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^ <br /> FROM�EUERETT BUILDING D9'�1 TOj 2666433475 rV 17r 1992 2�13PM J7432 P.92 <br /> �� '����APPLICATION FOR CONSTRUCTIOI►� pERMIT <br /> 7953-OOD 'OOY —���TO BE COMPLETED IN BLACK INK—PLEAS� PRINT �\�i�� <br /> • BUILOING DEPARTMENT HEATING SYSTEM: J�(3AS U ELECTRIC IJ_ _� <br /> 259•8810 <br /> I I DEMOLITION I,i COMBINATION BUILDINQ I 1 MECF;ANICAL I I PLUMBING i I SIGN <br /> ONTlEH MAM1ADDRCFS �,/d�� CRY ,'/� SIv PGHONt u' 1 �7 2 � <br /> TFN�Ni. � M/11L11CD��ID(�/l.C!/L�O LX���/�(.(..�,. I/� /�OD7 Iy�/ �/�✓�.� <br /> om � vuONE <br /> , �AGMITFCIONUBJIONCII MAkAUUMl93 CflY L� - M�NF ' <br /> OCNfM1.COHfRM,iOp M.LLADDRCii CI}y. L► PHON! �UTFI,ICCNlCI <br /> �'� �r • Co N / P ` <br /> uFcwwroKeorniucrnn �Nwncxx air - rar rnorn CIATCLICCN�� <br /> PIUMYWOCONTMCTf7R AIAILAUDIIl97 � C11Y 2P fMONC � BTAIlUCCN9F/ /� <br /> A 6.ipWC11K � ` X�� <br /> V <br /> �NEw I I ADDITION I I ALTERATION I I REPAIq 1 I bEMpLIT10N � I I WOOD9TOVE/FRPL INSERT I I BUILDINO RELOCATION <br /> ,y�r4� �1 PEN60N ANu P�WHF NO <br /> Cp,iMGT PNICr UF woNt W 7!/.�UO.�D 1���(i'%�(r �C l.' ��'p�tjr� �(.�,i.v V I W <br /> DC3QRIqFWO CANI150UMC1007�GC�Vpp ' <br /> � ' -7 O <br /> P aeouscorourtown � " a I HEREBY C"eRTIFY THAT I HAVE REAb AND EXAMINED THIS ��ul�/ / <br /> � , L'JL� APPUCATION AND KNOW THE SAM6 70 BE TRUE AND CORRFCT.ALL � �� � <br /> �ea�u c�ur uorvacioinrv� �ElowonnTrneucpup�qpiEc� ' PAOVISIONSUFLAWSANDORDINANCESGOVERNINQTHISTYPEOF -7 // <br /> �oT �_, e�aK pc�/ �oU��� WORK WILL BE COMPLETED WIT1i WHETHER SPECIfIED HEREIN OR �� / � �Z 7 <br /> . •- NOT. THE ORANTINO OF A PERMIT D06S NOT PRESUMC 70 OIVE <br /> AUTHORITY 70 VIOLATE OR CANCEL THE PROVISIONS OF ANY ��� <br /> � � •�. OTHER STATE OR LOCnL LAW REGULATINO CONSTRUCTION OR 7HE <br /> , � PERFORMANCE OF CON8TRUCTION,.TNAT I AM AUTHORIZED BY THE /l L r v <br /> , " ('/ �9 OWNER OF THIS PROPBRTY TO PERFORM TH6 WORK FOR WHICH «- <br /> � . ' ' • • APPLICATION IS MI1DE AND I COMPLY WITH 1HE STATE <br /> . �CONTFiNCTORS lAW 18.27 RCW AND 288200 WAC: <br /> /� x�1w� -���/ _��.`���.:��.�.� <br /> � Ih6JkCt nDD !t • �� (J�rJ�._7rC0. <br /> � 2�ral� airnwu� . ' "'_ <br /> wo. <br /> PLUMBINQ � MECNANICFL <br /> NO. TYPE OF FlXTURE OR ITEM FEE NO. TYpE Op EpU1PMENT ' FEE <br /> �� . WATER CLOSET TOILEn _ � A/C�-.MiNDLp UNITS-H.P. , <br /> BATH1'UB 1 � FORCEDAIRSYSTEMS-B.T.U. M E.A. � � <br /> UVATORY�(dJnSH BASIN) . � ;-�� UNIT HEATER3-B.T.U. M � � <br /> �_ �SNOWER � � CLOTHE3 DRYERS � � �- <br /> KITCHEN SINK 6 DISP ' � VENTILAT�ON FAN � �� � <br /> �_ DISHWASHER � ��� RANGE HOOD �— <br /> LAUNDRYTMY •� WATERHEATER � <br /> � <br /> CLOTHES WASHER � --i— � � WppD STOVE " � ' � <br /> URINAL � METAL FIREPLqCE d CHIMNEY <br /> DRINKINQ FOUNTAIN� ti �� FIREPLACE IN6ERT �� ; � � <br /> .. FLOOR�ORAIN � HFJITPUMP • -....�— � <br /> BACKFLOW PREVENTERS ; OAS PIPING • � � <br /> _ ROOF DMINS-RAINLEAOERS � E%HAU6T FAN �� � � ��— � <br /> SINK(SERVICE-BAR,�ETC. i ' � . <br /> • ' � <br /> . i � i, <br /> - " � <br /> � » ...� .._ <br /> -. .. _. ��� �`' � � <br /> _ . i �— <br /> •" <br /> , SUB TOT/1L S � � SUB TOTAL S � � <br /> _. PEaMIT S � PERMIT S � , <br /> TOTALFEE S � TOTALFEE S � <br /> 'OR OFFICE USE ONLY: <br /> noarsr•rn�uc ' n:nax�� sioccm�cK rwici Sti55R �ec ( RkCEIr1rM. �� <br /> •-- <br /> � . ���' �� � 0� <br /> �t=w+14 _� �o��ne�/�� v�curl srtc FEES VALUATION FEE <br /> G � <br /> BUIIDINp 5oc�(�, _ �42/ :`�"/t <br /> R 01 COMii.V IOW41l( lYl'C Of[(IX5T.1p1ULL aNew.cr �yn�rtuweum� . .•. . l l . <br /> - �-� (C°� � � PLUMBING i ' <br /> :eaoino NO.fN'STpRff OIISiNi —" .� .. � <br /> Zo�Z Sf � �_ �F��,���. , [J a; <br /> RZ SF GpR � <br /> cur,wcrta� U rwcsoamncq6HFau NFKJITU/IRATION� ADDRIONAI,PLANCH�CK r--�- <br /> 150NtO1�liiilWKiGP6 �,v � BPflINKLER �Di. • <br /> BTATE BUIIDINp&URCMAR6E �a . <br /> +K�av � rii�snonqpvpLov CITYOFEVERETT PUPIICWORNB • � <br /> J �� LOCAL SALE6 <br /> 2 Z �3 TAX CODE IS$105 toT,� �;� <br /> � <br />