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FROM�EUERETT HUILDING DEPT� T0: 2066433475 7�^'.� 17� 1992 2�13PM ii412 P.02 <br /> APPLICATION IFOR CONS'L'RUCTION PERMIT ���� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILpiNG DEPARTMENT HEATING SYSTEM: U oAS U ELECTRi� IJ_ _�] <br /> 258•8810 <br /> I I DEMOLI710N I I COMBINATION pfi B�iLDINQ l 1 MECHANICA!_ I I PLUMBING I I SIGN <br /> °�"E['.U1�X�f�.. W�jD�=.��_ er�icvue �s�i '�'� �� ��� <br /> TFM�M1 WLL�ooncsa o�ri 21� v�KfNE <br /> ARCMnFqONUCLAK[II MAIAUUM[YS CIIY LI i'110NF � � <br /> .�1[ C T"q! MAL RC6C GI7Y PHON� � lTATFI.NX` NfC1 '� <br /> 1��.ceI.:� I�i�10��,1.-.�. P � �1�77�7�2� <br /> ��'iQp . IA��MlD! G1Y LM 1'MONG 61ATfLICLNCF.1 <br /> PUIMYWUCONTINCIqq LULAppiltri CIIY 2W F11o1c � BTAIetIC[1qFI '— <br /> G�66QWpIK �� . •. _ <br /> I�I NEW I I ADDITION I I ALTEMTION I I HEPAIq I I DEMOLITION I I WOODSTOVFiFRPL IN6ERT I I BUILDINO RELOCATION <br /> 7� � �v C/qyN�T/��/.�.�Ey�� ,����. <br /> COMIMCI VWC!oF WON{ . . r���_�_�,�r. i z <br /> N�w rf�� �75Wnn111GYJJif_^G[INVpVFD <br /> � �� <br /> P ou�coraui � 1 HEREBY CBRTIFY THAT I HAVE READ AND EXAMINED THI3 <br /> APPLICATION AND KNOW THE BAMB TO BE TRUE AND COARBCT.ALL <br /> ��auu urowxar�nr�wiowNe�couqrqpie6� ' PROVISIONS OF LAWS AND ORDINANCES 60VERNINO THIS TYPE OF <br /> ��� �K � WORK WILL BE COMPLETEO WITH WHETHER SPECIFIED HEREIN OR <br /> -•• NOT. Tl1E ORANTINO OF A PERMIT DOEB NOT PRESUME TO OIVE <br /> �1„�„�I��/iyi n �D 8 AUTHORITV TO VIOL�TE OR CANCEL TME PROVISIONS OF ANY <br /> 1ILlLl(dlLJ.lA/k � Ir m 2 OTHER 8TATE OR LOC�L LAW RE6ULATINO CONSTRUCTION OR THE <br /> . PERFORMANCE OF CONSTRUCTION.Tf1AT 1 AM AUTHpRIZED BY THE <br /> OWNER OF THI$ PROPE(iTY TO PERFORM THE WORK FOR WHICH <br /> ' ' ' � • APPLICATION I6 MI10E ANO I COMPLY WITH 1HE STFTF <br /> Q�{ � // � CONTfUCTORS LAW 1B27 RCW AND 2D8.200 WAC. <br /> (l` <br /> --. _� x �_a x�,ti.s ��' q� <br /> � t�„���� . . . �,�. oa���__�..,— <br /> 3 ann.v�.�a�� . .ro. ��-- <br /> PLUMNNO � MECHAMCAL <br /> NO. 1'YPE OF fll(TURE OR ITEM FEE NO. TYPE OP lOUIPMENT FE8 <br /> WATER CLOSET OILEn I I I � A!G-AMNDI.p UNITS-H.P. , <br /> BATHIUB �� �� � • FORCEDAIR6V6TEM5-B,T,U. M EA � ; <br /> UVATORY�(VYII9HBASIN) I _I . � ' UNITHEATER9-B,T.U. M � � ; <br /> 8HOWER � CLOTHES�RYERS � <br /> KIICHEN SINK 8 DISP ' �� �� � <br /> � VENTILA710N FAN <br /> �_ OISHWASHER ��� � RANOE HOOD —T— <br /> _�- LAUNORYTMY -^ ; WATERHE/1TER �_ <br /> CLOTHES WASHEq � WOOb STOVE , <br /> _ _ URINAL ' METAL FIREPLACE 6 CHIMNEY ' � - <br /> DRINKINO FOUNTAINv ti FIREPUCE INSERT ' � <br /> � <br /> FLOORDRAIN � HEATPUMP � ����'— <br /> BACKFLOW PREVENTERS � (iAS PIPINO ' ' <br /> _ ROOF DMINS—MINLEADER6 i EXHAUBT FAN ��I) ' . . ��— <br /> $INK SEHVICE—BAR,ETC. � � � <br /> . �. . � <br /> ._ .. .. , _ .� ,._ <br /> _' " -' . <br /> � <br /> i •. ; <br /> _. . .. �T— <br /> � � � . <br /> , SUB TOTAL S ; SUB TOTAL i � <br /> PERMIT S i PERMR i � ... <br /> TOTALFEE S ' TOTALFEE f � <br /> FOR OFFICE USE ONLY: <br /> Frio+r��cx' IICARFGTR�CX� ciccccTa�rx/ �tiwuic� �ee3y� G, � 1r��3G <br /> ��! <br /> u8k zw�e Lol ue� v�cnr�l sne � F868 YALUATION fEE <br /> L a��o��c, 7.9 �S r� t — <br /> �fnatari.u�ow,u�E irrcwcnxsi.�wl acm..c. ■oao+iur�wn� - - �/, <br /> �' '. __ �-/� PLUMBINO ' '- • i <br /> 3�$Sf Y �.76i0RF8 �cM MF.CIiANICAL �i - <br /> 19 sr � __ Z l�(D .... . <br /> xpn�wGY l rn[topmn Fq6 RFOU �ar,�n�wiTAT� ADDRIONAI.PUIN qiHdC � <br /> � <br /> �c.o — � �� � — <br /> /kl1WN r011 CPRNq FN{ i""— <br /> BTATE BUI4DINp SURCHARC�E i <br /> vrnKcor rii�i�s�vvravcuev �CITYOFEVERETT ruPucwoRKe 2(� �- <br /> J� �ocn�sai.Es <br /> [t Zy/CjL TAX CODE IS 3105 TOTAL '7 �i — <br /> � .� w�DE�K <br />