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FROM�EUERETT H�1LDING D '1 T0� 2066433475 JFlN 17� 1992 2�13PM �412 P.02 <br /> APPLICATI J FOR CpIdSTRUC310h1 PERMIT �J� <br /> TO BE CO PLETED In BLACK INK—PLEAS� PRINT tiJ rr.— <br /> BUILDING DEPARTM�NT HEATING SYSTEM: GAS U ELECTRIC U _ ..- 1 <br /> 259•8810 <br /> I I DEAIOLITION I I COMBINATION � BUILDING 11M�CHANICAL I IPLUMBING I I SIGN <br /> OWNEN i.ua�ooncss '— crtv na PHONh � <br /> Cnlon � r'nl1-•=r�C . iyy(9 �.I-�ri.,��d[X� F3e.IICJ�UP. q`d00-I c.o4y-.23a� <br /> TFNLNT. MAM1ADDIIlSS CITY • LP i11pNE ' <br /> �pCHITFCIUNU!'9�ONC11 MUTAUbNC55 CIIY 2U PIIO;YF � <br /> �11� a..g �.L�t/� . <br /> 0lHEft4.COMRAC70N WIt�MDRC6C GTY 21P PHON! S ATFI,ICCNiCJ <br /> �a,m�_.�� . . ' ' C1or..oNC..Z',�I�E7P/� <br /> �FCHAHWKCPVTnACTOR AIARAUUIICYY . CIIY � 21P DHONG CUTlUCCN6E1 <br /> PLUNtlINCCQYTMCTpH �� AIAILAUDIIlY9 CIIY UP NMONC 6TA1lUCCNSFf <br /> �C�I�¢SUrWOnK ' ` <br /> �i'NEW I 1 ApDITION I 1 ALTERATION I I REPAIq I I DEh1pLITION � I I WOOD9TOVEIFRPL INSERT 1 I BUILDINO RELOCATION <br /> ( <br /> CANiA(.'T vEN60N AND PI IONF NQ. <br /> CAVTRAGTYfIICkUFW011N� �',f.'-y�_�.(��� ���/��5�-�� ._��y�l-•z323 <br /> DCSf.RIOFWORKANUSOUAl16fG �TAGCMVpIVF(1 � � <br /> Lk�a�C s1-ruc�h.�n �y �z�J y�g <br /> Yt�H�Or�u�::�[ovscoroimnwn I HEREBY CHRTIFY THAT I HAVE REAb AND EXAMINED THIS <br /> UV��4'Uc-Ft�/YYILI.�f��[� OMA O , APPUCATION AND KNOW THE SAMB 70 BE TRUE AND CARREC7.ALL <br /> IEC.�IUk''cmrn nrvanovar�cwowrt¢E�owonerrncNcouqcoptEs� � PAOVISIONS OF LAWS AND ORDINANCES GOVERNINCi TNIS TYPE OF <br /> ��T,�� _ e�aK pF WORK WILL BE COMPLETED WITM WHETHER SPEC�fIED HEREIN Ofi <br /> ,�I •• - NOT, THE GRANTIN� OF A PERMIT DOES NOT PRESUMC TO GIVE <br /> �.�I:�CLm I�C.LF J�,..G��K ��, ,� 2_ AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> ��� OTHEH STATE OR LOCnL LAW REGULATING CONSTRUCTION OR THE <br /> �/�Ln��- PERFORMANCE OF CONSTRUC7'ION.THAT I AM AUTHORIZEO BY THE <br /> o�� OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICN <br /> ' ' APPLICATION IS MqDE AND I COMPLY WITH 1H`c S7ATE <br /> �a�'G //�' �CONTRACTORS LAW iB27 RCW AND 286200 WAC. <br /> --... {Z' <br /> PY.JJ:LI A77I1CSR • • ixiCMM���� / NTf -- <br /> 5Co�7 %a✓kVi�/1�r�� Eve✓G�i} 8'c?23 oass5co . __ ..-- <br /> Glt YUIWfIL�11�INlf.N0. <br /> PLUM1iBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE ND. TYPE OF EOUIPMENT � FEE <br /> WaTER CLOSET fT01LET) � A/C--.AhIN�LQ UNITS—H.P. , <br /> L BATHI�UB ; � �_ FORCEOAIRSYSTEMS—B.i,U, M E.A. �� � <br /> Lr�vnTORY�hvaSH BASIN) i UNIT HEATERS—B,T.U, M � � <br /> � ��SHO�'JER ��� � CLOTHESDRYERS <br /> -.. .. : <br /> KITCNEN SINK d DISP � i / VENTILA710N FAN <br /> � DISMWnSHEFi � � RANGEHOOD �— <br /> LAUNDRYiRAY � � �� — " , ' <br /> , WATER HEATER <br /> • CLOTHES WASHEq —� � � WOOD STOVE � � � ' <br /> - _... . � <br /> URINAI. � METAI FIREPLAL"E d CHIMNEY —�,�— <br /> DRIhKiNG FOUNTAIN� ti FIREPLACE INSERT ; � <br /> FLOOA�DRAIN � HEATPUMP � ����—�— <br /> BACKFLOW PREVENTERS� � QAS PIPING • � <br /> � <br /> fi00F DRAINS—RAINLEADEPS� � EXHAUST FAN �� � T— <br /> _ i <br /> SINK(SERVICE—BAR,ETC.) ; � ' — i <br /> •�• . .. <br /> . ._. .. _. . � <br /> � <br /> ... »..� .._ <br /> -- ... __ • —.... ' <br /> '" � • � <br /> _ i )� <br /> .. <br /> � • <br /> _„ SUBTOTAL S ; � SUBTOTA4 5 �(�� _ <br /> _. PERMIT S _ � � PERMIT 5 � <br /> TOTALFEE S � � 70TALFEE S � <br /> �R OFFICE USE ONLY; ' <br /> ?'1TifiNA�K fICA4SGTRLCX� SIOCSCTGA�K pWlGIICCKHIIIAOFR 1'LG NFCh1Y N . <br /> _.�O ' I �._ J`^�, ' �� � <br /> :¢w+c iot ente�� vecaNl siTe 'FEES VALUATION FEE ""'�/ <br /> 2 � OUIL�ING .. ��.. __ _��� <br /> 'crcours.uitrxis�t txrtorcnHst�cttut xcwWcr �nvr.Kiuw;uxn� - •• � <br /> _�n( �� ��� � � NLUMUING � <br /> '227�y SF t NO.nf5i0A�F5 DASFA1GM , <br /> �l98 J."[;,I[ oi• MFciinNica� /��j I <br /> uonhcriaU fw[SopriKiFq6PE�U MEq11TlIUITATION� ADDITIONAI.PLANCH�CK � <br /> /J n No 8 / � <br /> wnron rawK�ca6 SFA{WKkEfl ' � � (� ; __ <br /> STA7E BUILDINp SUflCHARGE ; L� <br /> Rsar � riivsnonfc1y�cner 'CITYOFEVERE7T runucwoaHs � i <br /> ��I� LOCAL SALES ' <br /> S 7 43 TaX GOOE IS 3105 totR� ��c� �� <br />