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. ....�•�.,�,.c� � uJIWIIY uar-� iu� 1N(ab4,534'75 JRN 17r 1992 2�13PI1 q�12 P.02 <br /> APPLICAT`7N FOR CONSTRUC:IAN PERMIT ���� <br /> TO BE COMPLETED IN BLqCK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEATING SYSTEM: U OAS U ELECTRIC IJ_ � • <br /> 259•8810 �OG�u. <br /> I I DEMOLITION I I COMBINATION �BUILDINQ,� l 1 MECHANICAL I I PLUMBINfi I I SIG� <br /> EN MARAOOR[F$ CT' ZM PHONt � <br /> � y U��f�Ped.C'd''o� �e1lP v� 9�cb7 G,�l�f�3a3 <br /> TFNIJIT. MA0.ADDIIfSS CI1Y ar VIIpryE <br /> ARCMITFCTOXUC]IONCII W(ADUMl55 CIIY LI' MIf1NF � <br /> i <br /> �.�'✓e n ., �S 8- i59 4`'` �°�N E /��e�1' �8asa 953- l7� <br /> AENEMIWHiqGGTOP MA6ADDP[ C11Y 21p �HON! LTATF.I,IClNSCI <br /> MFcwwuae�m���unexs � � uir " zir rnowc OLONCI yF/'{7_P� <br /> VWMtlMCCONTMCT09 _ MA0.AUDtll89 cnr tir fMONC g/A1lUC[NaF� �— <br /> f.l s65 0'wonK ' " <br /> �NEW 1 I ApDITION I I ALTERATION I I HEPAIq I I DEMOLITION I I WOOD9TOVE/FRPL INSEHT 1 I BUILDINO RELOCATION <br /> ,�,a � �g �9 «�n�iPER60NANOPiIOHFNO. <br /> c«+Ta�cirNro�urwonH , LGs.vciC/e L�u-c� .��j��'%� <br /> O�C CRYI"F,WDRKAMISOUMGlOOT�GCINJdVFP � <br /> � y(� 9. D7sa.: • . . <br /> PNUIWGED�oun� '�� I NEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> APPIICATiON AND KNOW THE SAME TO BE TRUE AND CORRECt ALL <br /> �ecu�utscnmiwwcuvnovcdrv�pwwgEtowo,n,/n_rrn�c�ucoupeopies� ' PROVISIONSOFUIWSANDORDINANCESGOVERNINCiTH�STYPEOF <br /> ior�_, e�ocK pc /.l4�i'[Gt�YDDI��i�V N'ORK WILL BE COMPLETED WITH WHETHER SPECIfIED HEREIN OR <br /> NOT. TNE ORANTIND OF A PERMIT DOES NOT PRESUMC- TO 61VE <br /> . AUTHORITY TO VIOLATE OR CANCEL TME PROVISIONS Of ANY <br /> _._, , , OTHER ST/1TE OR LOCAL�qW REGULATINO CONSTRUCTION OR THE <br /> ��. �� PERfORMANCE OF CONSTRUCTION.THAT 1 qM AUTHORIZED BY THE <br /> , OWNER OF THI$ PROPERTY TO PERFORM THE WORK FOR WHICH <br /> • • • APPLICATION I& MApE AND I COMPLY �WITH 1HE STATE <br /> �CONTfUCTORS LAW 18.27 RCW AND 288.200 WAC. <br /> __... _,. . . x �a-n��� !�`�.zsa..�' ��/9� 93 <br /> PhO1kCiMDfICRS S� ' ��YQ�C' G� tiT� <br /> (/ ✓ ✓ <br /> 6 -/ Dn`' S E ✓�r� 9� .� a�..��.�.� .,�..� . _ . — ..-- <br /> PLUMBIN6 MECHIINICAL <br /> NO. TYPE OF FOfTURE OR ITEM FEE NO. TYPE OP EOUIPMENT FEE <br /> '. _ WATERCLOSET OILETJ.,_ , � A�c-..AMNDLpUNI7S—M.P. � <br /> BATHIU6 , ; • FORCEO AIR 6vS7EM5—B.T.U. ht E.A. ; <br /> __ LAVATORY(1YASH BASIN) . i � UNIT MEATERS—B.T.U, M _ <br /> ��SHOWER � �CLOTHESDRYEHS � <br /> � � KRCHEN SINK 6 DISP - i � VENTILATION FAN � ; <br /> OISIiWASI1ER � RAN6E HOOD �— <br /> LAUNDRYTRAY ' WATER HEATER , +_ � <br /> �� CLOTMES WASHEq � WOOb STOVE , <br /> URINAL � ' METAL RIREPWCE d CHIMNEV —� <br /> DRINKINC3 FOUNTAIN i FIREPUCE IN6ERT ; <br /> FLOOR ORAIN �! HEAT PUMP T— <br /> �� BACKFLOW PREVENTERS � �AS PIPING ' ; � <br /> ROOF ORAINS—RAINLEADERS � EXHAU6T FAN T— <br /> 31NK SERVICE—BAR,ETC. ,�. , ! „ <br /> 1 i <br /> . .� .. �. . ... ....� ..� <br /> 1 1 <br /> —• •• 1 1 <br /> 1 <br /> . �. . �-T <br /> 1 , I <br /> SUBTOTAL S ; 6U870TAL S ; <br /> PERMIT S � PERMIT S� .. � ... <br /> � TOTA4fEE S ' TOTALFEE S ' <br /> FOR OFFICE USE ONLY: '-, S' <br /> �IIONTfiR11�CK �C�RSCTB�(9( SIOCLCT➢�f.N PLMlC11CCNNlIMBER �!G_ /0 RkCF1Y1N0. <br /> ?-!3 � ' i-�/��/ r�/ y S <br /> �St i�x+� l61 nnt� V�Cu�1 iie � Ffi66 VAIUATION FEE <br /> �-L euaoiNo �` � � <br /> rreoteoNtC.uiOw�etF nr[uenxst.�nU4 aa+.+n M+vn+tuixeuxn� - •-• • � <br /> ,�/.A N � �� PLUMBINO �_ .. ...T— <br /> LX <br /> ;¢eoroinp NO.QfBTOMffB o�cracHr MF.CHANICAL � <br /> �__ N� _ .... • ; <br /> r„cuVnNC�YllOAU rw[CnRMnFq6REWl MCiGircuuiTA�ION ADDRIONAI,PLANGiflCK i <br /> A� ✓� /J� BPRINKLER � <br /> � <br /> 1tA90N/00 C�RRINI FP6 � � <br /> _.�.. � <br /> BTATE BUILDINO SURGMAROE � <br /> 'IfiK60Y ri' nocxrvFoev CITYOFEVERETT M1PlICWORK6 ; — <br /> LOCALSALE6 <br /> TAX GOOE IS 9105 torn� ; <br />