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APPLICATI �N FOR CONSTRUC� ION PERMIT <br /> CITY OF EVEREIT• OUILDING DIVISION � <br /> 3200 CEDAR STR[ET• LVERETT, WA 90201 • 253-0�10 <br /> ❑ DEMOLITION f� COMBINATION fl BUILDING f-1 MECHANICAL PLUMBING f� SIGN <br /> PROJECT ADDRESS ��L�3. `L'�s T C,1�SJ�[n `�� �(�� (�Q_L��� <br /> ONTlER MNLAODIlE55 gi�y pp �.���E <br /> .�E.�l� <br /> 7EN�NT MNLMOI�F55 CIIY 71P p��pq[ <br /> �L,GIG �O -�-���o <br /> AIILMTLeTOfIDE516NEf1 MMI.ArypI1p55 f.IIY lll` 191UNF. <br /> UENEf1/�LCONID�Clp1 MNI�DI.OESS (AIY )IP 1`IInNG 51�IBLICEN5E1 <br /> MECNANICN.CONff1ACi011 MAlA0piE55 f,IfV )I1` I'u(k!1! Slntf.11Cf.N5F.1 <br /> _'__ <br /> PLUMOINOCONIf1ACi017 Y�4L/�IwfJE55 a/CJV �� � CII��//, C� 71����.N,��"`7�i1•�3//_5�///�1'i1�JCT.J���[1 <br /> m��..rs��Y �. ��• ,. <br /> corrtn�c�rnice oF waa 1/ � � - -... - - . <br /> �f� HEATING SYSTEM: I I GAS I I EIECTRIC I I <br /> OESCf110EV/OR1(�ND$W�l11EFOOTA6EINVOLVCD f.�IN1�CI1`I'tISUNA. .�f'IIONfIln �./� ���� <br /> � / <br /> /� ��r b (�,c , `s� S ��4vs� a F'� �'I�//,.x�l'si�Zs� �'o � — <br /> J/iLlt.fi'�S i I ✓hCy/ S-�I�{K APPL CAT ON AND KNO N TI 5'SAME TO �E�1 RUE AND COR ECL ALL <br /> rnorosen use oF e �oirro <br /> PROVISIONS OF LAWS AND �JRDINANCES GUVEIiNING THIS TYPE OF <br /> \NOFiK WILL OE COMPLICD Wlhl WHETHER SPECIFIEU HEREIN OR <br /> lEOl1L0E5CA1PIlONOF1'fKK'ERIY�SIIOWTitlElOWq1Al1�C11TWOLOPIES� NOT. THE Of1ANTINO OF A PERMIT DOES NOT PRESUNE TO GIVE <br /> ior o�aK ...or AUTHOqITY TO VIOLATE Ofi CANCEL THE PqOVI510N OF /1NV <br /> OTHER ST,\TE OR LOCAL lAW REGUI.ATINO CONSTRUCTION OA THF: <br /> PEItFOIiMANCE OF COVSTRUCTION.TNAT I AM AUTHOR2ED OY THE <br /> OWNEf1 OF THIS P(i01'F.NTY TO PERFORM THE WORK FOH WHICH <br /> APPLICATIOH IS MADC AND I COMPLY WITH THE STATt <br /> c�u�ceivuei.�.r+uMnen -- CONTqAC�ORS W19.27RCWAND290.200WAC. <br /> CANSIf1UCTIONLOANIENUER.�D011E54.7flf.MqNEM1M0E11 x / �'���%'� —�C��,�,�. ia a-�G <br /> 51 IIE � _ , r Ik <br /> lt/ <br /> Y bb51Nf55110EN51:N'• <br /> PLUMBINO MECNANICAL <br /> NO. TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF FI%TURE OR ITEM FEE <br /> WATER CLOSEI(TOILET) (p �� NC—AMNUI.O UNITS--H.P. �— <br /> BATHTUB � FORCED AIR SVSTEMS—D.T.U. M [.A. ; <br /> LAVATORY(WASH OASIN) � "" HEAT PUMP �— <br /> SHOWER � UN�THEATENS—O.T.U. M � <br /> KITCHEN SINK 8 DISP ; CLOTHES ORYERS ' <br /> � <br /> DISHWASHER � VENTILATION FAN � <br /> LAUNDRY TRAV ; RANGE HOOD ; <br /> CLOTHES WASHEfi � WATER HEATER � <br /> URINAL � WOOD STOVE � <br /> DRINKINO FOUNTAIN i METAI FIREPLAC[(WO00 OURNING) i <br /> FLOOR DRAIN � — FIREPLACE INSEfiT(WOOD OURNING) �— <br /> BACNFLOW P� EVENTERS ; CAS FIREPLACE ; <br /> &INK(SERVICE—DAR,ETC.) � OAS RAN6E T <br /> � GAS PIPING ' <br /> —? [XH�UST f'AN �� <br /> � � <br /> � — � <br /> � i <br /> —�— —�— <br /> i <br /> SUOTOTAL E ' '— SUDTOTAL S ' <br /> PERMIT f D �'— PERMIT E i <br /> TOTALFEE f '� TOTALFEE f ' <br /> FOR OFFICE USE ONLY: <br /> Ff10Nf SElO�CN REM SF.TOACN SIDE SETO�CN PUN CIIf.Ck NIIMpf.11 fEE f1ECEIPT NO. <br /> ��i <br /> usezoNe �arnne� wceNts�ie FE S VALUATION FEE <br /> nres n r+o nuu.niNa �— <br /> MEIONTUMIlATION NO.OFOWEWNO SIZEOfOLONf.I <br /> UNIIS PlUMI11N0 <br /> OC�P�NCY WOlSIqtlES IX:CUPAiqIUAU B/SEMENf M[C11/�NIC�L I . <br /> O <br /> f1VF.5 fl NO �— <br /> FIOEMNiMf1E0U (1E�SUN AODIfION�IRANCIICCK � <br /> __ � <br /> OIIICO � <br /> i <br /> FIRE 6PRINRIER 11E0'D i1EA50N - � <br /> SUTF Ol11LOtN0 WOCIUObE i <br /> I <br /> iYPEOFCON57. PUNSMI'i10�E00Y CITYOFEVERETT ruoucwonKs � <br /> LOCALSALES — I <br /> onr¢ TAX CODE IS J105 TOTn� <br />