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FROMiEVERETT BUILDING DEPT.� T0� 2066433475 J�' 17� 1992 2�13PM a412 P.02 <br /> �� '����APPLICATION FOR CONSTRUCTION PERMIT <br /> TO BE COMPLETED IN BLACK INK—PLEqS� PRINT �^���.�err <br /> �q.�3- Ovv-U,J$" - oovo HEqTING SYSTEM: OAS U ELECTRIC IJ_ �] � <br /> BUILDING DEPARTM�NT <br /> 259•8810 <br /> I I DEMOLITION I.I COMBINATION �BUILDIN4 !1 MECHANICAL I I PLUMBING I I SIGN <br /> owner� �+na�ooncr.a cm :w PMONt —� <br /> �' •�(,'e��� �%�y�n /3c/���'"`Jo /��L /e.v�e 98DD7 Co� - z3:a-3 <br /> TF.NANT. �J M,u��ooness —rcin - nr viioNe <br /> �n� H�TFCIOHUBSiON[11 � uA0.ADUM!'ss CIIY 2P ryIDNF � � <br /> hLL. QS O�I'LGY ' . <br /> 0!N[MLCONfRM•TOp AU0.ADDPCBC P.AM =IP PNONC 9TATFI,ICCHSCI <br /> , -�q-r� a.�. G7r.'7ur c'v!�iveJ,►-i�17PN <br /> NFCMAN1011LCONTIIACTOR buRNroneye - -- ,,,ir •.�� LM PMONG 61ATlLIC[N6F/ <br /> PIUMtliNCCONiN,CTOq � MALALDIIlY7 G1Y 2P hNONC � BTAteUC[1:9F� <br /> �G SPWOfIK ' �� <br /> NEW 1 I ADOITION I I ALTERATION I I REPAIR I I DEMOLITION � I I WOODSTOVE/FRPL INSERT I I BUILDINp REIOCATION <br /> � CONT�pTPER60NANDP110NFN0. <br /> eor+*nAoirwceo�wonK O DUU, DU „ �LzsZiZ�� LG;uZLu� (p�v-.�'/�' _,_ <br /> OCSCRNf WpNK I�Nh SOURIIC�DOiFCC NVp VFD <br /> N,r_cv L�Qn.�ru�.'a�, l9 75 +0 2 , <br /> . PXOroxous.arouanw� I HEREBY CERTIFY THAT � HAVE READ AND EXAMINED THIS <br /> .�.'i-tly,�L Fttl.�% J�� ' APPLICATION AND KNOW THE SAM6 TO BE TRUE AND CORREC7.AlL <br /> . IEMLUk�llll'iWNfXVRpVFR NOWNBEIOW�It�TTnCNFWpCOPIEi7 PROVISIONSOFLAWSANDORDINANCE&�OVERNINQTHI6TYP&OF <br /> l0T_1�_, s�otK pc�yyJ$/��,✓o� WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT, THE ORANTINO OF A PERMIT DOES NOT PRESUMG TO GIVE <br /> � AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTMER STATE OR LOCAL LqW REGUUTINQ CONSTRUCTION OR THE <br /> � PERFORMANCE OF CONSTRUCTION.7FtAT I AM AUTHORRED BY THE <br /> ���/Z ��,�, OWNER OF THIS PROPERTY TO PERFORM THE WOfiK FOR WHICH <br /> • ' APPLICATION IS MApE AND I COMPLY WITH 1HE STATE <br /> __ _ ��1 G �9 'CONTMCTOHS LAW 1827 RCW A1�D 296R00 WAC: <br /> . . ��u�_y�li.n� /•/ .�� <br /> �hatc��none�ex' w�wuu �u.r . <br /> 55 �° ✓iiu� EY �- oa„�'us[o . -- ��-- <br /> p1Y�ItIM6�I IpIN}I II�. <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FlXTURE OR ITEM FEE N0. TYPE OF EGUIPMENT FE8 <br /> 3 VVATER CLOSET(TOILEn � A!C•-AhIND40 UNITS-H.P. i <br /> . . . .._ . ._—.-- <br /> BATHIUB ; • FORCED AIR SYSTEMS-B.T.U. M E.A. ; <br /> LAVATORY(N1ASH BASIN) —i-' UNIT HEATERS-B.T.U� M ; <br /> ��SHOWER �� ~— CLOTHES DRYERS � � <br /> � KITCHEN SINK 6 DISP ' � VENTILATION FAN ; <br /> DISHWASHER � � RANOE HOOD —� <br /> � LAUNDRYTFiAY �� WATERHEqTBR ' <br /> � <br /> CLOTHES WASHER —i— � � WOOb STOVE � � � <br /> URINA4 � ' METAL FIREPLACE 8 CHIMNEY �— <br /> � � DHINKIN6 FOUNTAIN � FIREPLACE INSERT ; <br /> FLUOR�DRAIN ~ HEATPUMP T— <br /> BACKFLCW PREVENTER8 i �AS PIPIN� ' ; <br /> �AOOF DRAINS-RAINLEIIDERS � E%HAU6T FAN T— <br /> SINK(SERYICE-BAR,ETC. � . ' ,. <br /> � <br /> i � <br /> - ' • .. ....� .'_ <br /> i � <br /> . _' " -' � ' ' � <br /> � <br /> . _. . _�... --�— <br /> � � � • <br /> SUB TOTAL S ; + SUB TOTAL S ; <br /> .. . . .. <br /> PERMR S � PERMIT S i ,,, <br /> �� TOTAL FEE S ' 70TA1 FEE S ' <br /> FOR OFFICE USE ONLY: <br /> •IlON�SPTR�CK IICMfiRR�pt fIDCLGiY�CK ry.hNWl C1(HI1MiiR �[6 RkCNM1N0. <br /> _�, , �` • �c� 3 C, Z �— <br /> �se z�x+e l01 u�rw v�c.wl Sne � Ffi@S VALUATION FEE <br /> (z-2� _ 668C y euaoiNo so ' <br /> r�earean�ty.M-imvae�t irrcorenxsr.�tt�uu ocewrc. r,anw��wewmi . .... - ; <br /> �F-l� _ ,y"°� � VLUMBINO _�. ._ ... ' <br /> IL <br /> :QlOFDlIfO XO.(XFTpRIF$ OASi iM ' <br /> `�`Z Sf 4A� � MECH�WICAL . + <br /> uuvnuC�vlO�U �w[svnrmcq6PE0U HeaintwrtAiWjJ AD�RIONAI.PIANCHECK � <br /> _J.`� '4 �'� Z� SPRINKLER ' <br /> � <br /> �AYONIOIISPPWNIFP6 " '�•—'—� <br /> � 6TATE BVILOINp SURCHhR6E i <br /> iinKcav riu+snvv rvpner ��CITYOFEVERETT pUBLICWOPK6 ~ � <br /> b LOCAL SALES <br /> I L 4 Tax CODE IS 3105 70T�L ; <br />