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FROP1'EU�TT BUILDING DEPT T0� 206643347$ 7qN 17, 1992 2�13PM p412 P.82 <br /> i"� <br /> APPLICATIa�N FOR CONSTRUCI'ION PERMIT <br /> TO BE COMPLETED IN BLACK INK—PLEASE pRINT �\��� <br /> BUILpING DEPARTMENT HEATING SYS7EM: 1.)OAS U ELECTRIC U_„ � <br /> 259•BB70 <br /> I I DEMOLITION I I COMBINATION I 'I BUILDINQ 11MECHANICAL <br /> EN ^ �,�R�� �m I I PLUMBING I I SIGN <br /> IIP <br /> �-r�o�-`L . � t � • i r�� � � 't'��cd r=�l'C�c a% � 9 c: P zc, �, � � <br /> TFNANT (� ' �ua�ooncss � "���23.� <br /> nr vupNE �— <br /> � NRFCI(�N btltONC11 y����p��y.g � . <br /> CIIY 21� PIIONF <br /> �GLf,t� Lf 7 G7�7J't-G'!/ <br /> OCNEMLCONiV�(',TOq j,�µ�ppRC6C <br /> CITY PHOH� <br /> s�, T� _– .L� mU` � 21P BTATFI.1(�'lNSCI � <br /> s' v r. /yL <br /> MFcwwroacorrtn�cion ��uunenn • . - (`-G�L-L� '/y►`/�.7�'/V� <br /> cnr ar rnoric - ---- <br /> � 61AT!LICCN$F� <br /> PLUMbMtiCOfliN�CT(M � MALAUGIIl9! <br /> CI1Y 21P �M�—� ._ <br /> BiA!4C[N9F/ <br /> �G BSb'WDpK . <br /> NEw I I ApDITION I I nLTEanTION I I REPAiq I I DEMOL�710N I I WOODSTOVE/FRPL INSERT I 1 BUILDINp RELOCATION <br /> . •�--_,. . . <br /> CGNT��T VER60N AND�I IONF HO <br /> oa+rw�ci rHuce w�wonu 7l �-�i7i. l�ll `��.�G` � <br /> ocx.nmFwowcu+usouAneromncc rrvavFo . . � � �—G�/r ` � lf5!� 1_3�� <br /> �2�Yu C-Si�ii,*� 222��a,Y� �,r�S� .. <br /> rqowsco usc a ouanwa �'-'�--7-`-- . <br /> ' _ ��c �� /!'Z , , . i HEREBY CERTIFY THAT 1 MAyE READ AND EXAMINED THIS <br /> �� �� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> ieawu CIII�71UN/X VIIppFRTV ge�ovyunnrrncHcqrpcopiEy� PHOVISIONS OF LAWS AND ORDINANCES GOVERNINQ THIS 7YPE OF <br /> ��*��_. s�oqc � p��,� .' i �����a WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEHEIN OR <br /> NOT. THE ORANTINO OF A PERMIT DOES NOT pRESUMC TO 61VE <br /> AUTHOqITY TO VIOLqTE OR CANCEL THE PROVI$IONS Of ANY <br /> , OTHER STATE OR LOCAL LqW pEGULATINO CONSTqUCT10N OR 7HE <br /> �j`� • .� �/� PERFORMANCE OF CONSTRUCTION.TMAT I qM AUTHORIZED BY THE <br /> �'7 OWNER OF THI$ PROPERTY TO PERFORM THE WORK FOR WHICH <br /> ' APPLICATION IS MqpE AND I COMPLY WITH 1HE STATE <br /> �� _ �GL�( ���P�_ �CONTRqCTORS LAW 1827 RCW/1ND 286200 WAC. <br /> - Ph0.1kC1AGWICRA � . . x� !L .i.�-��-�'���rL<c.i� �U'Z? '%_3 <br /> ` '/- ` /J� S_ NTI <br /> ' � � �1�i' .l(.L E✓(J � 7� �J ��D;j anwwwa�irua.yp . - •..-- <br /> , PWMBINO MECHANICAL <br /> � NO. TYPE OF FlXTURE OR ITEM FEE NO. TYV�OF EpUIPMENT <br /> , , WA�R CLOSET OILEn FEE <br /> ' A/C-�AMNOLQ UNITS-H.P. <br /> BATHIUB ��- ' , . . , � <br /> �_�„ FORCED AIR SYSTEMS-B.i.U. M E.A. ; <br /> LAVATORY(NMgH BA$IN) UNIT HEATER9-B,T.U. M � <br /> / �&HOWER ��� � CLOTHE8 DRYERS � — <br /> KITCHEN SINK 8 DISP � � VENTILATION FAN �� " � <br /> _� DISHWASHER ��� RAN6E HODD �- �-- <br /> � LAUNDqYT11AY ' / WATERHEqTER � <br /> �. CLOTMES WASHEq � WpOp STOVE ` ' '� <br /> URINAL " � <br /> ' - ' METAL FIREPLqCE d CHIMNEV , �� <br /> DRINKINCi FOUNTAIN� ti �� FIREPLACE IN6ERT " � <br /> .. FLOOR-DRqIN � HEATPUMP ' ....T-- <br /> BACKFLOW pf1EVENT�R3 ; � QAS PIPIN6 � <br /> +ROOF DMIN9-RAINLEADERS �� � <br /> —' ' � EXMAU6T FAN ' T- <br /> 81NK SEflVICE-BAR,@TC. � • <br /> .j. , — <br /> - . . � 'O,'�;J <br /> -- .. __ � .. ., <br /> � <br /> � <br /> � • . . <br /> • _. . � . � <br /> � <br /> � •• —T— <br /> .. BUBTOTAL f � SUBTOTAL S //O ; D <br /> -'• PERMIT S � PERMR 6•.. <br /> TOTq1.FEE S ' � 70TAlFEE = i �� <br /> FOR OFFICE USE QNLY: <br /> `110NTSMIII�K IICARFGiRA�1f .. . <br /> � � � SIO[iiTYAGK ('�IWGICCN IIMBE� fG! <br /> RFCkP1N0. <br /> :JSt 2UNC _ p � B VACANI SR! . , � <br /> ,�Z �� v ��s ^ VALUATION FEE <br /> r <br /> m�ac�xra.uiow�eu IYMOfCGNST.�CTWI BUILDMO . .... 'Z 2 _ 5� . D!� <br /> OCCUMMq M10tafi.'M4lMII1 <br /> � - """"°�"° i vo <br /> ;Zof �n �� Ho.dfBTOpFB �s'�,��r MFcwwicu. � •- . . <br /> s r�0'1;e� //O f o0 <br /> �°��C'/�GU� rvl[toamaFA6RE0U neqi�itwtTA71pN — ADDRIONAI,pLANCNflCK � <br /> A �((v ? /D �,DD <br /> �k�80N r011 YVpNq FRg BPRINKLER � <br /> � _ BTATE BUILDINp SURCHAR6E �S J <br /> �TAK6BY _ 1'UWS�.nppycuer CITYOFEVERETT "�� '� � <br /> ��� LOCAL SALES �'UflLIC WORK6 .�;�� r�� <br /> e Z 3 TAx COUE 15 9105 mr�� r; � <br /> `�d" I S�� <br />