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APPLICATIO'".: FOR CONSTRUCT�N PERMIT ���� <br /> I TO BE COMPLETED IN BLACK INK—PLEASE PFINT <br /> li+ IJ <br /> � IIin11NC6vS1CM� JGAS JELEG7HIG J � <br /> 6UILDING DEPARTMENT - ' <br /> 259-6810 <br /> DEMOLITION CO�IBINATION BUILDING i�AECHANICAL PLUMBING SIGN <br /> ---- -- ..._ - _ <br /> - <br /> �/yfj��i�, �,�� u��,�s, �, �� ,,�� <br /> l /� � 'i/l �CGl1i �� �_'�. i . f -. � � 1 /. ,/ I il '.> > Y i , � l � <br /> � )/)l� 9l. v� / � . /.. �'!�; <br /> ❑NAN� RNilAPU11E5'� � i♦ .�� �� Pn�4�l . � • <br /> IInno�rtELipqI1C51GNER MeIL�D�0E55 f,ilV Dn PMONE ' <br /> ��� 6f N[R�t C011TR�CLOR �M��L��DNE55 CrtV 2�P PHONC FiniE I�CENSE/ I <br /> y �/:lFtlPlt ��.�2d�//t � <br /> p�x ! �UNIUL CONIRACiOR MML���RESS CIiV -� IIP PIIONC T�if LICFN^vF� I <br /> H : „�-(�`� `�� - � � ;1,� , ,�,, �/ �����/.�-�ia� �/�i/A/�f1-d9Fc��r � <br /> aytn ' � Jt;iU� 0�7 x n� ! Ur <br /> � i1M01NGCONfqA Cn M�IL�D E55 CItV lii' PHONE SUffLICENS[• <br /> y H I <br /> K y� L1 nss or wonn -- - -- �. <br /> � H� I/FJEW ADDIiION ALTERAT�ON _REPAIR DEMOUTION WOODSTOVEiFRPL INSERT BUILDING RELOCATION � <br /> y I-i coNr.cr rEasor+•r�o rraHE rro <br /> � Ti� I.UNiRACTPRIGEO�WOPN �j�C� . <br /> /� _ _____ <br /> '__ . __—_. __— ____ _ . ._._-- ___ _ . <br /> Y� 1�6LR19E V/pf1N AN SOUAPE�OOiAf. VOLVSD ; <br /> rJ �/ �� <br /> O H .._ /�-i�l j ii-!' M iLR C.G V ' �ft J � <br /> rr,nroseouseo�nm oine � i HERF�V CERTIFY THA1 I HAVE F7EA� AND EXAMIN[D THIS I <br /> � �g ,� -�-� � <br /> G�-]1• CC(J %� ����� ��,� e � uQ a. , S, APPLICA710N AND NNOW THE SAM[TO BE THUE AND CORRECT.ALL � <br /> ZH� ��rn�oescaiviroe�oFrHovcnrv,s�owHeeiowonrrecerouncoriesi P�10VISIONSOFLAWSANDORUINANCESGOVERNINGTHISIVPEOF 1 <br /> y y WOFK WI�L BE COMPL[7ED WITH WHETHER SPLGFI[D HEAEIN OR � <br /> t� H y �oi nuxK _ oc __ NOT. THE GRANTING OF A PEFMIT DOfS NOT PRESUME TO GIVE <br /> �y 'q �f / r�-- AUTHORITV TO VIOLAiE OF CANCFL THL PROVISIONS OF .4NV <br /> O �y ���y ((�/_ '/'��_��4�1�'Y'// OTH[R STAIE OR LOCAL LAW R[CULATING CONSTRUCTION OR THE <br /> � �� � -�� PERFORMANCE OF CONSTRUGTION THAT I AM AUTHORIZED BV THE � <br /> � � � � ' ' <br /> , OWNER OF THIS PROPERTV TO PERFORM THE WORK FOF WHICH � <br /> -- — -- - APPUCATION IS MADE AND I CO�dPLV IYITH THE STA7E � <br /> �y CONTRAC70RS LAW 18 27 RCW�ND.'96.2 `WAC � <br /> � , �J � <br /> � � "r}� "�c � <br /> X��[�� - 2c t� ! � <br /> _ _ — -- - --- � <br /> ��,;�,��:��o�,�,Fss r --- — — — - — — <br /> — - - t <br /> PLUMBING MECHANICAL � � <br /> NO. TVPE OF FIXTURE�R ITEM FEE N0. TYPE OF EOUIPMENT FEE � <br /> f� � WATER CLiSE11TOILE71 � A C A HNDLG 11NItS N P �_ . � <br /> _- __-_ . .__ _ .. _ . ._ -.--- � <br /> � � BATHTUB ��. FORCEf1 AIR SVSTf MS-f�T U � �d [A _ ' <br /> --_ .__. __ _ __ _ ___ . . __ __ . . _ __' <br /> LAVATORV IWASH B�SIN� � UNI7 HCATEHS I7 7 U. M � <br /> __-_ --... ..___.. __-__—_-. _�- <br /> SHOWER CLO7HESDRV[RS �� I <br /> • _- _._ - .—_ ' --..__--- � I <br /> ( '�' KITCH[N SINK 8 DISP V[NTILATION FAN T_ ' j <br /> ' + DISHWASHER � <br /> RANGEHOOD I <br /> _. - . __-_ —_ . _ _ ' <br /> LAUNDRV TRAV ; �1 ���TEP HFATEfi ; ' <br /> -_-____ _ .._ _. . . _ . -- ----__ _ <br /> CIOTHES WASHER WOODSTOV[ � <br /> '._ � _ _ _.- _. . ..__._..- _ - _ _�^— <br /> „� � URINAL _ �dF TAL FIREPLACL 8 CHIMNEY � <br /> OFINHING POUNTAW ��If�C�L�CF INSERT ; � <br /> FLOU.'1DRAIN _-�.. ..�� � � -- i HfATPUMP _ --� <br /> BACNFLOW PREVENTLRS : �._ �GAS PIPING ' <br /> -�. POOF DRAINS-RAMLEAOERS � ,1� E%HAUST FAN --T- <br /> SINK�SERVICE-BAR,ETC.� � � __ <br /> � <br /> � <br /> _- -___. . .-- ____. _____ —�-_ <br /> '` I I __ _ SU�707N S , .________ SUO TOTAL_ $ ___. )� <br /> � PEfiMIT ; � PEfiM1T $ /'� � <br /> .. _- _ __-____- __ .—_--..__- _- _.- <br /> -- -----_-- TOTAL PEE--�5� ----� � . �� TOTAL FEE 8 -iG � -- <br /> FUR OFFICE USE ONIY: <br /> IunNtSFIPACk � .��M�YiVnr.✓ 5✓�i 'd.�UACN �4mii �p ..tY�!�11�9 �fl q!Cl�i'llin <br /> ,�.� ;rort i,�+mm� vecANrsRE � FEES f VALUATION FEE <br /> eun uiuc� <br /> �.riorcoerseuaw�eiE rvnorcmrsr.tmei nr�:�.�«. x����.; . �, - � �� � , <br /> cx�um PIV1.111WG -. <br /> . .__ _' . _ __ ._. _.__ . ._ <br /> �,V[OFBlDO NOOFS1pRIE5 OASf.MfNl il�i '.�qNICAL <br /> i_. <br /> �rtC�JPµGYlO�� FlqESFRNMtERSRW'D I�UGHillAlilAlu4 �I���IIION�IPIANCNFGk -- — ♦ <br /> ',PNrtJKI[ll �' <br /> . _ _ _. . . _.. . .... � <br /> ��Ie50NfORSPRttixlERS � � <br /> '.Ihll HWIOW,iUI1f,11ANG1 �� <br /> ___ - . . -_- -_ _ . _ . _ <br /> �,�n�� nv �rur�senanovion• CITYOFEVERETT ru��iu:wunhs ' <br /> LOCAL SALES <br /> TAX CODE IS 3105 rorni <br />