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FROM�EUERETT BUILDING DEPT T0� 206643:i475 Jf�J 17, 1992 2�13PM p412 P.02 <br /> i`Lx `�c%Als'PLICAZ�DN FOR CONSTRUV f10N PERMIT <br /> �7 �J,J3 'UOl�- lJ�J!-OUGIGTO BE COMPLETED IN BLACK INK-PLEASE PRINT ������ <br /> BUILDING DEPARTMENT HEATING SYSTEM: (3AS fj ELECI RIC IJ_, �� <br /> 259•8810 � � .. <br /> I I DEMOLITION I I COMBINATIOh ' BUILDING l 1 MECHANICAL I I PLUMBING I I SIG� <br /> �EF MARI100RCfi5 CT' 21P pqppE " <br /> _a-�.'G7t�r.'�' /�N/U�1�� �.Pa�,� L�.�Luc�t 93Gu7 Ca`�-���-3 <br /> TFN�NT / MAM1AODOFSS �CITY LP p11pyE <br /> �/ <br /> ARc]�TFjC�T�U�NUC�91pN�f.(1(` mM�-t�/�J�MESS CIIY 211 1'IIONF � <br /> __L/L;,�'`�f� �-U V✓�� � <br /> 0lNEMLCOHfPGCTpR MARADDRCSS CITY ili ONONC SfATF11ClNlCI <br /> "'u- � G�'l . C'OLoNG� /�(7�iV <br /> FCWWION.CQITMLTON MMAUUfICYS CflY LM PMOH6 61ATflICCNSF� <br /> PIUMBtttt:CONTMCTM MARILDIIlY! CIIY 2P FMONC � BTAI[Ue[N,V� � <br /> ��B$O'WOIIK <br /> JEW I 1 ApDITION I I ALTERATION I I REPAIq I I UEMOLITION I I WOODSTOVFiFRPL INSERT 1 I BUILDINR RELOCATION <br /> e�en6 PER60NANDPnoHF 0. <br /> ca+rrucivNiceoFwon� �' 7a- /�(� ��t� /e �/e �`�� �3�3 <br /> DCSCROfWORNANU50ul1n¢lOOTnGCnN�Fp ' " ' — <br /> N,•^ m��tYc�c�b�-� /U/7.F1 a,•n S�� . <br /> NHOrw•couscorounow� /� �� � HEREBY CER7IFY THAT I HAVE REAb AND EXAMINED THIS <br /> Y"dHZ�l I�e 6 GL APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECt ALl <br /> iEc.+� sciurnouorvacivpn �FHOV7NBElUVUnA7TnCHFWRCOP1Es7 PROVISIONS OF LAWS AND ORDINANCES GOVERNINCi THIS TYPE OF <br /> ioT N� _, e�ocK pc ���/"QjJL��✓ �'�'ORK WILL BE COMPLETED WITH WHETHER SPECIFIED FIEREIN OR <br /> ••• NOT. THE ORANTIND OF A PERMI7 DOES NOT pPESUMC TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL TME PROVISIONS OF ANY <br /> .... , OTHER STATE OR LOCAL LAW REGl1LATIN(i CONSTRUCTION OR THE <br /> � PERFORMANCE OF CONSTRUCT�ON,THAT I AM AUTHORIZED BY THE <br /> �IQ�Z � ��/ OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICN. - <br /> APPLICATION IS MApE AND I COMPLY WITH 1HE STATE <br /> — ��' �� / 7� �CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> � A�[ . x � {J�(�/ �/L7,�93 <br /> PXOJl1:f 11�OIICSS ��T b `� • • �4u� NT� .'_ <br /> 7 J`- � 5 5'��l/ 7T `�$ �:`SsSYo ' ' • — •-- <br /> annw�wiu� ,q. <br /> PLUMBINO MECHAMCAL <br /> N0. TYPE OF FlXTURE OR ITEM FEE NO. TYPE OP EOUIPMENT FEE <br /> WATER CLOSET(TOILEn � p�c-..aMNDLp UNITS—H.P. , <br /> Z BATHIU9 � ; • / � FORCED AIR SYSTEMS—B.T.U. M E.A. ��� � <br /> LAVATORY(VJA$H BASIN) , i T UNIT FiEATER9—B.T.U. M � <br /> ��SHOWER � / CLOTHE8�RYEHS � ' � <br /> KIiCHEN��NK E DISP � � VENTILATION FAN � � <br /> _ DISNWASHEFi ' � I RAN6E HOOD T— <br /> LAUN�RY7MY � � — ' ' <br /> � WATEH HEqTER � <br /> �_ CLOTHES WASHER ��— � � WOOb STOVE � � � ' <br /> URINAL � ; METAL FIREPLqCE 8 CHIMNGV —�— <br /> DRINKING FOUNTAIN i FIREPLACE IN6ERT � ' <br /> .. FLOOR�DRAIN � HEATPUMP . ....T— <br /> BACKFLOW PREVENTERS ; pAS PIPIN6 ' ; <br /> RO.�F DRAINS—RAINLEADERS � E%NAl16T FAN �T— <br /> _ � <br /> SINK SB(IVICE—BAR,ETC. � � � <br /> .q. . • .. <br /> ._ . ,. � <br /> .. ..� ..— <br /> - - • � ... ,— <br /> �" �— <br /> � <br /> ., SUB 1'O7AL E � FUB TOTAL S /n� <br /> . PERMIT S � PERMIT S � <br /> TOTALFEE S ' � 707AlFEE S � � <br /> FOR OFFICE USE ONLY: <br /> •IIONTSfiRnCK 11[ARSRP�(IK 6ID[CGTY�f.N pLMlCII[CKNIMBFR �CG RkCtll' N0. <br /> Zv�' � i isl��i �� �a� �1 <br /> ��stzc�ne �Olnnu v�c,w ene � � Ffi@S VALUATION FEE <br /> —b'� — 8111LDINQ Z GZZ �,yj1��� <br /> TPtO!CONi[.Al10WABlf irrcorcnxsT.�cTuu aawc. �an»tpw:u�n� • •��� - <br /> �_ ,� / NLUMBING Q/i <br /> i12EOFOlf10 NO.fIf5T0 IFS OASi FNi —� I� 1 <br /> ZSoS SF�GA4 �� MFCIIANICAL � <br /> r„cuonNcrww hRCSVRNNIFq6RE0V MEIGIIiLINIT�TiOy ADDITIONAI.PIANCHLCK � <br /> �A /�lo j�� /}� <br /> i�ASONFOf16FRINNIFR6 �Ep , �(/� <br /> �.�.�� <br /> 6TATE BUILDINO SURCHAAOE <br /> �ITAKE9Y _ RMlSAov��pnev CITYOFEVERETT runucwoRKs ��D <br /> �I Id LOCAL SALES <br /> a Z� q3 7A1(CODE IS 3105 tot�� ; � <br />