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APPLICATI� FOR CONSTRUC7'�N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT � <br /> HEATING SVSTEM: J��S J[LECTRIC J __ __ __ _ _l <br /> BUILDING DEPARTMENT — <br /> 259-BB70 <br /> DEMOLITION COMBINATION x BUILDING MECHANICAL PLUMBING SIGN <br /> Ay..l>::T,15q Olv Zie PMONE <br /> J/�,.,7_.�JQCla��.-`,�.�?'(�tlL�c�Ys_�c_"�( �va rd"3S5-�9ri7 ak "?vJrU;y� - <br /> ,i .n4� AAAiI I.DU�FR �L:�IV iP M�CNE <br /> l i+f n _____ <br /> J <br /> an, qctO/RDES�GN[9 M�4�WFE55 CrtY 2F RroNE <br /> `��f� <br /> � . ...LONIMCIpR M�M1AD�n�55 QiY ZIP PIMM[ SUhLKENSk• <br /> �... .r. .piCOvlP�LIOR MeRMd�E55 L�tY liP M10NE SiAiELICENS[• <br /> . . CtCp41flLQ0� HAM1AWFESS ULY 21P PIqNE Si�iEL4CN5C• �..� . <br /> . .. 'e.\:]FM <br /> � Nfl�V �(ADDITION ALTERATION REPAIR DEMOLITION WOODSiOVE�FRPLINSERT BUI!OINGRELOCATiO4 <br /> "�--"� (� CONULIP[9WN�NOPI�CVIENa <br /> J( <br /> ,,.::+.:• ��� k Oo� � m� 57G�o clatl�-- - - <br /> ,. . �+14WOPMANDSWAREFWi�GE�NVIXYCO <br /> _'Ic�c� �l��Z f'o �nra�e- 11,ti 3$.S'39� 7 GvK=�7-y�J ti <br /> r.:.� �;�osEaemimxc I MEREBY CERTIPV THAT I HAVE READ AND EXAMMED THIS <br /> —i APPLICA'ION AND NNO\V iHE SAldG TJ DE TRl1E AND GORRECT ALL <br /> V' P(OVISIONS OF LAWS ANO OR�INANCES�OVERNING THIS NPE OF <br /> i.,,n�,oi.zcami xorvnorEettiS�.owi+oEiowonennu�falecaciES �yORK WILL BE COtdPL@TED WIiH WHETHER SPECIFlED HEREIN OR <br /> ,. � B�ocK Q.b D-00� /' NOT. TNE GRANi1GG Of A PERMIT DOCS NOT PRESUME TO GNL <br /> AUTHORITV T(1 VIOLATE OR GANCEL THE PROVISIONS OF ANV <br /> '-�., ,�7�� I'1 � a , OTHER STATE OR LOCnL LA1Y�EGULATING CONSTRUCTION 0�THE <br /> — 4!1 PERFORAI�NCE Or CONSTR11G710N.TNAT 1 AM AU�HORIZED f3�THE <br /> OWNER OF THIS PROPERTV TO PERfORM THE WORK 1'OR LVIUCH <br /> APPLICATION IS MAOE nND I COt.IPLV WITH THC STATL <br /> CONTflACiONS LAW IB 27 fiCti4 hND 2?fi200 WAC. <br /> .:-.� �,'( _�OL1t�e �9�,— — X --��--�-.S1.;L _—_ <br /> ,. , .,., —✓ -- - --- - <br /> PLUMBING MECHANICAI <br /> NO. TYPEOFFIXTUREORIlEM FEE NO. TVPEOFEOUIPMENT FEE <br /> 1VATFRCLOSETiiOLLET1 AC-�HNDLGUNITS—HP _ _ , _ <br /> ATHiUE3 ��- � --—" --�-- — ORCEO AIR SYSTEMS—BSL 1d E A. ___'� _ <br /> �LF 1TURY6VASM6ASIN� U� 1EAT[F75—�SU. 1d <br /> SHO\ GL�1� -S�RVERS _ _ <br /> HITCHEN NBDISP VEHiLA Nf�N _ _ _ <br /> DISHWASHE R�IIG[HOO , <br /> �AONORVTfiAV WATEFHEATER _'_ <br /> CLOiHESt4A5HEF WOODSTOVE _ <br /> 11RiYAL IAETAL=IREPLACEBC NEY <br /> CRINKINGPOUNTAM FIFEPWCCWSERT _ _ <br /> FLOOR OHAIN HEAT Pl1MP _ <br /> LACKROW PREVENTERS GAS PIPING __ <br /> ROOF DRAINS—RAINLEADERS E%HAUST FAN <br /> SWK(SERVILE—BAR.ETC.1 <br /> SUBTOTAL 5 SUB TOTAL 5 <br /> PERMIT 5 PERMIT 5 <br /> TOTALFEE $ TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> 'pALY PCAIVSCIB�CN S'��CSF.i'.1LX 1'�/.NCr�ECNN'JA�P111 (Ef YLCCiPINO <br /> zD'` �" �io'Fn.�v� 37�G�s Sa.co.�✓ 7�9�U <br /> �.r,r �oinuu vnurnt�rE PEES �ALUATION FEpE <br /> �_Z 'b �d 'l�D o nw�oiHc _5.7.(ov _—.51_:UZJ_ <br /> i V6AllOWl81[ 1��fOfCOM51�!lU4 ttGw'[� 4oa'ni.vn.v� — <br /> � �°z° vwamNc <br /> jr' �N( -1 L_.. — — <br /> .. n.:r f10Of51(iPRS P0.`.[MCxI MLCNAN�CRL <br /> ��"���-- � ADDITION��PUNCHECN <br /> ',��JlWO ���C`�i:N�lLtSR[OD �•LicrI111Pii,�{�LL'1 <br /> � �J �Z.', SPRINNIER _ _ __" <br /> .. . .i:v15PHWnllFS � 1 <br /> :�niE BUIIDINC SURCNARG[ _ (�.I �J� <br /> . �:.� il+— �� ritiZn�.i,...�nl,� I CITYOFEVERETT ���.�i�or.e�::i�ns �_ � <br /> I �I1 ,.✓' LOCAL SALES — <br /> a � , Tax cooe is ams ,o,a� <br />