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APPLICATIdJ FOR CONSTRUC7CJN PERMIT � <br /> TO BE COMPLETED IN BIACK INK—PLE�SE PRINT <br /> BUIL�ING DEPARTMENT I HE�TING SVSTEM: U�AS ar ELECTRiC U_ � <br /> 259�BB10 <br /> OEMOLITION COMBINATION ' BUILDINO MECHANICAL PLUMBINQ SIUN <br /> ow.hn u.,.00»rss urv r�. vM»rc - <br /> s_u�5_2vn�rvSk� �i�� �tevc��i�.-n A��n �� ���q ���.o� as�;-���o <br /> ifNENI�//�� u�IMONF54 tifv M <br /> �n('.���1FCfOqMS�.�R M�L�OOPF55 GtY !ro nK]Nf <br /> ffMf��ILONfl/iCiM WIIiWR[59 GiY IV VINM SIIifLSLHSF• <br /> 4fCM1H1L4 lR�CIOP Wll�ppMY C�T1 M aO1C SfI1flILEN9f� <br /> PUA4PMOC ��LfOR 4�LN%111F45 G�Y lN hRIMf G��1FlC[NS[� <br /> C.�SSIX W(YM <br /> NEW �DDIiION ALTERATION X REPAIR DEIAOLITION WOODSTOVEiFRPUNSERT BUILDINQRELOC�TION <br /> carrt�cr Pf ns[v1�r�o rrvrt rro <br /> �a,��,�,.�K�a.,�. ti 5 � — -y�� �—�,�-��� o <br /> rirunw ww.�r10 sou�u[ropua[wvavr o `/ - <br /> � � �. �cQ� n�Yv.c4 �rt.4�i�.J �B�.�m», ir5l�t <br /> Ynu M �. <br /> ��srouuneuxown I ^p,��1 — ryif � ' i MEREBV CEFi1FV TNAT I HAVE RE�U AND E%AMINED THIS <br /> S��IyLP �ILy ,��/uyyC� APPL�C�iION AND NNOW iHE SAME TO BE TRUE RND COFlRECT AlL <br /> urqiKscnirrqr�orwav[nrv�s��xiowonen�c�ramcones� PROVISIONSOFUWS/.NOOP�INANCESGOVENNINGiNISTVPEOF <br /> mr�j� WORK WILL BE COMPLE7ED WIiH WHETHER SPECIFIED NFRBN OR <br /> _eioc. S9 3 a IC!_L ��O NOT THE GRRYTING OF�PENMIT DOES NOT oRESUME TO GIVE <br /> � F,, ,,` •UTHORITV TO VIOL�TE OR G�NCEI TME P�IOVISIONS OF ANY <br /> _�MpQ�^Qr�7S [Q S 1LK5r /�I�J r j 0�(LL OTHER STATE OR IOCAL UW RFCI)LATIN(i CO.�STAIICTION OR iHE <br /> PERFOPMANCE OF CONSTRUCTION TMRT I�M A'ITHORIZEO BY THE <br /> � �j � � OWNEf1 OF TMIS PPOP[RTV TO PERfORM THE WORR FOR WHICH <br /> � �PVLIC�IION IS M�OE ANO 1 CO�dPIY WITH THE $TATF � <br /> �Q( � bh�o�Vh�P � � CONTR�CTORS L�W 1B Y]RGW RND 296 t00 WRG i <br /> j� . <br /> � %/�1�.C��� ��e ti � /�.�i <br /> -- —_ --- , i—_.___ . S_ <br /> nn�vn i ennnt ss - ...,...,,. . . � "__�..'-_ <br /> ..� <br /> _ _—__"'__.�_ __-._'_- '_____'... <br /> PLUMBINO MECNIINICAL ~ <br /> NO. TYPEOFFIIfTUREORREM FEE NO. TYPEOFEOUIPMENT FEE <br /> � WRTERCLOSET�TOLLET� � - AC-AHNDLGUN175- HP � <br /> ��I� BATMTUB ' FORGE��IPSYSTEMS-BTU__M EA _ <br /> �,..1b�_ LAWIORV�WRSNBASINI ` IINITHE�TEBS-BtU_ M _ _ _ - <br /> �� SMOWER CLOTNESDRVERS <br /> J _KITCNFNSINN6DISP -� VENTIUTIONFAN _ ' <br /> I �ISMW�SNER R�NGE NOO� <br /> �l__--" <br /> L�UNORV TR�V W�TER NE�TER <br /> CLOTNF.S WRSNER WO00 STOVE <br /> URIN�L METAL FlREPUICE 6 CHIMNEY <br /> ORINNING fOUNi�IN FIREPLAGE INSERT <br /> FLOOP DRAIN -" NE�T PUMP <br /> BACHFLOW PREVENiERS 6AS PIPING ' <br /> ROOF OR��NS-R�INIE�DERS ` E%N�UST F�N —r <br /> SINN�SERVICE-BAR.ETCJ <br /> SUA TOT�I f Sl1B TOTAL f ' <br /> PERMR S PERMIT f ' <br /> TOTALFEE f TOT�LFCF. f <br /> FOR OFFICE USE ONLY: a3.li D <br /> �MWISI B . Pf�PSF�MCe SKKSF�s�� ���N[HlPNV4MN fE! IRfFR�MI <br /> ' zV� � � � � .r <br /> —�-��— <br /> us�r�wr io��nt• v�uHrsrt[ FEES VALJ�TION FEE <br /> `-2_ ?5 � n�i��on�c �n <br /> ,.�a�o�is.,�o«U„ �.qa�n,iKrow a-,:w. .., --S.eS�� � 12 -�5a,� _ _�Q�_.,�J <br /> y'}�{L�--�`'' - _g"� ��.,• awuena p' p� <br /> sVf UNOO M�Of 6i0Rrt9 B\SE4FHl „ MFCN.�HIUI <br /> _�S11Lv J ----_ . <br /> IX:f.VMNLvlWO !M�[6�AM�FRSPFOD MYHI�IN�G�tn AD�IiION�IPUNCNECR <br /> ��a N� �C�, SPRMKIEP <br /> f1L�51 IlM 51�RMlFP4 <br /> SiRE BUIl01H0 SURCN�RGF <br /> re�eete._.- _ _neaser>ou�inn. CITYOFEVERETT PUBtN:WORKS <br /> lOClll SALE6 /� <br /> .�U � �� � TIU(COOE IS J105 rou� /Sj ;d <br />