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FROM�EUERETT BUILDING DE!PT T0� 2066<33475 ]0.4 17� 3992 2:13PM p412 P.02 <br /> t <br /> APPLICATIdN FOR CONSTRUCTION PERMIT � <br /> • TO BE COMPLETED IN BLACK INK—PLEASE PFINT <br /> BUILOINGDEPARTMENT H�TIN6&YSTEM: ons UELECiRiC U_,__] <br /> 259•8010 <br /> 1 I OEMOLRION I I COMBINATION �BUILDIN� IIMBCHANICAL I IPLUMBING 1 I SIGN <br /> wmEN Ynawoncw cm n rMr�t ' <br /> [' � ° /�f�I _�LC��'l�1tv�1.3c/G4Ccc_ v4a�i 7 GG�kI-a3�? <br /> RMWi WLKOO[L� Glry Lf ryl[Y1E <br /> �QOXUCfqMn kAIILIMpl CI�Y ^ 2V nc�v <br /> /�'�.L C.S �(i��/' �V��.. �.�Xi��_ <br /> OlM(MLCplIW.id1 M�llDDPI6C GiY jl� IIpN! Lf�1fIMtM]CI <br /> rSx2�n_< <rs c.�rt.�r . ['c�t�c-S+r�Y'7P� <br /> YfGW110KCM114CTM WJ.•y{NIC9l G1� tiY �NONG 61�iCLK[NC{� <br /> PW4b1AVCOH1MCf(111 '•• NALLNIOII[L) G1Y IP �nO4C 6I.1I[lK[Npil <br /> G�>lV�na �� . • . . — <br /> �NEW I I A�DITION 1 I PLTERATION I I REPAIq I I bEMOUTIDN I I WOOP9TOVFJFRPLINSERT 1 I 9UILDINORcLOCATION <br /> p C W inCT�L4{ON Av0 M IONC NO <br /> cartwtlHuc�wr.cmi � 7=2. 0 3(D . U�/ ./ '.-;�Le:( , �)"~��� /r t. <br /> oocr�wwK y��sowneromnccnm+�u .. . .—, — <br /> n/@t,(iCGrY1S'fYL((Y-IC7'I . . �:.'��.1 , .. , _ <br /> h �auuaronanwn I MEREBV CERTIFY TNAT 1 MAVE REAf AND E%AMINED THIS <br /> �'I C FC/9'(,!I f'ff I /L APPLICATION AND KNOW TNE SAME TO BE iPJE AND CORRECt/�I.L <br /> tEau �M�wxarmOrinrv � vnnEtv.vuneirncw�ouqtoME�) � PROVISIONSOFUWSANDOfl01NANCESGOVERNINOTHISTYPEOF <br /> WORK WI��BE COMPLETED WITM WHETHEP S�ECIFIED HEflEIN OR <br /> ��i /�L — �� � — -� NOT.TME GRANTINO OF A PERMIT DOES NOT PqESUM[TO 61VE <br /> _J�,, 1f AUTHORITV TO VIOLATF.OR CANCEL TME PROVISIONS OF ANV <br /> ��(�H�t/L ��r�� .Q� V •1_._, OTHEH STATE OR LOC�L LAW REGULATINO CGNSTqUCTION Op TNE <br /> �j, yt PERFONM,INCE OF CONSTRUC7'ION.THRT I AM AUTHORREO BY THE <br /> C9YA�1�` /�(I' OWNEH OF THI$PqOYERTY TO PERFORM iHE WOBK FOR WNICH <br /> � ' — RPPLICATION IS MADE AND 1 C017PL'! WITH iME STATE <br /> ��((/L i�3 L) C CONTMCTppS LAW 18.17 RCW AND 29B._DO'.4AC. <br /> (� i <br /> -- - — . r M� ,r2,�t C�_. t/d'L-c c.,(� v a �;� <br /> �IRLlCIMpfIC1A c II . • tYM � N�� •. <br /> � .-)�,ri✓(./ !!� h� ��:J �i �'.��:� <br /> ri 31 -1 t r: u�..u....�c.Y. w " . _' '_ <br /> PLUMBINO MECMRNICAL <br /> N0. TYPEOFFlI(TllplOIIITEM FEE NO. TYPEOFCOUIPMENT FEB <br /> WATERCLOSET TOILEn,.. , L � P/G-NMNDLpUNITS—M.P. <br /> BATHIUO ' FORCEDAIRSYb�EMS—B.T.b. M E.A. �� <br /> __ UVATORY�WASNBASINI � UNITHEATEHS—B.T.U. M <br /> 6MOWEq � CLOTHES�RYERS <br /> / KI7CHENSINNBDISP i VENTIUTIONFAN <br /> DISNWASNER I R�WGEHOO� �— <br /> L/�UNORVIMY ' 1 WATERNEATER , <br /> CWTME6W�SHEq �—� � WJpbSTOVE ' � ��— <br /> _ . UA�NAL METAL FIREPI/�CE 6 CHIMNCY �� <br /> DPINKINO FOIIMAIN' FIREPUCE INSERT � <br /> FIOOR OMIN � HE�T PIIMP. • •. <br /> BACKFLOW PREVENTERS OAS PIPING <br /> AOOFOMINS—MINLEAOEPS E%HAUSTFAN � � ��— <br /> SINK SBflVILE—BAR,ETC. ' � <br /> j. . <br /> -- , .. .. __ � ^ 'a. �� �;�; �— <br /> . _ . � �,' � <br /> „ SUBIOTAL f SUBTOTAI f 'n! — <br /> _ VERMIT S PEflMIT S �y� <br /> TOTALFEE S � TOTALFEE S � <br /> FOR OFFICE USE ONLY: <br /> 'MITFRRKA( �I[MG{l4p( L�OCGLIW.CK <br /> INM IXMWG.P ICL q�pylfllq� <br /> 20,. '0 ) � a� 1 " �7C� �%QJ S <br /> �Stzunt� lo�uw �? vecu�tene �� FH66 VALUATION _ FEE <br /> .,. ___-`.•v1:---- <br /> '^'–' eunnrcro 3 70 � <br /> � PCWfLYIQYMI IIKOIIditltilLLl %[�Y[t �nOa{IIKt�O� . <br /> _�— . � � 1 VWNBINO <br /> �j�a�Y�Sf`T�* eio.cr.�� �crowr u[qur+ic�u ��i <br /> �ccv�/�L�IOW rn[NwmiqLpFOU hccirtwltAlqN �DORqNAI,PI�NGICCK �., <br /> �� A /�o „w�_ ,� , J�; <br /> tuwronanwnrnd �� / <br /> 6TRE BNL�W06''�CINPOE <br /> �inc�av '• ri.weuenovcyer CITYDFEVEPETT PUPIiCWOwc6 � „ <br /> — I �.I M LOCRL 6ALE6 ' <br /> g�23�gJ 711%GOUE159105 tot�� 77 ��,� <br /> - — ., <br />