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APPLICATlOM�. FOR CANSTRUCTI N PERMIT <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT • <br /> BUILDING DEPARTMENT � HEATING SYSTEM: GAS ❑ELECTRIG ❑ � <br /> 259-8810 <br /> DEMOLITION ' ' COMBINATION �BUILDING I i 1AECHANICAL IJ PLUMBING I i SIGN <br /> omiEn ueiieooness ci.v zm rrer�s <br /> GVEREtT r�ous,�./< .9uTilncsr�' /4oi 0/�iaR tV��.v,f SY�o/ a06 �Co��S�zzL <br /> iFx411i 1A�IL�DDflF55 CiiY _'IP vNONL <br /> �nUciEL10R0ESGNEq AqRI.��AE55 [IiV 21P P11q1F <br /> oY�r�raA/ AQci/necrs icoz h�Tr �'sr�v ��c,:�7- wa �'eaoi aoe, a�s��i __ <br /> G['ICMlCON1PA�iOP 1�4LI�ODRE55 CIiV IIP hlqNE $iAiELICENSE• <br /> y,. � <br /> VEC��n'CALLd1:���LIOfl MRtLA00PE$$ CIiY ZIP PIIONC $I�IELICENSEI <br /> 1'tV�A�INGC:TMCLDP IAAR�OOFESS CIIY 01F RONE SUiEIICENSE� <br /> CIASSOF WORK <br /> IJEW . �� ADDITION ' i ALTERFTION , flEPAIR I I DEMOLITION I I WOO�STOVFJFPPL INSERT I I BW�UING REL000.TiON <br /> CONMLTPEfl$qlNl NONENO <br /> a0 <br /> cc�:�n�crvn¢EOFwonx -tr OD — �ON�I. SSC /�AY✓ /��LF�/ C <br /> cEscn•eEwonknxasounne�aou En+voivco <br /> az�- �,a� <br /> r�vovoscousea5mioirvc i HEREBY CERTIFV iHAT I HAVE flEAD AND E%AMINEO THIS <br /> APPLICPTION AND NNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> �ccuoescaivrarvovvaov[a*r��HowHnewwoneitececouemviesi PR�VISIONSOFLANSAN�ORDINANCESGOVERNINGTHIS7VPEOF <br /> WORK NlILL BE COIdPLETEU YlITH YlHET4Efl SPECIFIED N�REIN OR <br /> io* e�ocn__or NOT.THE GRANTING OF� PERMIT DOES NOT PRESUTAE 70 GIVE <br /> AUTHORITY TO VIOLAfE OR CANCEL TME PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING WNSTRl1CTION OR THE <br /> — PERfOHMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF 5 P��.pnPERTV TU PERFORlA THE iYOFK FOR WHICH <br /> APPLICA ON IS�ADE AP�P I COn'aLY WITH THE STATE <br /> CONTR TORSLA 1B2] WAND2962COWAC. <br /> — x ii � ��_ <br /> rnw¢i noon�ss / '""10' <br /> 02 L ,a(Icr•� l/.�cl_�y_�t <-.r't/�nci �..e�:s..En�rc��oExo <br /> PWMtlING � MECH4NICAL <br /> N0. TYPE OF FIXTUHE Ofl ITEM FEE NO. TYPE OF EOUIP�IENT FEE <br /> WATER CLOSET(�OI�E7� A�C—NHNOLG I:HITS—H.P. <br /> BATHTUB FOBCEDAIRSYSTEMPrBS.U. M E.A. _ <br /> LAVATORY�WASMBASIN� UNRHEATERS—B.TU. M <br /> SHOWER CLOTHESDRVEFS <br /> HITCHEN SINK 8 OISP VENTItATION FAN ' <br /> DISHWASHER RANGE HOOD —r <br /> LAUNDRY TRA1' WATEF MEATER <br /> CL01H[S VlASHER WOCD STOVE <br /> URINAL i IdETAL FlREPLACE 8 CHIMNEY <br /> ORINKING LOl1NTAIN FIREPIACE INSERT <br /> FLOOR ORAIN HEAT Pl1MP <br /> Bt�CKFLOW PREVENTERS GAS PIPING <br /> ROOF ORAINS—RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE—BAR,ET0.) <br /> —_�_ <br /> SU�TOTAL 5 SUBTOTPL 5 <br /> PER1dR 8 PERMIT $ <br /> TOTALFEE $ TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> �itONi5E18RLR 11EARSEiWL1: SIpESEiBKN PLNIGNECNNU'!OE11 �EE AKEIPiNO <br /> '.� � �r .�- '— 7n 9 d j <br /> u=[:mE ioreeEe vecnr:*Sne FEES VALUATION FEE <br /> �— <br /> OWLOING OG �QO ,�l y �,S'�o1 <br /> hR01LONISAIlPH.181[ fliEIXfANS�NiP0. ttWwMr NOdMtLLixc�wlE <br /> r������ __—_'__ __�i° P�UMBiNG <br /> �.ceovnlW. nOFSLONiE'i 6e5EUENl MEGMANIGA�. <br /> \ � <br /> nCCu1`pNGVLOAO P9ESPdtMLEH511E0'0 NEIGIRL�MiIAilIX1 FODIiIONALPIANGHECN <br /> SPRiNNLER <br /> ��.�-_'I'(`�15�(IINNLEP$ —T <br /> STRTE ONLOII�G SURCHAPGE ;�� <br /> a�u�snraAaveoov CITYOFEVERETT ruo�iewoeHs <br /> LOCIIL S0.LES <br /> .� � �, ��'1�%7- �JI✓� L1X C�OE IS 3105 rorn� .' � y '�c 2 <br />