ �7- �Q NO7. THE GRAN7ING OF A PERMIT DOES NOT PFiESU�!E TO GIVE ' <br /> �� AUTHORITV i0 VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> �,���� �_ OTH[R STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOR12E�BV THE <br /> „ ,�_Y� OWNEP OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> � APPLICAiION IS MADE AND I COMPLY WITH THE STATE <br />. GONTRACTOHS LAW 1B27 RCW AND 296200 WAC. - <br /> SiGNANREO�CONt9�CiOROR�UfN0�2[D�GENL ��lE <br /> PRQIfCt�f10RFS�--n / -- �pPli��S�fl�lSSI�NO�NDB SN SSNA C �------- <br /> 1 ;� ..-� h <br />� '� . PLUMBING MECHANICAL <br /> /.. <br /> ` �'� N0. TYPE OF FI%TUqE OP ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> � !vC—A'HNDLG UNITS—H.P. <br /> I _� WATER CLOSET�fOILET) 3a v — <br /> M .A. <br /> . FORCED AIR S.STEMS B T.0 E <br /> C / - <br /> � enrNruA o � <br /> ' I � � LAVATORY(WASH BASIN) Jp � = I�I UNIT HEATERS—B.TU. M � <br /> 1 SHOWER ,�� ' 7 CLOTHES DRVERS <br /> � ' ��� KITCHEN SINN 8 DISP tl � VENTILATION FAN <br /> �I �� DISNWASHER /O � - � RANGEHOOD _ ' ' <br /> I IAUNORV TRAY Z WATER HEATER _i_ <br /> I Z CLOTHES WASHER %(� � ' _ WOOU STOVE �, <br /> , I '_�' URINAL __ METAL FIREPLACE 8 CHIMNEV -- <br /> L� DRINKING FOUNTAIN FIREPLACEINSERT <br /> � FLOOR�RAIN HEAT Pl1MP _ _ <br /> BACKFLOW PREVENTERS GAS AIPING __ _ <br /> ' ROOFDRAINS—RAINLEADERS EXHAUSiFAN �db � __, <br /> ' �I�� SINK(SFRVICE--BAR,ETC.) Z i.-_ � � �CC <br /> _ —., ��6e « . f, _ <br /> — - --- — .— li <br /> ! --- — -- - — — � — <br /> �� _ _. <br /> � SUB 70TAL 5 �,F(y _ ___ SUA TOiAL b _ Sn � � <br /> I — -- --��PERMIT 5 _ ____..._ PEFlMIT E __ <br /> 'I iOIALFEE E TOTALFEE 5 /k '� <br /> I �t � FOR OFFICE USE ONLY: <br /> � --- _ _ - -- -- <br /> �IlONI5E1fl�Ch PI�91I11P(� ��Df 5f�AfM � �I nNCuff NI0.1111 R �LF �.7� /S f� RCCPPI NO <br /> �o� � __ ra ��o_ .- , . - , , � - F� <br /> use 7arz i n nnrn vnc.em sin FEES VALUATION _ EF. <br /> p _"_' i I <br /> /r•�—� — —9'� nunniNc ...n a` <br /> --- ___ ---- �19�: g I r� _��--�--7�- <br /> rvr[m corvis eunwet � nr �n inr�si�cm�i .ti. + .�n.., .. . --- ----- - — i <br /> �,-N _� u � 3 y PLUMAING �AO <br /> iJ�� <br /> F�' � Si1E[XPo[Nl ��— NOOfStORES � P�SfMfNI MECIIANICAL —. . _�'" �'-- __/�'�_ �I <br /> 31�2 S! � � <br /> JA� +„ '° ��5i��— Z N A��IiIONAL PI AN CHE(;N k� � <br /> ^'j`,�lF =. ,,. (KCUP�NGYIOAD lIRCSPPNNI[RSfiWtl IIfiO�tlIIM1���N , <br /> 4 `I ____ __. .._ ._ 1 <br /> II ���3 �� I V� � ��S � '�� — — SiA7F�BUILDING SURp�ARff _ <br /> `�C�y, ��, neeso�rnnsaaiHeitns _ _. _ � --- G, �T- <br /> � <br /> ,���K`•i' _ _ I� <br /> ' � � iHreKrnr mnrvs�nov�nnv CITYOFEVEflETT PUBIICWORNS � 0 I�J ' <br /> '� LOCALSALES <br /> ��5� TAX CODE IS 3105 ror�� <br /> , � • <br />