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APPLICATIOK FOR CONSTRUCTI( V PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDINGDEPARTMENT �EAi1NG5Y5TEM: UGAS UELECTRIC U_.______--.-- 1 <br /> 259�B810 � <br /> I i OEMOLITION i i COMBINATION � ' BUILDING � I MECHANICAL I !PLUMBING I i SION <br /> mmin u�u�xxu�.. -_-__-_"__ m __(._____ r�«rx <br /> in {Serv �o.i3ox3�o� 5�,±�It d�a =aao3 �oss-N31 <br /> iirwn 3�� CdSllb �p� � cn.._r_ �_ rrv a�ar�e <br /> ���r4D-81� vcriTr _ <br /> r.nuw�icronocwrFn w�w(wisi orv rr �rnr.e <br /> GLMMICCHINACIOF Wl/.OIML65 CI�Y IV I'IKnL $l�lf\CkNyI <br /> �umckin Inc._i�a��,stla ek�i,r_�_s�rn�le 981oa sa9-��a9 -- — <br /> utcrwauc�te�.c�a� wieiauss urv !x� wrrrt surt�nurt� <br /> (Tick�nsin�(:o. PU�Fxx yst��- �atl(c, 981a�1 �a-aall mcxxN+k+K 39aon� <br /> nuroracwin .an wa.�owrtss cnv rv Mwra st�rz�Kerrsc• <br /> f.W�11.�L�1'lll(.[!H NfMM <br /> �� <br /> plypM[WOIbtMql' .J.q[ICOf NVIXVFO. LONII. lVFH50N AqNlMO <br /> .0 �...� rPl z-+� �rinkcr �'��ds ----�vta�elYltl[L _3.3.11 xt . lal <br /> — ��lsK'-� ---- --- ---�'---- — <br /> � ��- I HEflEOY GERTIFY THAT I HAVE REAO AND EXAMINEO TNIS <br /> rncvosEous[or wuDrr APPLICATION RND NNOW TME SAME TO BE THUE AND CORRECT AlL <br /> PROVISIONS OF UWS AND ORDINANCES GOVEiiNING THIS TVPE OF <br /> ucuoascnivinr�arinrwrv�v�ox*�az�araunecurxow+[s'� WORK WILL BE COMPLEiEO WITH WHETHER SP[CIFIED HEPEIN OR <br /> NO7 T/IE GPANTING OF A PERMIT DOES NOT PflESl1ME 70 GIVE <br /> 1O1 aOLF p° --- AUTNORITY TO VIOLATE OR GANCR THE PROVISIONS OF ANV <br /> OTNER SiAi@ OR LOCAL LAW REGUU7ING CONSTf1UCTION OR TME <br /> — — �-----'-�'-'--" PEflFORMANCE OF CONSTflUCT10N TNRI I qM PUiMORIZE�BY THE <br /> - OWNEfl Of iH15 PROPEFTY 70 PERfORM THE WOPK FOR WHIGN <br /> APPIIC�i10N IS MADE AND 1 COMPLY WITH THE STqiE <br /> r�nc[neimrxiuutn . CONiRRC70R5LAW1B,7RCWAN0276200WAC <br /> (.p151PUL1UM LW11lENUL11.�WIR51 1IlERIpS MW[II (� <br /> PRPIECTADDNE33 -- / 72C� _/�[�la�Iof93 <br /> 3 s�nc Qtad Eccin 0- (� ""'=.B.faB'LW ---- - <br /> PLUMBIN6 MECNANICAL' <br /> NO. TYVEOFFl7ITUflEOPITEM FEE NO. TV7EOFEOUiPYENT FEE <br /> WATERCLOSETITOREn AC-AHN�LGUNITS--NP T— <br /> -- BATNIUO '---'"�- --- --�'-" -"-- FORGED�IHSYSTEM&-Pl ll M F A " ----""" ' - <br /> '--_— ----"_ -____T___ ----____'_'_"___—__-. .-__"_'_'_- <br /> LAVATONY�WA5119ASIN� UNIT NEATERS-�0 T.U. M1I <br /> --_ --_ - _ _ -'.-..'___-'-__"__-____- '.'____".._" -__ <br /> SI/OWGP _ '_ CLOINESUNYfHS ,______ _"._ _. <br /> NITCMEN SINK 8 OISP YENiILATION FAN ' <br /> �ISHW�SNEP - --- --- R6NG[IIOOD--- --_ - _ <br /> I.AUNDRY TR�V WA1EN NE�TER <br /> ClOt11E5 WRSHER W(X1D SiOVE <br /> _'-_ -_"'_'_—.____--___ __ _'- __'_ ___ .__._____--- — <br /> URINAI. MCiALi'IFEPLAf.E�WJOD8UR111NG� _ <br /> ORINKING FOUNIAM f IqEPLALE INSERT <br /> --- FIOOROHAIN _--.. .- - �___- _-.— "-----HtATPUMP --__ —"_ <br /> OACKFLOW PREVlN7EN5 GAS VIPMG <br /> _ NOOF DRr11N5-RAINiEADERS '--�� - --_- � -'��- E%IIAUF'F�N_--'----__ ----- �_ <br /> SINN ISEPVICE-BAfl.ETC.1 '__- ---- -__-_-' _" __' --_�_' <br /> ------_ _-'� " _�—_—__ - <br /> SU�TOTAL S SUO TO�RL 5 <br /> ----'----- PERMIT 3 —�-- -- PEflM1T f <br /> -- ---�--'--'-TOTALFEE S - - ---""'--- TOTALiEE 5 <br /> FOR OFFICE USE ONLY: <br /> nxri?aieM:. � wui;u�wc� suu�v.cn._'____ _ �•iu�o,¢.�uuw.n s�c n�cuvir«� <br /> � "l � 2C% �c� ` , ".�' <br /> ox raxi m�u�u vncun snt FEES VALUATION FEE <br /> �'�. YES IINO oUROMG <br /> I��IpCd151 1qUi51011if5 ��.cnvn��rv�.u'rf — --____--- -- <br /> PlUMOiNG <br /> fiVEC1M1W IMY]I'l1IMIlI1S11[(lI) IY'AAll:ll NlLI1N11LAl. <br /> i � Y[5 �. ' NO ---- ___- __._"'_�— <br /> uccuvucrtwn i���u�wuuno �xrnnuunetuu— �OD�iq11ALPlANL��LGN <br /> __— ou�en—.-- — _ <br /> w•sw <br /> Si�IEWRUUK SUBGIUI�CL <br /> Mtuim "�.ur.��v�ynuev CIiYOFEVERETT Puwitwonxs <br /> LOCAL SIILES <br /> iun� - DVI CODE IS 3105 �a*�� <br />