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FROr1°EUERETT HUILDI� DEPT T0� 20E64334'75 ]RN 17, 1992 2:13PM p412 P.02 <br /> � �-. <br /> APPLICATi.�N FOR COP[STRUC � ION PERMIT <br /> TO BE COMPLETED IN BLqCK INK—PLEASE PRINT �\��7_'" <br /> BUILDING DEPARTMENT HEATING sYSTEM: as I�ELECTRIC IJ -1 <br /> 259•8810 ---J <br /> I I DEMOLITION I I COMBINATION UILDING t 1 MECHANICAL 1 I PLUMBING I I SIGN <br /> OWHEN Mnti�ootur,8 cm ziv 7HOnt - <br /> � n .rr�c� iuu�o �c���l u q8co� c�y�t-a3a3 <br /> TFNIINT MAILAODIIl6S CITY LP VIIpNE <br /> nnf.HrtFCT ON Ue9mN[n MAK AUbqlyS CItY 21r " • <br /> C��ry�� /\ � n �^, ^^ MIONF <br /> nl.ulJ, IA lA.��)�(Y <br /> O!H[MLCOHfp/�()TQR MA6ADDpCSS CITY 21P PHONE � . <br /> �-�L1..J�Lrl.. �/�-�OV� 9TATF.I.1CCNSCt <br /> MFCMANIOALCONTMGTOR e.uK�uuneys � �—q�r " x,p rnorrc ���4?PN <br /> 61�T[LICCNSF� <br /> PLUMBMGCONTphCTpH MAM.AUDIIl99 CI7V ZIP fMON[ '� <br /> 6TA1[LIC[NV� <br /> G�BSOrwonR �� .. _ <br /> NEW I I ApDIT10N I I ALTERATION �I i RE�PAIRf,L I I DE LITION I I WOO�STOVFJFRPL INSERT I I BUILDINO RELOCATION <br /> � LSFL CinEA60NANDP�1 FNO. <br /> �,�,�to.,� , o. op 9� �1/r? �nra� � �-a ►�2mn .. (pL��-I-��a3 <br /> �oc�cnp� utuso�w�n�e Loorneci'ivavFn ' - <br /> �'i`ULTI O F'1 1�1�15.���fi2 <br /> rNur�raeouecor �owc+ I MEREBY CERTIFY THAT I HAVE REAb AND EXAMINED THIS <br /> C� APPLICATION AND KNOW T11E SAM6 70 BE TRUE AND COARBCT.ALL <br /> iewi. mr�wnor vacwbnrv eE�owon�rrncu coup oppiga� ' PROVISIONS OF LAWS AND OHDINANCE5 GOVERNINQ TMiS TYPE OF <br /> i�T�__ eL� � WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ••• NOT. THE ORANTINO OF A PERMIT DOES NOT pRE5UM6 TO OIVE <br /> ,n n Inr,n/�I� AUTHORITY TO VIOLATE OR CANCEL TME PROVI310NS OF ANV <br /> 1._4Vl�J Vv L � OTMER STATE OR LOCAL LqW REGULATIN�CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.TNAT I AM AUTHORI2ED BY THE <br /> ��� OWNER OF TNI9 PROPERTY TO PERFORM THE WORK FOR WHICN <br /> APPLICATION IS MApE AND I COMPLY WITH 1HE STATE <br /> �CONTRACTORS LAW 16.27 RCW AND 296200 WAC. <br /> �,3a . Pa�-�v �e� 1.�msz, x ' C � <br /> PNOlEC1l10DI1CAA � bl7iutM� � QOS J�Jl1/ 1uTf •..� <br /> Gi�W1MM�i0� .NO. � ' '�� <br /> . PLUM91N0 MECHANICAL <br /> NO. 1'TpE OF flXTURE OR ITEM FE� NO. TYpE OP EOUIPMENT FE8 <br /> , ,� WATER CLOSET(TOILEn _ � AIC--IUHNDGQ UNITS—H.P. , <br /> BATHIU9 ; • FORCED AIR SY6TEMS—B,T,U. M E.A. � � <br /> . LAVATORY(N/ASH BASINI i ^ UNIT HEATER9—B.T.U. M � ' <br /> �SHOWER � � CLOTHE8 DRYERS , ' '— <br /> KITCNEN SINK 8 DISP � � - �• • <br /> � VENTILA710N FAN � <br /> � DISMWASHER � � RANDE HOOD �— <br /> LAUNDRY TMY � WATER HEATER �_ <br /> �_ CLOTHES WASHEq _ �— ' � yyppb STOVE ' � <br /> _ _ URINAL � METAL FIREPLqCE d CHIMNC•Y �— <br /> DRINKiN�FOUNTAIN� ti_ FIREPLACE IN6ERT � � <br /> .. FLOORDRAIN � HEATPUMP ' ..`T— <br /> BACKFLOW PREVENTERS ; GAS PIPING • � <br /> ROOF DRAIN3—RAINLEADERS� '' � � - ' <br /> — � EXHAU6T FAN T— <br /> $�NK SEHVICE—BAR,ETC. � ' � <br /> �i• . .. <br /> . � � <br /> ._ . ... � <br /> � .. _..� .'— <br /> -- •• -- � <br /> • -. . i � <br /> ...,, ��� <br /> � <br /> , SUB TOTAL S � SUe TOTAL S � � <br /> _. PERMIT f PERMIT 5 � <br /> TOTA4FEE S ' TOTALFEE S � <br /> FOR OFFICE USE ONLY: �/,�9 ,�� _. �y <br /> •n0eii��Cx � n[nafiernaCx sm[se�wcu �rvaiert oen G RLCkIr rro. <br /> 2o zo S y�a 9 0 .�� /ys3 <br /> uSk zcx+ LOl� �� VACiW1 ene � Ffi86 VALUATIDN FEE <br /> -L o % <br /> Bl11LDINQ 3 6z �C- /��O .C/ <br /> rr! COMti.AllOWMlt 1 a�C](I'NS7.�Cil4L ouu..cr r�nnwiiiwcvxn� . .. ! f� <br /> �- -IL—� .=f I fKUMBING _ . �1[/i <br /> VT_ <br /> 't2C�Cf/101fq NO.()fRTORIpB OKiNiM ^� �O I,1 <br /> 23Y3 Sf _. Z O MF.CHANICAL U; <br /> � <br /> Y..CLPnNCVt IW[CVRMnFq6RE0U ML'qIRLWI7A�lON ADDITIONAI.PLANCNflCK ---� <br /> ♦ �" � <br /> �t�8011F011 MKIFPB �v Fn�^ '^� . I(/.� <br /> .. ' i'_"_� <br /> 6TATE BUILDINO 6UHCHAROE � <br /> 'iTARiBY _1 riiu,s�v���,er CITYOFEVERETT PUPIICWORNS _._... _� � � <br /> IJ kt LOCAL SALES ' <br /> 5����Y3 r�x cooE ts s�os tor�� ; <br /> � <br />