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. ..�. _..�._� � .....�...�.., ..�� i i� c000Y.���.r� �n�Y ♦r� ivoc C•i�rn �wie r.nc � <br /> APPLICATIG J F'OR CONSYRUCT OPI PERMIT ���� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILpING DEPARTMENT HEATING SYSTEM:� �AS U ELEC7RIC U_� �� <br /> 259•8810 <br /> I I DEMOLI710N I I COMBINATION I'I BUILDING l 1 MCCNANICAL I I PLUMBING I I SIGN , <br /> OV�T'EN I.NRAODRC55 C ' z�P PNONh <br /> 1 <br /> �c,ki�� �� _ ��. T_l�C: q�41t: (�z-1-�c'CIL'c� �YC i�'llr'�'t'c'- �-t<Cti:-7 �,-q-1_2 �,2=� <br /> TFN�HT u�anoon�ss cin zm viuwe <br /> �pGNITFCIONU[S�aKCII Mq1��UBlSS CIIY 21P runnc � � �'"��� <br /> �)[iIl1C ci� ( i �Y�C.� _ `,�r,"°�' <br /> Of`NE�fLLLClOYiRf.G7pR MAR�A/D��FC55 CITV 21P PNONF / STRFtIC/C+M]C� / f ^ <br /> \A��11�' �t� ��,.� VL., `I�'��.1-��1..-L �'L� / i�!`I � <br /> � (7 �-1 MFCMANN�LCIX�t11AGTOR MALAUUII[SY CI1Y 21P PHONG 61�TElICCNSFI — '�i"�' � .. � <br /> r � <br /> � <br /> Q � � FIUMtlINL•CONTW.GtOR MAhAU�ilt59 CIIY Z�P YMONC SiAIlLICCN$F�r <br /> .�y yy� y G 65(M1WfIK • � <br /> H b 3' NEW I I ApDITION I I ALTERATION I I REPhIR I I DEMOLITION I I WOODSTOVEJFRPL INSEFT I I BUILDINp RELOCATION �, <br /> � � ~ —� �� � � �(rncroEF60`lAHor�ioNVNo. <br /> �H '�I GOHTMGTPPIClUFWOON ���' � : �� ���� �t' . ��O �II .11C"' C-� . �r' .lc� �0���-2_`�Z.�J <br /> �H � OCSf.RNFWOqK/J1U50Wn¢fDOTnGCtNVdvFI� F��i�t:l�r� - IH'Z2N . . . .. - � <br /> v, H �('LU(c=rl���i"lt( F1Cl�'1 unt�rnd�ccl- �cL• pr <br /> x ,�y� PNow.[oos[a'um�nwc � � � I HEREBY CER7IFY THAT I MAVE READ ANU EXAMINED THIS <br /> Cs1 O J���� I� ��7 ��pl� �(\�,�1�.�_,��L;L(,�2�i� APPUCATION AND KNOW THE SAME 70 BE TRUE AND CORRECt ALL <br /> y d PHOVISIONS OF LAWS AND ORDINANCES GOVERNINCi THIS TYPE OF <br /> O N �y IFGALU SCiaPnauorvaOOF Tv�SNONNBELUWUnAiTnpNCWHCOPIE!q <br /> i�-1 C�q O tnr �LL� e;ocK pc ^ WORK WILL 8E COMPLETED WITM WHETHER SPEGF�ED HEREIN OR <br /> �� � _. .. NOT. THE GRANTING OF A PERMIT DOES NOT PRESUM[ TO GIVE <br /> CCC I AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> Z H 3 .L�1"\rl_l1Yi:G I( OTMER STATE OR LOCAL LAW REGULATING CONSTRUCTION OH THE <br /> � H �[,��1� 1�' . ( � � PERFORMANCE OF CONSTRUC110N.TMAT I Atd AUTHORRED BY THE <br /> � N H f .�:I' �IC � I�l'[,' OWNEH OF THIS PROPERTY TO PEpFORM THE WORK FOR WHICH <br /> APPLICATION IS MqpE AND I COMPLY WITH 1HE STATE <br /> y M CONTFACTORS LAW 1827 RCW AND 296200 WA0. � <br /> nC7V� <br /> � � � ' <br /> ` �= 1?� ,T�ll" �i'_VI ���� �-Cil1C ✓ x (.L���<.��C� >����<<:_ �� � ��� -"'�� ��.L <br /> d �q PNOJtL`f�.l'GO[SS � iGvaun� r ;� �_� �` ..� ` nail �. <br /> nn.ua:rn.un.�srua �.. __ . � .'_ <br /> � PLUMBING - MECHANICAI . ..._�- . . ._ 4 *.� <br /> NO. TYPE OF FIXTUBE OR ITEM FEE NO. TYPE OF EOUIPfdENT FEE �� { •Y, � <br /> WATERCLOSEl(TOILET� 'LI� u/G-nniNDLGUNITS-H.P. �.� <br /> { ;� BATHTUB , _1 � ' FORCED AIR SYS7EMS-B.1.U. M E.A. _ � �. _- _- <br /> C� LAVATORY(WASH BASIN) i � UNIT HEA7ER5—B.T.U. M � "` <br /> I SHOWEq ' _ � CLOTHESDRYERS —� <br /> i KI7CHEN SINK 8 DISP � VENTILATION FAN ' <br /> OISHWASHEFI RANGE HOOD �— <br /> ' LAUNDRYTRAY ' � WATERHEATER <br /> CLOTHES WASHER � WO00 STOVE i <br /> I �� URINA4 ( METAL FIREPLACE&CHIMNC•Y .�'- � <br /> � DRiNKiNG FOUNiAIH FIREPLACE INSERT � <br /> FLOOR pRAIN ! HEAT PUh1P �— <br /> I _BACKFLOW PF[VENTERS _ i GAS PIPING _ _ _ ' . ' <br /> �1.�' RODF ORAIN$—RAINLEADEPS ! �-Z E%HAUST FAN T— <br /> I SINK(SERVICE—BF(7,ETC.) � , ' ,. , <br /> _, i. <br /> . . .. .. .� .'_ <br /> �1� � <br /> 1 . _ . i..."' ^ - ---T— <br /> SUBiOTAL 5 ; SUB707AL S ' — <br /> PEfiIAIT 5 � PERMIT 5 � <br /> �I_��, _ .. -" l"OTALFEE S � TOTAIFEE S � ... <br /> ��C �OR OFFICE USE ONLY: <br /> . 'l1pNT5PTPApN IICAFGFTRA;Jf 90CLG,T.OSA.K PLNICIICCKHIIMUFR �[G J�.� RFChiC H0. ( <br /> ��p� 2�f � c7 " � '�' 3C. G� C,�)��� <br /> � ii_�. , <br /> lstzpune � to�nn�e -�7 vnc.wlsne � � FEE6 VALUATION FEE <br /> _/�`� /� �� � — <br /> Ol11LDINQ ��� <br /> TPt01CONIG.4I0WABll irrcorcnxsi.aiuu OCCWw:� �npwtlU4.U��p • '-� ' n <br /> I �' � 3 F'LUMOING y��_ <br /> �- ... ... <br /> �i1[OFOlDO NO.OfSTOp�FS 0/SEMFNT � <br /> z z� sr � MF.CMANICAL ///} ; — <br /> s �,,�c. 2 N� _ ._ —.. , <br /> GCUVNlGV�OAU fNCSCpNKIFq6PE0U NEICIITLIYIiAT10tj. AODI7!ONAI.PLANCHHCK � <br /> N u seruriKrer / � <br /> � hASOfIF OLfPWKIFPS - _ - • *'O'l'�-/ <br /> fiTA7E0WL0INO5URCHARGE � 1 <br /> iTnKfi9Y PWI:nGpPpVFpBY CITYOFEVERETT PUPIICWORKS _Q' <br /> � � LOCALSALES � � <br /> �4"} 2�/� 93 TAx GOf1E IS 3105 Torn� ����^��% <br />