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APPLa�ATrf��`d �OFa C�R9����i,, `ION PERMI'l�' <br /> ��,-�,«�« <br /> �verett � <br /> BUILDING DEPART��tEM� <br /> ?59-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> DEMOLITION COMBINATION j� BUILDING �'MECHANICAL ,\PLUMBING SIGN <br /> �.-.,-- nn.�nooness cnv '�,r F��cr.�: <br /> � c <br /> „ �c 1 -�:� (' ;n.�ll tr�tni S'I,3L�1s� `�ck��'Lv �„i;[�1'�„�4��i�r'�-'k'� <br /> �;��7 AIAILRDDRE55 GITY ZiP �'��� ���� <br /> .+ic>�.rt(CTOR�ESIGNER MAILpODRE55 ��N Z�P ����'�� <br /> RbD ,� �f�L1_- - <br /> �?C� � (i��+.1L CCNIR�CTCR !ANl AOpNE55 LILV DP — PhOtlL lIC[NSL� <br /> C'7„m..�y `;�Y� �l) � <br /> ��� •� .iyl:GALGO'ItR.�CTOR IAAIIAppRE55 CItY ]�P '!�ONC LIGEt15Ea <br /> aym i7l�P( NEr1T�tiEr_�]� �� Ll 'l�p�'�'�"�--1�.;N�S-J�R�-,ZO N,�-�L��/.�v�� <br /> ./�G/� <br /> C T. .. . .,,�acoHr .�roa n�nt oov,e s 9 <br /> H 3 A��v�_�r�� 1�u�� --�1���� '� <br /> y �� r��z , � u, , � �����c,��f �L����3�s-�Ur�Nc�'�'.s�- <br /> K y� c�nss�cwo�rc <br /> y H y x NEW ADDITION AITERA ON REPMi7 DEMOLITION _WOODSTOVE FFPL INSEflT . BUILDING RELOCATION <br /> [/]H iENANT IIAPPOVEMENI OH I4TERi0�R[]!OOEI OtllY C$1j�����1 FE+��G:�j�NU N�OIiE tl0 / <br /> � Z'� CONi(iNCTPRI�[OFWORN: -�,i..ek--�'�L��:ll�_ — <br /> F7 O[� oesca�eE wonn nr;o5ou. �roo*nc. ��rvc�v!_n <br /> 1Sl�1��t���C� ' 3�'- 5 �c_�!_ <br /> � �� r.ovo'�useo�/dam�+a I HEREBY C[RTIFV THAT I HAVE READ AND EXAMWED THIS <br /> �� n �� o APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> H q ----- PROVISIONS Of LAWS AND ORDWANCES GOVERNING THIS TYPE OF <br /> 2 H 3 imn,ccscumna�occaoveiar,s..o..vi-.�:io::o�+nnnc��rouacoaits WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> L9-� y Z <br /> ,�, e:xK a NOT iHE GRANTING OF A PERMIT DOES NOT PRESUP9E TO GIVE <br /> H�3 <br /> - s AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> � � 1 �� �J ) OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> d y ��C �--��—��- PERFOR�dANCE OF CONSTRUC1lON.THAT I AM AUTHORIZED BV THe <br /> q q OWNER OF THIS PROPERTV TO PERFORM THE WORK FOFl \VHICN <br /> 3 C+7t" ___ APPLICA710N IS MADE AND I COMPLY WITH THE STATF <br /> z y� — CO"�1RACiORS LAW 1827 RCW AND 296200 WAC. <br /> � Q� . :•�.�Y.:�C OP C�GNiN�QCFiCI�FUi��DP2CG AGENi �AtE <br /> � <br /> i ���i��. G��� 1!D <br /> % 7�� ' _.L��Jl� S � '�-- ���� L.'� <<)+�-ts _1;�d=i/ _ <br /> i'cJ t.f f'�.FRI",S .. i`, rt•� ;d... .. .. . . � �V: L - _. .:n�AL <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR I7EM FEE NO. TYPE OF EOUIPMENT FEE <br /> '=�I �'� WATERCLOSETITOILEL � �C-ANNDLGUNRS-HP. _�__- <br /> - -- - - - ----��;-- -J- — <br /> � BATHTU6 FOP.CED AIR SVSTEMS-B T.U. M EA. <br /> LAVA70RV 1WASN BASIN� UNIT HEATERS-B.T.U. M _ _. <br /> - SHOWER � CLOTHESDRYERS . <br /> 'F� �M J� l <br /> M = _ KITCHEN SINK 8 DISP ____�T ,] VEN'ILATION FAN _�. <br /> � DISHWASHER �'j � _r RANGE HOOD <br /> LAUNORVTRAV � WAT[FIHEATER <br /> �" � CLOTHES WASHER __��__ _ WOOD STOVE � <br /> !! � UfiINAL METAL FIREPLACE 8 CHIMNEY � _ <br /> DRINKWG FOUNTAIN � FIREPLACE INSERT �_ <br /> FLOOR DRAIN � HEAT PUMP __ <br /> � p J � Q — 1 <br /> �,�1 � BACKFLOW PR[VENTERS _ � GAS PIPING <br /> —-�f/ -� <br /> ROOF DRAINS-RAINLFADERS EXHAUST FAN __ _ <br /> SINK(SERVICE-BAR,ETC.) _�_ i <br /> �_ "' _ --- �t11� r?n a � .,�� — <br /> -- —- _�_ <br /> I q� � SUB TOTAL 5 __ � SUB TOTAL 5 �_(�_ <br /> -�-- � PERMIT S <br /> PERId1T S . — <br /> TOTALFEE 5 —�.�; iOTALPEE 5 <br /> ^ ,V accEi�rrvo <br /> �i�o��ISETPnCn FCAns[tonCK �CCSLIDn�N � vLn4a�fcntiN.�P.[R ��' - ' ���� <br /> � 2� Z�� _��s �tG � c P — � <br /> i,�.i.p�y[�_� iornncn `�T� vnr,aHrsrtc FEES yVALUATION FEE <br /> 6 a vES N� ouauu�c 5'�S.OU l e>S / u 9 3�i 1/ 2�a<� <br /> .;��cr co��si ni �vniet i�n oi co�s ncniu ,.q- ,.���'��.����;v.'• ---- cr o d�.t�Z�—--J---— �������� <br /> . \ .�r V'^� ���`"/ PI.UIdHING ._ ---d-'`�--�•'__ <br /> Y <br /> �;I OF ni�G rC(�s t�p Or 9oRiL5 OASRdCNi 61EGHAIJICAL ____��� <br /> I4��D � • y4(t YES �( NO — -� — � <br /> « oniEr� <br /> OCGl1PANGYLOAD IiHE5PIINKLER511EOD MEiGMi1RUpiAiIC'! 1 <br /> . VES �NO __Z 0 STATE GUIL�ING SURCHARGE __ �'I ; �r/ <br /> _—T__ <br /> ni nra>r�ron s•rcru�i r,s <br /> SIATELNFHGYSURCHARG[ <br /> r.i��rn�ni,� crnr l i•i +�s�,rnr:�v�nnr I CITY(1FEVERETT Pul�ucc:oi�ns �� � fi �CL� <br /> I �%,/Z (]/) � LOCAL SALES � � <br /> /V�r�� TAX COOE IS 3105 TOTp� <br />