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i <br /> F�OM�EVEFcTT BUILDING D�oT TO• 2066433475 7PN 17� 1992 2�1:PM ii412 P.�2 <br /> � , <br /> c <br /> �° APPLI�ATIOM FOR CONSTRUCTIOPI PERMIT �1�� <br /> C TO BE COMPLETED IN BLACK INK-PLE/\SE PRINT <br /> p� x BUILDING DEPARTMENT HEATING sv57EM: U Gns U eLEC7RIC U_� _— . � <br /> � y Cn 259•8810 <br /> H � � I I DEMOLITION I I COMBINA710N BUILDING l 1 MECtiANICAL I 1 PLUMBING I I SIGN <br /> K n Eq hu� oon[rs c�' ziv PHONt <br /> y � �� ; ; r :a ��1� ��-I_1�:GI ��1 �-� �I�,��ae ��zx� ��� -���7�� <br /> � F.�.{ � TFN�NT MARMOfICSS Cltt LP VIIpNE <br /> y y �[-i'� _ . <br /> � `ro. $ ARGHITFC1UNUe9mhCf1 MNIhUUNE55 CI1Y LP MIONF <br /> y d , <br /> ��"� OBNEMLCOMR�C7pN MAILMOP[S6 CITY P- PNOHO SIDTF.IICBHSCI <br /> ��g 11�LL�11_1L1:(� lLl�lt(�l �I"t�Gl . ' I ,VUI� �1�zx�� (-�,'I—?�. <br /> 17� O MFCHANIU CQVTpACTON MARAUUfll59 CIIY 21M PHUHG 61ATE4CCN6F1 <br /> .�y y�i PLUMtlINL'COf1TMCi(ui MAILAUDIIEd9 CIIY ZIP MHONC � 67AlttIC[NVI <br /> t-� H .. <br /> y ca�65o'wonK <br /> C] rJ N I� NEW I I APDITION I I ALTERATION I I REPAIR I I DEMOLITION I I WOODSTOVFJFRPL INSEHT I I BUILDINO RELOCATION <br /> � � �', , _ . cor+rn�IT��orii�.�//�'{ �-�� <br /> H Cn <br /> CPVTRAGI PNICF UF W011N �� �� `"� ' � �� �� <br /> 1-3 Q [q O ROFWORKANUSOWnV iAGCINVpVFU <br /> �` ' C�{'�;�1LIG�1 JI'1 . <br /> �PMowseouscar unnwn �I , � I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> /J}�1/1'I r APPLICATION PND KNOW THE SAME 70 BE TRUE AND CORREC7.ALL <br /> '- '' � � � raOVISI0N5 QF 11+wS AND OROINANCES GOVERNINC 7HI5 7YPE OF <br /> LEWLU65CIIIPI1UNOfVPO�FP iFNOwNeE�vwunnTrncuvouRCAPiES� yyORK WILL BE COMPLETED W�7H WHETHER SPECIFIED HEftEIN OR <br /> �07 r� BLP'.N Oc _ ... NOT.THE GRANTINQ OF A PERMIT DOES NOT PFiESUM[ TO GIVE <br /> , , _ ��_, /.�1� AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> I-I/dINAVIYr) OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> -4��'-L'� � ' PERFORMANCE OF CONSTRUC710N.THAT I A'�AUTHORIZED BY THE <br /> OWNER OF THI$ PROPERTY TO PE �FORM THE WORK FOR WHICH <br /> _. �— APPLICATION IS MAPE AND I COMPLY WITH 7HE STATE <br /> � // � CONTFACTORS LAW 182�RCW AND 296200 WAC. <br /> �1 c'�' � cr - <br /> -- - - x �,�,- �^ �s.�.�-t�v..�� °I I �t a <br /> PNOJFII�ODPCSS � � ,/ f4NA1VPi Op�SSS�__Nr�•..—_ . <br /> '_' �In`� �'�� �� 3 ����U/E-G� L./�/ turu�nornnitruytuo � —� "— <br /> PLUMBING MECHANICAL <br /> AO. TYPE OP FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> '�I WATER CLOSET�TOILET) d �- A1C--AMNOLG UNIiS-H.P. , � <br /> BATHYUB 7 '- ' FORCED AIR SYSTEMS-B.7.U. M E.A. _ ; <br /> � <br /> ! ' � LAVATCRY(WASH^ .SIN) 3 / i�^ UNI7 HEATERS-B,T.U. M � __ <br /> ' SHOWER 3 <br /> �- CLOTHES DRYERS ! <br /> 1� � KITCHEN SINK 8 DISP i VENTILATION FAN , �_ <br /> �_ DISHWASHER � RANGE HOOD � _ <br /> ' 1 LAUNDRYTRAY � ; WATERNEATER , , , � <br /> r CLOTHES WASHER —T- WOOb CiTOVE . ��_ <br /> •�I URINAL ' _I . METAL FIREPLACE fl CHIMNEV O ' � <br /> DR�NKING FOUNTAIN i FIREPLAGE INSERT �,,.,�_ <br /> I .. . � �i _ H�AT PUMP _ . <br /> FLOOR pRAIN <br /> Y BACKFLOW PREVENTER5 ; GAS PIPING . . . . <br /> � ^Fi00F DRAINS-RAINLEADERS ! 3 E%HAUST FAN -� <br /> � <br /> SINK(SEflVICE-BAR,ETC.) � . � <br /> ' . ._ .. ... . -.i. — Go i_ <br /> � � . <br /> � � <br /> ' _ _ ' .. � <br /> � _ � ---�- <br /> , . �•"^`-• . <br /> � <br /> � SUB lOTAL 5 �� S118 TOTAL 5 O "- <br /> 1�' _.. PERMIT 5 . ..� PEflMIT 5• .. i ... <br /> � TOTAL FEE S <br /> i 70TALFEE 5 ' <br /> FOR OFFICE USE ONLY: <br /> >lIONTSPTPACK OC�PFFTP�fX SIOClLTGA�N PLNICIICGKNIIMOEq !!G flhCtIY1NO. /� <br /> Zp� o� � I ,i J / 3S/. 3�-L 7�/%�J <br /> a5t z � l01 nnte Vecuil Sne � F@ES VALUATION FEE � <br /> —Z _ '7��Z- `�E nw�oiNo �7�f37 _ Ss�c � �c� <br /> ario�coxrs.anowAett irrrorcnNsi.ecmu occw.+n rnvnw�wc:uxm • �-� ' � v� <br /> �_� __ �_�`I f� ' I F'LUMBING _ ��J_� <br /> ;¢eoroin0 no.t�rsToniFs 0/SEMFNf MF.CINNICAL %D ' �� <br /> 1521 S'r+ .... • � <br /> �iZ S6 GA0.. � �`�� <br /> )CGUVNICYlO�U I'1t1C5opNRIFq6PE0U NeK�ii�wiiATION AODITIONAI.PLANCHHCK i <br /> � <br /> _._L,la N o � -�aam�ccEnc.c �<i n T. , i D a o <br /> hh50N F00 SPRWKI FR6 �S'� <br /> 6TATE BUILOINO SURCMARGE y ; <br /> VTAeE6Y riiu+snanacrvvner CITYOFEVERETT PUPIICWORK6 'r �� � <br /> � <br /> LOCALSALES <br /> J � �o%/�Z TAX GODE IS 3105 YOTAL );S ;� <br />