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._. . ��.��,i.� liu'i 70� 66433475 SaV 17� 1992 2� 13PM y412 r.B2 " <br /> ��x ���APPLICA~J�N FOR CONSTRUCTION PERMIT �+ <br /> 7 CJ,7.3 'UOU- lJ 0� -OUCl��TO BE COMPLETED IN BLqCK INK—PLEAS� PRINT `�v i�n <br /> BUILDING DEPARTrv1ENT HEATING SYS7EM:/ GAS U ELECTRIC U_� .-- 1 <br /> 259•8810 <br /> I I DEMOLITION I I COM9INATION ' BUILDING l 1 MECHANICAL I I PLUMBING I I SIGI <br /> Ori EH MARnooR[AS cm z�P PHONt � <br /> c�i��n� /��Nlo /�e/ �Pecf,Pd�.�a� G��vr,�.e. 93�c�� lr�5�-�3a-3 <br /> TFNANT MAILADDf1E55 CI1Y ZII' CIIpNE <br /> f,RCNITFC1Uh'UlcSIQNEII MA�IAUUHlYS CIIY 11P MIONF <br /> ���CW O� <br /> 0lNEMLCONIR�G70F MAIIhDDPCSS GTY SIP PHONE STATF.1)ClNSEI <br /> � a�.S ot�i'cc-,- . . . Co[.aNU� i�(7�N .. <br /> FCHANN�LCONTf1ALTOR MAILAUUII[SY CI1V LIY PMONG 61ATELICCNSF.� <br /> PLUMtlINL'CONTMCTOR MAILAUGII[59 CIIY ZIP pMONC � STAGIICCN$F� � <br /> f�Ie�65fxYronR • ` •. � <br /> �K(JEW I I ApDITION I I ALTERATION I I REPAIq I I DEMOLITION �I I WOODSTOVE/FRPL INSERT I I BUILDING RELOCATION <br /> J� PER60N ANo PI IDNF N0. <br /> CONTqAGI PHICt UF W011N U/ �Qy �QQ • /�L/�/e �j/i{,f r� ��� �3�.� <br /> oCSf.RIf1F WpqK ANU SOWn!fGOTM1GC INC(N VEI� �� '— <br /> , , �'trkcSti b�-i �975� �,-n 5�a .. <br /> rNur�eeouseoroimnwc, /� �� � I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> 7�R/?yi l .L Q (.L APPLICAT�ON AND KNOW 7HE SAME 70 BE TRUE AND CORRECt ALL <br /> tEc.�� scinruouor va0vcd �EHowde6�avonnTrncHcoupcoPieS ' PROVISIONS OF LAWS<.';0 ORDINANCES GOVERNINCi THIS TYPE OF <br /> "� � �i�j��/ WORK WILL BE COMPLETEp WITH WHETHER SPECIFIED HEREIN OR <br /> �or�__, e�ocK oc �,L(�l�D „ NOT. THH GRANTIN� OF A AERMIT DOES NOT PRESUM[ TO GIVE <br /> AUTHOflITY TO VIOLqTE Oft CANCEL THE PROVISIONS Of ANY <br /> _,,, , OTFiER STATE OR LOCAL{,qW REGULATING CONSTqUCT10N OR THE <br /> � PERFORMANCE OF CONSTRUCI'ION.THAT I AM AUTHORIZED BY THE <br /> ���(.fL� ��.�,� OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH• <br /> �� oG • • APPLICATION IS MADE AND I COMPIY WITH 1HE STATE <br /> .�7.a��9` .� nG/ �CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> _.....�Oli�' rfC:J.. . ---� <br /> . . ?i�-�.'�-1�:�'�`K.w:E'�''•:�0._`�3 <br /> P�„��„�o;�s2 / ��:�,,� �,� - Mrf _. ..-- <br /> ' � �r.� yzr • 98�u3 <br /> qIY YIA�MA1110EN�.N0. <br /> PLUMBIN6 MECHANICpL <br /> NO. TYPE OF FI%TURE OR ITEM FE� N0. TYPE OF EOUIPMENT FEE <br /> ?j WATER CLOSET TOILEn � NC--.AMNDLQ UNITS—H.P. � <br /> �% BA7H1'UB �� ; • / �� FORCEDAIRSYSTEMS—B.T.U. M E.A. ; <br /> �L LAW�TORY�(1NASH BASIN) i ' UNIT HEATERS—B,T.U. M ; <br /> �SHOWER � � CLOTHES pRYERS —��� <br /> KITCHEN SINK 8 DISP ' i VENTILATION FAN ; <br /> , DISHWASHER � � I RANGEHOOD �— <br /> LAUNDRY7RAY �; WqTERHEATER ' <br /> CLOTHES WASHEq —i— � � WOOd STOVE ; <br /> " " —... . _ <br /> URINA4 , ' � METAL FIREPLACE 6 CHIMNEY � <br /> DRINKING FOUNTAIN FIREPLACE INSEflT � <br /> FLOOR�DRAIN � HEAT PUMP �— <br /> BACKFLOW PREVENT�RS� � GAS PIPING ' ; <br /> ROOF DRAINS—RAINLEADEHS� i EXHAU6T FAN � —i— <br /> SINK(SERVICE—BAR,ETC.) ; � � <br /> . y. . .. <br /> � � <br /> . ._. .. _. ... , .-- <br /> � <br /> —. .. -- � • ; <br /> � <br /> . _. ._ _ .. �— <br /> �" , . <br /> _„ SUB TOTAL S i SUB TOTAL S ' <br /> PEFMIT S � PERMIT S � <br /> TOTAIFEE S ' 70TALFEE S ' , <br /> FOR OFFICE USE ONLY: <br /> �fqN(Sf•TNA�K (ICARSGTP�CX / SIOCCCT7ACK CIICCKNI BER I'!C flkCklrl <br /> ZE�� .._ , � O� /e�aJ �� �� � �' <br /> usEz�nY � t0lenw � vec�wl4tte � FEES VALUATION FEE <br /> fL� <br /> euaoiNo G � _��Z <br /> TPlOICONib.AI�pWABIk ITf[OICOxS7.�C7U41 aew�..ar �naMrt}�iw.uxn� - •••• � <br /> �h( �� ,� � / NLUMBING �% ' <br /> : _�_ ._ .. ' <br /> :ueoroinos f y, NO.nfFTOAIFS onscHerrr MF,CIIANICAL ��� � <br /> 2 F GnR �/Dk( .... . <br /> K.CUopNGY OAU fIF[SVANKIFq6RE0'b ME�GIITLINITATION/ AODITIONAI.PLANCHCCK �j— ., <br /> / <br /> �° ��a-. ��AD�,U _�D ; - <br /> �hAYON ❑Si`AINNIfP6 • '._..__ <br /> fiTATE BUILOINO SURCHARGE � <br /> J7AKfi8Y rii�snovapv �igv CITYOFEVERETT PUPIICWORHS ? i� _ <br /> � J� LOCAL SALES <br /> 3 TAX GODE IS 3105 tota� U� _ <br />