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� <br /> FROM�EUERETT HIJILDI!rG DEPT.-. T0� 2066433475 T9d 17� 1992 2�13PM N412 P.02 <br /> APPLICATION FOR CONSTRUCTION PERMIT �y�� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILpINu DEPARTMENT HBATING SYSTEM: U QAS V ELECTRIC U_ �� <br /> 259•8J10 <br /> I I DEMOLITION I I COMBINATION BUILDINO l 1 MECHANICAL I I PLUMBINO I I 31GN <br /> N MM�ooA[RB cm :w <br /> Ti„�, •.---�P�i �d R�1 P�IIrv(,It' �T�U7 b44-Z�Z� <br /> mn nr wroHE <br /> N�CMRFCTONUCbI0NC11 M�Kw�Ml59 CIIY 21� MIfM1F ' . <br /> 'W � TW� ADDP[ GTY LP PH N! BTATFI.ICCN!¢1 <br /> �__�1�C1�Af�" I� ) ,I.-R� P.cl . Lt;IIGV , �f '0_ 7 /�- -?�2.� <br /> ►�cwwaKoaRnncnr+ wuwuneas Gir ar rnoxc suTeuecwsF� <br /> ►we�umacartw�cra+ .'" wuwonesa utr zw rnac ' euieuccHsc� •— <br /> G�660rWonK � . • � <br /> pQ NEW I I ApDIT10N I I ALTERATION I I REPAIq I I DEMOLITION I I WOpD9TOVE/FRPL IN6EHT I I BUILDINO RELOCATION <br /> � �� ca�T�crveN6oNAwMwrsNO. ���/ ,/ <br /> WMTMCTWuO�'OfW011N y+-f.,�, /�'. ��_I. /�7?�.-f-���Z <br /> 4•-��'I��� ._.f'— <br /> � 1,�1 I UrU��{�avfo " ,J <br /> ��u�� �� a��"� yp� � I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> ��j�_ I(�C��,� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREC7,ALL <br /> t[ow nrnou ar nrv�pNm gEwwon�ttncw coup cowes� ' PROVISIONS OF LAWS AND ORDINANCES CiOVERNINO tH15 TYPE OF <br /> �or 5 > _, s�oac pc WORK WILL BE COMPLET�D WITH WNETHER SPECIFIED MEREIN OR <br /> -•• NOT. THE 0 UNTINQ OF A PERMIT DOEB NOT pRESUMC TO OIVE <br /> L1 n�nillir,�-nJ/ � AUTHORITI TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> �unr �1Y11.c�Ji� OTHER 8TATE OR LOCAL U1W REGULATIN�CONSTRUCTION OR 7NE <br /> PEHFORMANCE OF CONBTRUCTION.iHAT I AM AUTHORIZEO BY TME <br /> OWNER OF THI9 PROPEfiTY TO PEHFORM THE WORK FOR WHICH <br /> ' ' ' /� i' • APPLICATION IS MADE AND 1 COMPLY WITH 7HE STATE <br /> —_ _� Q CONTiiACTOR3 LAW 1827 RCW AND 2PB200 WAC. <br /> ��„��� � � �„�. ���� qlLLa <br /> a,..��, � - ..-- <br /> PLUMYINO MECHANICAL <br /> NO. TYPE OF flIRURE OR IT6M FEE NO. TYPE OPlOUIPMENT FE8 <br /> WATER CLOSET OILEn _ � IVG-AlHNDU�UNRS—M.P. , <br /> BATHlt18 � • � FORCED AIR&Y6iEM5-8,7,U. M E.A. � T— <br /> UVATOR7�(WASHBASIN� � � UNITHEATERS—B,T.U. M � � ; <br /> �SNOWER � CLOTHE8 DRYERS —�. � <br /> � K1ICHEN SINK 6 DISP _ � VENTILA710N FAN �� ; <br /> OISHWASMEFi ... . ��.. RANOEHOOD T— <br /> LAUNDqYTMY � � WATERHE/1TER � <br /> CLOTMES WASHER � WOOb STOVE � � ��- <br /> i <br /> _ URINAL � � � METAL FIHEPLACE d CHIMNC•V �— <br /> DRINKINO FOUNTAiN� � FIREPLACE IN6ERT � ; '� <br /> FLOORpRAIN � HEATPUMP � �����— <br /> BACKFLOW PREVENTERS � pAS PIPINO ' ' <br /> _ ROOF DRAIN9—FiAINLEADERS i E%HAU6T FAN � � � �— <br /> 31NK SEHVICE—BAR,ETC. i � i ` <br /> ' <br /> _ .. . . _ .� ,_ <br /> i � <br /> _. .. '- • • . <br /> . _. . � � <br /> '��. _ _T� <br /> I <br /> „ SUB TOTAL S � SUB TOTA4 S � — <br /> -'• PEHMIT � � PEHMR � .. � ... <br /> TOTALFEE S �— 70TAlFEE � � <br /> FOR OFFICE USE ONLY: <br /> �IqNTYRRIiGC IICARSi7Mpf f10CKTW�C1( MiWGICCNNI R !L! HkCkirira. <br /> —�' 70'._ ' ��7 ���� 3�3. a �yi3� <br /> USkz-S��7e_ LUl�� v� s�Te � Ffifi6 VALWRION FEE <br /> •` BULLDINp _� � — <br /> irtacartc.uiowuu irrc-o�r7ca�xsi. uu ouwwcr r�nn.n�wcwn� . .... . <br /> _�-/J Y-"h� . I VLUMB�N� � <br /> � <br /> i — <br /> 31QOZ/LMf10 _ NO.f7f8TpRIF9 OKiMGM MF.CWINICAI. i <br /> Z49�df GI�t Z /((D .._ . " —�}— <br /> 7CW►ANCVL �W[CopraaFq6RE01! H[�61RL �TA710N ADDITqNAI.PLANqiBdf � <br /> ♦ / <br /> Ik�N011 CPNNqFR$ �, ���� � `.D � <br /> _.�... ..--LIYLLL <br /> BTATE BUILDINO&URCHAROE <br /> vrniaar " rii�iisnnvaovcaer CITYOFEVERETT punLICWORus � � <br /> LOCAL SALES <br /> N �� �2 TAX CODE IS 5105 tor�� � - <br /> . �.. <br />