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�`.PPLICATION F�. ��«<n <br /> E�'"" CONSTRUCTION e <br /> �verett PERMIT <br /> • EPT OF COMMUNITY DFVELOPMENT $ERVICES <br /> ItY HALL 259�87�5 <br /> VERETT,WA9B201 [�OMBINATION ❑ BUILDING ❑MECHANICAL L7PLUMBING PERMIT NO. <br /> � - <br /> y[� Mnll�Dl>NI55 CIIY ZIP ( PNON[ � ' ��� L <br /> ��I1/ ,� I //�� �r� /1 �/ _ . ✓. /�7 �..� /i.:/% /i� � � 11 �v� ` / <br /> IV �I �/E�-DI� � � �I/ I� /I/lC�I�-� d/%C L PHON[ " <br /> JL <br /> I\CNIICTOR��HFN � � M�Il.��So jY 7��v a���_�`_/ � �' <br /> � � b / <br /> R� ONIRM'lOR / MAII�DDRf55 ZIP VMOMF IICFNSE� SJy <br /> ' ,'�i o Q- �S� `F - � ���ora 9�.�a �/ .��.��fe� �it.�ao c� .. <br /> �'UI(H�NI(�l COh1R�C10R M�II AObM155 CIIY LIP VNONF IKENS[/ <br /> PII�NflIhC l ONLX�CIOR MMl�ODRI55 � CI1Y 21P PHONE UCENSE 1 � <br /> CI U)Of NONK � <br /> ❑NEW DD�TION ❑ALTERAiION ❑REPAIR ❑DEMOLIT�ON ❑FENCE C751GN ❑GARAGE ❑BUILDING RELOCATION <br /> �ui�ainwoi n. / � `� <br /> + CG�CP-s + Lv?�c_�� �[..cQ,ls�..-�� � � C'a� `! 1 <br /> ' u1,Ce rwl a „ � ' <br /> �,: ��� ���, ��'� � `� � � � <br /> rqorix�o � oi unon+c ` I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP• . <br /> PLIGTION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL � � <br /> tFUI OfSCNiPtION Of YNOPIRIY�SHO uowoa•n•cn r e u OVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS TYPE i <br /> � <br /> OF WORK WILL BE CUMPLiED WITH WHETHER SPECIFIED HEREIN F <br /> ' �i�i �pioc.�or � OR NOT THF GRANTING OF A FERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> � ANY OTHER STATE OR LOGL UW REGUUTING CONSTRUCTION �. <br /> OR THE PERFORMANCE OF CONSTRUCTION. � <br /> ', SI�IORt�WN7BAC10R OR A TMORIZED ALENT DATE ; <br /> i �IOP�DORI55 f � � <br /> i � EJ � " � � <br /> ' ►LUM�ING MECNA Gl � <br /> i FEF NO. TY►E OF FQUIPMENT FEE <br /> NO. TY�E OF FIXTU�E : <br /> � N�TERCLOSET�TOLIFT� AIRCOND UNITS—HP EA , <br /> � �� ftEFRIG[RA710N l�N1T$—H P [A � <br /> � B�1HTU0 <br /> ! lnV�iORV IW�SM PASIN� Q 601LFR5—M P f� <br /> CA$FBED AC UNIT$—TONN�CE[� <br /> ! SHOWFR <br /> fORCFD AIR SYSTFMS—B T U M EA <br /> N1ICHEN SINK 8 DISP W��� HF�TERS—B T U M <br /> OISwASHFR <br /> I UNIiHfATFRS—PTV M <br /> . UU�:DAY TRAY <br /> " ' ClO1HE5wA5HFR E�'�P00.ATIVFCOOlERS <br /> r <br /> � ; W�TER NEATER CLOTHfS DRYFRS <br /> � Vf NTIUTION MN <br /> i ( UNINAL <br /> �'�.� DRINKING�OUNTAIN RANLE MOOD <br /> �� FL000.ORAIN AIX NANDIINC U:JI`— C F M <br /> ` � V�CUUMBRf�KERS StOVf <br /> qpOf OIlAINS—RMNLEADFRS MFTAI RREPUIF a CHIMNEY <br /> � SINK 6FRVICF—P�R.ETC 1 <br /> ' <br /> SU�TOiAI f � <br /> SU�iOiAl � <br /> RIIMIT f KRMIi <br /> TOTAIfFF � <br /> TOiAIiFE � I <br /> PI.AN CHFIX FEE , <br /> � S�DfYANDS[TBACK 51NFFT5[TOACK RURYARDSITPAIX �UNCH[CKNUMBlR FFF C� RECFIPTNO. � <br /> !D C Z��' .,��T �J �- � <br /> USE Z�[ lOT ANFA yy VAUNt Sliti iFFS VAW�iION fEF <br /> ' � �i/ 4.�A� C7vF5 �6 <br /> TYPE Of CONST OCNPA�^GR'OUP NO OF OW!FILING UNIR � <br /> �� � � !ti J ` IIUIIOING s� eO �� <br /> $IZF QF fl�DG � NO Of$TORIES MA% OCC lOAO <br /> �(/ 1C 3Q' � —_ ri unuuHc (J (jd <br /> FIRE ZONE B�SEMENi HIUBUUMS ��Nf $PRINKlfNS � <br /> 3 �_ NIQUI0.LU MfCHAMUL <br /> � rrrs .tw�n <br /> ������5 /f DATF OTHIR <br /> 1 fNVIRONMENTAICHECKL157 p�vALTY UBC <br /> SEC 1011a) <br /> 7 BU�ID�NG PLANS TOT�L I O� <br /> 1 IIRf HVDRANT <br /> � flRf PROTFCTION SVSTEM ►FtMli VALID�TION <br /> WHfN PROI'.RIY VALIDATEDIIN THIS SPACLI TMI$IS VOUR PFRMIT <br /> 5 GRADING!%CAVATIONhQURINGGRUflfliML <br /> 6 DRAIN�G[ <br /> 7 fNVIRONntENUI IMP�CT STATFMENT <br /> E NFAIiN p!SiRICt <br /> N III <br />