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� �...� .� . w +nu- iu• 17r 1992 2�13PI1 p412 P.02 <br /> APPLICA'T"'ON FOR CQNSTRUC�ION PERMIT ���� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTfdENT HEATING SYSTEM: U OAs U ELECTRIC U_� �� ' <br /> 259•8810 ��G�U,y <br /> I I DEMOLITION I I COMBINATION �BUILDINCi,/ l 1 MECHANICAL I I PLUMBING I I SIGk <br /> Eh MARAOOPCF6 CRY z�p pNpNt <br /> �/ v_���P�d�C'd#� �e!/,�v� `��'cb��{��3a <br /> TFNANT. MARIDOIIESS Cltt np pllpqE <br /> ARCr�TFC10NUCbI0NC11 MAKAUU%!55 CIIY L� PIIONF � <br /> �./tC�✓�' n .t G (3ytS l - S54''` PLNE ���'rnahc�" yBC�.� 95_ 3-/l7s <br /> 0/lN�EMLCOMRA�TOp I l M�M1ADORC S CITY 21P PHONE 6TATF1ICn[N']CI <br /> MFCH�QV�TnP�W �y0.�1UU11C5Y CIIY •• 21M PHONG ' ' S��7[��U �/�7P� <br /> VIUMtlINCCONiMFtt1R MARN1DIletl9 CI7Y ZIP FMONC � 6TA1llICCN9F� � <br /> G�850'•NnK ' " ' <br /> �JJEW 1 I APDITION I I ALTERATION i I REPAIq I I DEMOLITION I I WOO✓9TOVE/FRPL INSERT I I BUILJINO RELOCATiON <br /> c�n�r pER60NAND P�IDNF N0. <br /> c�+TruCT FWce ofworoc � 3 JD�•.'J / , , LR.vciG/e L-�'-�c� ..��—�'/$� <br /> OC CRIIIfV10RNANU80UAnl�OOTnGCINVMVFD �" <br /> ocK��r ao.c�B s , <br /> rnuwseo�ounowc� , �I�� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREC7.All <br /> �ecu�utscmr�wNorvnovFatv�EHo�yne6iowonerrncuvouncopiEsj � PROVISIONSOFLAWSANDOROINANCESGOVEHNiNQTHISriPEOF <br /> ior_�_, e�aat oF �Gf�✓ODK�i�V WORK WILL BE COMPLE7E0 WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE ORANTINf3 OF A PERMIT DOES NOT PRESUMC TO GIVE <br /> AUTHOflITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> _ _.., , OTNER STATE OR LOCAL LAW REGULATINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZEO BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WOHK FOR WHICM <br /> — � ' ' • � • APPLICATION I6 MApE AND I COMPLY �WITH 1HE STATE <br /> r �CONTRACTORS LAW 18.27 RC W AND 288.200 WAC. <br /> _..._ ��_ . 1/ �, <br /> . . . x �-a�..:�� [�"�..,.a-,�' ��/9 93 <br /> PNOIEC7 MDIICSF� 7 ��'dM�`� G� 1rTf <br /> ✓ :J <br /> � — �5 � r .� a�..�,�.�.��. .�. • -- - --- <br /> PLUMBIN6 MECHANICAL " <br /> NO. TYPE OF FlICTURE OR ITEM FE� NO. TYPE OF EOUIPMENT FEE <br /> WnTER C�OSET OILE'f) � NG-AAiNDLQ UNITS—M.P. � <br /> � BATHI'UB �� ; • �� FORCEOAIRSYSTEMS—B.T.U. M E.a. �— <br /> _ LAVATORY(WASH BASIN) , i � UNIT NEATERS—B.T.U� M ; _ <br /> �SHOWER � CLOTHES DRYERS � <br /> � KITCHEN SINK 8 DISP � i � VENTILATION FAN ; <br /> DISMWASMER � RANOE HOOD —T— <br /> LAUNDRYTMY ; WATERHEATER ; <br /> CLOTMES WASHEq �— � � WOOD STOVE � <br /> �VRINAL �� ' METAL FIREPLACE d CHIMNGV �— <br /> . _ .. " — • .. ... <br /> �RINKIN6 FOUNTAIN � FIREPLACE IN6ERT ; <br /> FLOOR�ORAIN �; HEATPUMP � r— <br /> BACKFLOW PREVENTERS i QAS PIPINO ' ; <br /> �ROOF DRAINS—flAINLEADERS � EXHAU6T FAN �T—� <br /> SINK SEfiVICE—BAR,ETC. � ! <br /> y. .. <br /> � � <br /> . ._ .. ... . .. _..� .._ <br /> -- •" -' � ' � <br /> i <br /> . _ . �... _�_ <br /> � � , . <br /> SUB TO7AL f ; SUB TOTAL S ; <br /> PERMIT S � PERMIT S � <br /> TOTA4 FEE S ' � TOTAL FEE S � <br /> FOR OFFICE USE ONLY: <br /> 410NTSDTf1ACK �CARSG SIOCCCTW1f.K PLANCIICCKNIIMBER R / flkCkIM1N0. <br /> �l � ii�s-� �S `� <br /> ustzcx�y� tOinnG �� vnCaNlSrte � � Ffi66 VALUATION FEE <br /> � 33C Z _�_ <br /> eui�oiNo 1 � <br /> rrpOfCONiC.uIOWABLf trprorene5t.�tiU4 oceuwc. .nanxiuuicmmi • •�• -- � <br /> ��° � PLUMBING ; <br /> :¢eoroino rio.�r5i0n�Fe onsciicrrt MF.CNANICAL �.. ._ ...� <br /> � <br /> X.CUV�NGYLO�U MCSPANKIFq6PE0U MCIGIITLINITA110N ADOITIONAI,PIANCNflCK � <br /> I <br /> BPRINKLER � <br /> 1h�SONFOOSPRRIKIFR6 _' . " ji'—'—� <br /> 6TATE BUILDINp 6URCHARGE // ��4—Tl <br /> '.�'�LI� <br /> a'rnKcar ri "snevaovcner CITYOFEVERETT PUPIiCWORKB ; — <br /> LOCALSRLES <br /> TAX CODE IS 9105 tot�� � <br />