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FROM�EUERETT BUILDING DEPTir� T0� 2066433.i5 � 17, 1992 2�13PM ii412 P.02 <br /> APPLICATION FOR CONSTRUCTION PERMIT ��� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEATINQ SYSTEM: U OAS (,J ELECTRIC U__ �� <br /> 259•B810 <br /> I I DEMOLITION I I COMBINATION BUILDINQ l 1 MECNANICAL I I PLUMBING i I SIGN <br /> E�� I������-UUC� ��oD7 ��a� <br /> TFNMIT ��ooness artr zr v�qyE <br /> ANCNRFGI0NDC910NCIi MAIADWIl98 CIIY p► ry� . . <br /> OBN[MLr�Ion� ..� MA0.AODR[6G CITY LP PiOi! BTAiil.qlM6� .~ <br /> �Qa-�v�-.�.�e � � �� --�Z� <br /> cal7Meinn IMI�AUIM[yS cltr 2�M rnoNc stAi[LICCNiE� <br /> iLUMbMUCONTphCTOa MAIIAbDi1[a7 C17Y ZIP hMON[ � BTAIeuC[N9FI '— <br /> GI M6 O'M'OnK ' ` <br /> � NEW I I ApDITION I I ALTERATION I I REPAIR . I I DEMOLITION I I WOODSTOVEIFRPL INSERT I I BUILDINO RELOCATION <br /> CONiACT VEH60N AND PI IONF N0. <br /> �,F�t�.,,� � S3� . . ai ���tr�rns l� -2�?� EXi- 14Z <br /> cnc�nF wauc�sw�nc rooTncc iwira vFo <br /> NP�N CU.f'�il'I,IG#lOh ... . <br /> 5���� oux aiun + / �/� P 1 MEREBY CERTIFY THAT I HAVE qEAD AND EXAMINED THIS <br /> ��,(�V Yl.i����l/ APPUCATION AND KNOW THE SAME 70 BE TRUE AND CARRECT.ALL <br /> LEWL IUI`7K7NnrvROvtPTY(6HOWNBEIOY/U11Ai7ACNFOVqCAPIES� PROVI910NSOFlAWSANDORDINANCESGOVERNINQ7HISTYPEOF <br /> WORK WILL BE COMPLETED WITH NMETHER 6PECIFIED HEREIN OR <br /> �oT,�_, e�oac oc -.. NOT. TTiE aFiANTINO OF A PERMIT DOE8 NOT PRESUME TO(i1VE <br /> ',n'^��t�� AUTHORITY TO VIOLATE OR CANCEL TNE PROVISIONS OF ANV <br /> 4 Y/11 Y/� OTMER 8TATE OR LOCAL LAW pEGULATINa CONSTAUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZEO BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> ' ' • � � APPLICATION 16 MADE AND I COMPLY WITH 7HE STA7E <br /> __ _ . � � /G, ` CONTRACTORS LAW 182'J RCW AND 288200 WAC. <br /> aa o x � � o1 � .�� <br /> �h0�JA0D(1[17� � CWN1W OdCCS� _NT! '•'— <br /> l/I �p'�3 s� <br /> f IG d■9'� ai..wwriui' �a <br /> PLUMBINO MECIiANICAL <br /> NO. TYPE OF flXTUR!OR ITEM FEE NO. TYPE OF lGUIPMENT PEE <br /> WATER CLOSET OILETJ � � A/C--AhiND4Q UNITS—H.P. � <br /> � BATHI'UB � � � • FORCEO AIR SY&TEM�B.T.U. M E.A. � ; <br /> IAVATORI'(WA$H BA$IN) � i T UNIT HEATERS—B.T.U� M ; <br /> �SHOWER i � � CLOTHESDRYERS � � <br /> � KITCHEN SINK 8 DISP i � VENTILA710N FAN ' <br /> DISHWASHER i � 7 � RANOE HOOD �— <br /> LAUNDRYTfiAY � � WATERHEATER ' <br /> CLOTHESWASHER ��� WOODSTOVE ��— <br /> URINAL ' METAL FIREPLqCE�CHIMNEV � — <br /> bRINKIN6 FOUNTAIN � FIREPUCE IN6ERT ' <br /> i <br /> FLOORDRAIN � HEATPUMP r <br /> � BACKFLOW PREVENTERS i CiAS PIPINO ' �_ <br /> ROOF DRAINS—FiAINLEAOERS � EXHAU6T FAN � � <br /> SINK SEFIVICE—BAR,ETC. � ��— <br /> .�. . ; .. <br /> ._ .. _. . - _..� .._ <br /> � � _ <br /> —' " " � �. . <br /> i <br /> . _. . „ _�_ <br /> i� � . <br /> SUBTO7AL f ; SUBTOTAL S ' ^ <br /> PERMIT f � PERMR { � � <br /> TOTAL FEE S ' TCTAL FEE _ � <br /> FOR OFFICE USE ONLY: <br /> fi10NTSfy�1O IICARRGiMfJfO SIDCLGiOACK �UWWIC�O 'H� 1'L!�(O� /7 NtCk�7/J0 <br /> G Z 3 �; <br /> USk��� tOt�� �� ` vACANtStTe � � ififi8 VALUATIDN FEE <br /> BUILDINp 7 i — <br /> %ri'tOfCOMTi.YIOWAIIf 1tMG I./�GIULL KMKr �opnwlllMKUMItt • .... - <br /> � <br /> ,I_Ar \�— V PLUMBINO �� <br /> ��� v � <br /> 3ivara no.orerOn�F6 ��cM MF.CHANICAL U i <br /> f?ISF�-.� . L ��-• � <br /> JI!��lOAU fW[CVRKK�FN6PEOb NeiCJRtwI7A710N -- ADDITIO�AI.PLANqi�CK � <br /> 1k BPNMKIFRB �"A"*�� d � /O�—'�— <br /> 6TATE BUILOINO SURCMAROE L���6 <br /> vrn�er - riu+snvnapvcpsv CITYOFEVERETT runucwoaue � ; — <br /> Jµ LOCAL 6ALES <br /> � 3o gZ TAX GODE IS 3105 tot�� ��� <br />