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�` APPLIC�►TIC"`I FOR CONSTRUC'�JN PERMIT � <br /> C� TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> � ---- - <br /> -- - — ----1 <br /> HEATING SVSTEM�. J GAS J ELECTRIC J __ . _..._ _. _.__ <br /> BUILDING DEPARTMCPIT — <br /> 259-d810 <br /> DEMOLITION COMBINATION BUILDING MECHANiCAL PLUMBING SIGN <br /> OnNF'H/ �M}aiL�DD�E55 �fJii�v � tiv CrONE /J <br /> iE �N rv '�^_���+���� GL/L.Iu.i� • �� � " `i <br /> �L RGORFtiS 'F nu �(jr,J V✓�_ln�� <br /> �I�►��`'�� �Z�{38��6�J"�;-r-✓�nir`� 9�� � . <br /> LNitFCTJfIpF5�0�![R ARAUDRL55 Gilv I��' PnONE <br /> �E���r�! 1a7�,lEs�T!/IG /¢2¢/l�!�JG�p1 1t1�_1_.�1��&�._SI��L-��061_ffi�9r.� <br /> [�(/Gti?dfl�U/GLEI'.b.�1' ��d7Z <br /> MECNAHIC��LONiR�G�OR AUiI���RE55 Qlv bi' -�—_�- - �'��n��f —"�—_��`,tA1fUGCNSF/ <br /> VLUMBIHGLp11RACTOR M�R�DDIiC55 UiY lIF M�OHE 51�iktILENSG• <br /> � � CUSSOfWORn <br /> C� �'�. NEW ADDIiION xALiERATION REPAIR OEMOLITION WOODSIOVE�FRPL INSERT BUILDING RELOCATION <br /> y Ij �/� (pH1�Ct PC RSON AND PMONE NO /�^J <br /> ��� CONiRRCI PN'�Q O�WORN �/ QIiS�,_ �����(���'-`-�� <br /> �� pESCRIB[W(NiKAND50U�nf fOOIA(1F I I01VI:D <br /> ��� ��SF T��,V��1��� ------- -- <br /> vr� vas[ousc[Kewiui�+c i HEREBV CERTIFV THAT I HAVE READ AND ExAMINED THIS <br /> � �� � �yy) � _ APPLICATION AND KNOW THE SAME TO BE TPUE AND CORRFCT.ALL <br /> ��� ` PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> iEee�o[sr.aivrbHo�vno�en ,v�owNneiowo��nnec��rounca�rtsi �y�qN WIIL BE COMPLETED WITH WHETHER SPECIRED HEREIN OR <br /> �d iQi oi«„ _ or _ __— NOT. THE GRANTMG OF A PERMIT DOES NOT PRESIIME TO GIVE <br /> O N(��y /� 9 �1 AUIHORIiV TO VIOLATE OP CANCEL THE PROVISIONS Of ANV <br /> � �q p VS � (��O Z` O� OTHER STATE OR LOCAL LAW FEGULATING CONSTRUCTION OR THE <br /> pr —�� PERFqRMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BV THE <br /> '��,N� OW F THIS PROPERTV TO PEFFORM THE WORK FOR WHICH <br /> �y --- P CATION IS MADE AND I CO'.!PLV WITH THE STATE <br /> H TRAC LAW 1 CW AND 296.200 WAC <br /> ey v, —— <br /> ��`� �3c7 lJ6 Z ' <br /> � — --_ �__�_ <br /> � — -- -- <br /> ,.. �,,,, <br /> .o� E�,�o� s na Ro ��nErr --- -- - - - <br /> �y MECHANICAI <br /> PLUMBINO <br /> NO. TVPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � WATER CLOSET ITOILEiI � A G -A HNDLG UNITS—H P. � <br /> _ ..___—__ ._——______. — __ �— <br /> BATH7U0 Y FORCCD AIN SVS7EMS—B.T.U. M E.A. <br /> --�— UNIT HEATERS—B.T.U. M <br /> � LAVATORV(WASH BASIN) � . --T— <br /> � SHOWER _ CLOTHES DiiYERS � <br /> C� VENTILAiIONFAN _ _ � <br /> KITCHEN SINK 8 DISP —�— <br /> DISHWASHER RANGE HOOD <br /> � LAUNORY THAV � WATER HEATEF_ <br /> CLOTHES WASHER WOOD STOVE � � <br /> I ,_� : _ - i _ METAL FIREPLACE 6 CNIMNEV � <br /> ` URINAL <br /> �HINKINGFOUNTAM . FIREPLACE:NSERT <br /> I FLOOR DRAIN HEAT PUMP �— <br /> BACKFLOW PRE�NTERS GAS PIPING � <br /> � HOOF DRAINS—RAINLEADERS E%HAUST FAW <br /> I �� , SINK(SEPViCE—BAR.ETC.) _ <br /> � � <br /> � ' —r— <br /> � <br /> SUBiOTAL 5 SUBTOTAL $ <br /> � . PERMIT 5 PERMIT S <br /> � �. TOTALFEE E TOTALFEE S <br /> � FOR OFFICE USE ONLY: <br /> FR011i5ETBACN �F.�RSElO�CN S�DESEiB�CN �I�NG�ECKNIIMrD�E� FE�fj RECEIPLNp <br /> O � Q � Q' / J7 �:SU ?.S� ��oZ 7/�/V� <br /> use¢or�e ioreae� V�L�NLSIiE FEES VALUATION FEE <br /> — euaoiNc 1P�,1'C�' � S`/v ��$"O <br /> IVR pl LON 5�LLOW�BIE ��R 0�i0N9�LNAL ttcpnu.�. hn n cwnuxn.:r•s ----'--- �— <br /> -TJ� �, ` � Z .Y PLUMBING <br /> y Iv F <br /> SRE OF BIDG NO OF SiGRiES P SEMEHT MECHANIGPL <br /> 45�30 �if. 7� I Al° <br /> UCCUG�NGY LOAD iIRE SPRNKLEFS REOD HEiGNT UTArt�T10N ADDIiIONRI PUN CHECK <br /> ' IOI NO SPRINKLER � <br /> — T <br /> HEASd1FOH5PRiNNLERS '/ i/r <br /> STATE BUILDINQ SURCHAFGE 7 ,� �� <br /> INTANEBY PlANS�PPAOVEOBY C�TYOFEVERETT PUBLICWORNS � <br /> LOCAL SALES <br /> IB � 4L .T TpX COOE IS 3105 T��T�i � ; p� <br />