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i'\rirli <br /> APPLICATIO.� FOR CONSTRUCT� JN PERMIT � <br /> TO BE COMPLETFD IN INK-PLEASE PRIN7 <br /> ..,.�,.,:. <br /> eVf_'Yett � ��FnriN� svsTErn J�ns �E�ECTr�ic � <br /> E3UILDWC; DCPAR�Mf�N1 � <br /> 25y f3�t D <br /> DEMOLITION COMBINATION BUILDING MECHANICAL , PLUMBING SIG <br /> ..:r��� on�� n ,.. , . . .7 +i ) �! � . <br /> / "� ' , ./_r.� �� (. <br /> � �{-� � .��� ?rt�. $f,'," t .�nAr i�'1� r•� � �u.�.i <br /> �Tl (J� __"_ i.nr �' <br /> � � � .� �i. emi n �:�"' . .. . ... <br /> � � _._'_--'__ -_____ <br /> ` N __ ._'_____'-__.__ _.;,.� �., �n <br /> � �� - [nv <br /> K ., �il� ���q[�1 S�<;NRI M�h Apl lil s'. <br /> C N -- <br /> i � � N ._. . .._ __. . . . _ __ �-- . � , lN. <br /> . ��I -ENSC� <br /> IL�UDIIFY� GiV . <br /> �ry� � �%nr�uucion .; �Nr {/ /'/� / / � �� ,'S�,1ti" j s f cS'9y ��..!xIC� !'/c, .�. <br /> �i �. /� ? /���Lv(Qrrl .J�iL�Y l�A� !/IK��� .f�G'"'��Y�1__ , -_ <br /> � . J-- — f�lv '�Nf llf.fNSE� <br /> u.. ...�q �.µGONiR�t t0� M�n �DU�I SS <br /> � � � j" _ - - <br /> _ _ _---- .; ,�,,.��� LiCENSE� <br /> � _ .. __"__. Lllv __—___--____ _ ._. . <br /> � �mqr,f.ONiRGCI��n MML�U�W55 <br /> � � �n �JI WOPN ' � . ..._— __ <br /> M w <br /> � � ��Fy./ AD�ITION_ ALTERATION ��7EPRIR D[MOI ITION WOODSTOVBFRPL INSERT BUILDING AELOCATI <br /> � �-- --�— -�iKUN�NO P110NE NO <br /> M�` '— <br /> �y ~ i . ' _ .. "._—_ _" — _ <br /> �i � �n;1 PRICI O�WO�K ��(� � <br /> .�.i <br /> ~ . mB[ RM�HOSOIIPRfI(%]GGEINYCLVEO <br /> y � � --- _ '—"_ <br /> .. <br /> CN .� -5��--�-- i Hf-AF�� CERTIFV THAT I HAVE READ AND EXAMINFD THIS <br /> � � :.,nouseoraunum. - <br /> �< APPUCAiION AND KNOW THE SAME TO BE TRUE AND CORRECT <br /> N N - PROVISIONS OF LAWS AND ORDIVANCES GOVERNING THIS 7VPE OF <br /> � ,.�,nrscnivrioNon+noc[eirisNowr+neioM'onerr�cevamcor�es� yrORN WILL BE COMPLETE�WITM WHE7HER SPEGFIED HEREIN OR <br /> Bia;K or __ -. NOT. THE GRANTING OF A PEFiMiT DOES NOT PRESUMF TO GIVE <br /> ' -- AUIHORITV i0 VIOLATE Ofi CANCEL THF PROVISIONS OF ANV <br /> OTHER STATE OR IOCAL LAW REGUlA71NG CONSTRUCTION OR TH[ <br /> —"-�-- PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br /> OWNFR OF TNIS PROPERTY TO PERFORM THE WO�K FOR WNICH <br /> APPIICATION IS MADE AND I COMPLV WI7H THL F1ATE <br /> � CONTRACTOAS LAW 1827 RCW AND 296 200 WAC <br /> ;��.Hniunnu�ra+*neaononnun�niwroecer�r onn <br /> ia,< _L` v�tu G 9,3 �c 7 �����'1 --- _ 'T' �I�l . <br /> --- X �i '/ -- - �/��/ <br /> 1.).11'�I111��lI`:� /� �• / Alf., �II � i.�l� .I`.ill(:Ct15� ANDf�IISI�IFGSN�I.�I . . <br /> an �� � `/ C � N!r t�/ . <br /> ' PLUMBING MECHANICAL <br /> �� `, TYPE OFEOUIPMENT FEE <br /> C�° Np TYPE OF fl)(TURE OR ITEM FEE NO. <br /> NJNFfiCLOSETITnII.FTi � AC-AHNDLGUNITS-MP -:-- <br /> .____ .. _-__- _ -__-- <br /> � -- - - -� ���-�� FORCED���7�"STEM1IS-B7U. M EA <br /> __-. ._ __.. , <br /> __ <br /> (3ATNTl1P . 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EXHAUSTFAN �.. <br /> �_ RppFDRNNS-FiAWLEADERS . ----- ----� <br /> -__ _.-_ __. _ <br /> SINK(SERVICE-BAR.ETC.1 . - - - ---- � <br /> .__ ____ _._... --__ _'---r- <br /> .....' ___ ' <br /> _- __-__ <br /> � . _�. . —_._ �__— . <br /> __ . <br /> I _..-- —_— T <br /> �� . . .� .. .. . .—___ � <br /> _ — —._—_. . .._ - <br /> sue rorn� s ' __ <br /> SUA TOTAI ? � PERMIT � 5 ���-�- -�- .. <br /> _ --- <br /> . ..___—_.. <br /> - __ , � <br /> "-- - -. .. .- FCRMR S <br /> ____._--__--____ .- -._._ _. _ <br /> ' � -- TOTALFEE b ' <br /> '��_ .__ . . . . . _. ._ . . _TOTAL FEE S � �. '- <br /> � <br /> FOR OFFICE USE ONLY: - ��� nrc�ivi r+o <br /> � ��I N�'.1�I�nr rv •�1 I ll�PM� I'1 nN��II INNUA1Pf N <br /> �4nq�•.1 I IN�n �. <br /> I - �� FEES VALUAiION FEE <br /> ,�.� ������ i�.inu�r. WUNiS1iE <br /> i{�� �i(1 <1 <br /> RUII.DIryG 6 .. . <br /> _�. <br /> —. _ .___ _- __ . � <br /> �.�IIIILONISALIOW�A1[ IY%OIGONSIAGI1111 ������wr Mn��vn, •, ',' � <br /> �,°'*�" 1'1 UTADING � <br /> �rllOfBlDO NOOFStORIES PASEMENt IdfOIANICAL ._— _i <br /> - � nitUillONAIPUNGIII.t:k _ __ _. I <br /> �:�.uP�HCVL0�0 FlRESPPNNIE1150f00 NfIGNiLIM�GI�ON _ __._ - - �- - - -- i <br /> � Ullllll �� <br /> . . . _ _'_1_- <br /> n1AtiOHi(MSPRINNLEPS �� � �� . � .. ��� ' � f� y <br /> S1AlE OUlll)INC SIIRLI�ARGF �__ <br /> —_'______- _.. .__. <br /> „����� i��� -- - �Ninr�c�rrnnvii�xv CITYOFEVERETT vuOUGwoRKS <br /> � LOCAL SAIES I, t-t, � <br /> TAX CODE IS 3105 TOT�� L- ? <br />