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APPLICATI�1 FOR CONSTRUC7�N PERMIT�
<br /> CITY OF LVERETT•BUILDING DIVISION
<br /> J200 CEDAR STREET•EVEFETT,WA 99201•257�BB10
<br /> � DEMOLITION � COMBINATION BUIIDINfi � ' MECMANICAL ! � PLUMBINO f"I SION
<br /> PROJECTADDRESS � �{,ZS
<br /> r>60� CAOY RD r",�E���T; ui.4 9XR�3 .t 90 95�J�
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<br /> � � 1 HEREBY CERiIFV TMRT I NAVE PEAD �ND E%AMMED THIS
<br /> ��nse i��r amo-r. --"— — pPaICATION AND NNOW TME SAME TO BE TRUE AND COPRECT ALL
<br /> PROVISIONS OF lAWS ANO OR�INANCES OOVERNINO THIS TVPE OF
<br /> s4r� S F.�_ WONN WILL BE COI.IPLIED WITM WNETHER SPECIFIED NEREIN OR
<br /> ii�;+i nunsrx��iavnwtnrv,s�wm�xunwonen�c�rvmcootis NOT THE ORANTINO OF �PERMIT DOES NOT PAESUME TO GIVE
<br /> u. nior.. n �UTNORITY TO VIOIATE OR CANCEL TME PROVISION OF ANV
<br /> OTHCP SiRTE OR LOCAL LAW REGUL1iIN0 CONSTRUCTION OR TME
<br /> PERFORMRNCE OF�ONSTRUGiION iNRT I pM�UTNOR12E0 BV iHE
<br /> OWNER OF iH15 PROPERTY TO PERFORM TME WORN FOR WNICN
<br /> RPPtICAT10N IS I.UOE FNO I COMPLY WITN TME STATE
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<br /> PLUMBINO MECH�NIC�L
<br /> NO. TVPE OF fI1TURE OP ITEY FEE NO. TYPE OF EOUIPYENT FEE
<br /> WRTERClOSETI/01LET� ' AC—ANNL�ICUNITd
<br /> �RTHTUO ' FORCEDAIRSYSTEI.IS
<br /> LRWTORV IWASN 0451NI NEAL PUMP
<br /> SMOWER UNIT HEATERS
<br /> KITCHEN SINM d DiSP ' U.O1HE5 DPYER;
<br /> DISNWASNER ' RpNfE HOOp
<br /> UUNORY TPRV WATf R MERi[R
<br /> — _ r_—
<br /> _ CIOTHES W�SHER ' WOO�STOV[
<br /> _ URWRL ' METALFIFEVI�CE�WO00BURNINa�
<br /> DpINNINC fOUNTAIN FIPEPLAGE MFERi�WOOD BURNINO�
<br /> __ FLOORORqN - Gr1SfME'MBf fRFc'STANdN�
<br /> ��CNFLOWPREVENTERS '� GASMNGE
<br /> $INN�SERVIGE—O�R.ETC� � GAS PIPING
<br /> E%H4UST FAN
<br /> SUPiOT,1L S SVBTOTAL f
<br /> PEPh11T S PEHMIT S
<br /> _ _ __ IOTAIFEE 5 TpT�LFEE f
<br /> FOR OFFICE USE ONLY:
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<br /> IOCALSALES —
<br /> r..r � TA%CODE IS J105 TOT�I
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