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AP�PLICATId. FOR CONSTRt1CT JN PERMIT <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT � <br /> HEATING SYSTEM: I�((GAS U ELECTRIC ❑ � <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> I I DEMOLITION � � COMBINATION � BUILDING I I MECHANICAL I:I PLUMBING I I SIGN <br /> OWNER MML�U�RESS GIIY 7.IP PIIONE <br /> TEN�Ni MnILApORESS CIIV Zlf' PHONE <br /> �OCIIIIECTORL�E514H[Il MnILA�ORESi CII1 lIP PMONE <br /> GE�MCOM(1AC70� M�ILAUOAE55 C11v ZIP PIIONE STATELICENSEI � <br /> L 1jr1c�� � i�>ii F✓�D���s[_to��.E✓E2r-Tr ��Qp2o�9o-i�i�' LLBU//�F �/PP <br /> MECPnNICALCONiMCiOR M�IL�UDPE55 CIIY ZIP P110NE STATEUCENSE� <br /> CWld81NCL'CNIMCIOR MnILADORE55 CIIY 21P PNONE SThTELICENSE� <br /> CL�SS Of WORK <br /> I NEVJ I I AODITION I I ALTERATION I I REPAIR ' � DEtdOLITION � I WOODSTOVE/FRPL INSERT ❑ BUILDINCa RELOCATION <br /> co�+rn�cr�r/7enspor+nuu rnone ruo. <br /> cor+tnncrr�aceorwonK -_ ��r�-"'—.� f ON(� <br /> UESC111EfE WO��K AND SUU�IIE fOOT�GE IN�'JLVEO <br /> l94 -/�/ � <br /> rnoroseouseoruuaoir�/c ' t HEREBY CERTIFY THAT I HAVE REAC AND EXANINED THIS <br /> .�-�/�LC [�fFM/LI �IMCS ��, �//� AFF�ICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEG�LOESCRIPtIONCFPROPE0IY�5l/0\YNOEIOWOf1ATT�CHFOIIHCOPIE5ia1'1 �� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> ,rJ WORK WILL BE COMPLETED WITH WHETNER SPECIFIED HEREIN OR <br /> �oT A B�a;K' aF — NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> 9 / AUTHORITY TO VIOIATE OR CANCEL THE PROVISIONS OF ANY <br /> MA I N FL /ZO .S� F%� A t�L.` OTHER STATE OR LOCAL LAW FlEGULATING CONSTRUCTION OR�THE <br /> p PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY THE <br /> � S C GU N D I�L I��S ( 3 O D OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WI7H THE STATF. <br /> CONTRACTOR AW 1827 CW AND 296200 WAC. <br /> I O i A l. SQ FT 1555' X ? <br /> su �tune a'TE <br /> PROJECT�DDHE55 ///��� � •+"W++� <br /> �/��f — ��r CIIYBIISMFSSIi�FNSF.NU <br /> �� MECHANICAL <br /> PLUMBING FEE <br /> NO. TVPE Of FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT <br /> WATER CLOSET(TOILET) � � A/C-A/HNDLG UNITS-H.P. ' <br /> BATHTUB ' FORCED AIR SYSTEMS-B.T.U. M E.A. i <br /> i <br /> LAVATORY(WASH BASIN) , � UNIT HEATERS-B.7.U. M � <br /> ~ CLOTHES DRYERS ' <br /> SHOWER �— � <br /> / KITCHEN SINK 8 DISP , VENTILATION FAN - <br /> DISHWASHER RANGE HOOD � <br /> � LAUNDRYTRAY WATER HEATER - <br /> �_ CLOTHES WASHER � _f� WOOD STOVE ' <br /> _$ �-- METAL FIREPLACE G � E � � <br /> URINAL �-- � <br /> $ DRINKING FOUNTAIN � FIREPLACE INSERT <br /> � <br /> �1- fLOOR DRAIN � � HEAT PUMP i <br /> BACKFLOW PREVENTERS GAS PIPING , <br /> � E%HAUSTFAN ' <br /> ROOF DRAINS-RAINLEADERS , <br /> SiNK(SERVICE-BAC.ETC.) — � <br /> � <br /> —— ' <br /> — � � <br /> - -- � <br /> -- — � <br /> SUBTOTAL S ' <br /> SUB TOTAL $ � � <br /> — PERMIT $ � PERMIT S � ._ <br /> TOTAL FEE $ TOTAL FEE $ ' <br /> FOR OFFICE USE ONIY: 'k'� ..35 .C�L���'���_ l��[ � ��� <br /> PI�N GMECK NUMBEII FE� / �n flE�'�e{P � <br /> FRONTSE78ACK BEARSeTOACH SIOESE104CK ���/ V [,/ <br /> / ,�� � <br /> � �ornnen vncnNrsiTe FEES VALUATION ' E ' � J� <br /> USE ZONE � <br /> �_ UUILDING �3�J� �" <br /> � <br /> 7VPEOFLONIS.�LIOWAPIE iYPEO(G SCACIWL occur�rrcr naoitmuurvcunns � <br /> ^W3 ' PWMBING � <br /> -IJ �- lJ — 0� � <br /> 52EOFBLDG. NO.OFSTOIilES B�SEMGNI p�ECHANICAL <br /> i <br /> �sss SF'�'G.ec Z /.('7 � <br /> AUUI110N�L PLAN CNECK T <br /> OCCUPANCYIOAU �IItESPRNNlERSREOD IIEIGM�IIMITATION /� i <br /> ,vo � ' -- ��- �AunrJ � /� <br /> nenson ron srniNni ens �(J <br /> STNE BUILDING SURCHnF7GE <br /> ir+mkenv PLANSAI'Pf10VEUUV CITYOFEVERETT PU�LICWORKS ��' <br /> J I� LOCAL SALES � T�Tn� ,2D�C�U <br /> 3/i 5/9 TAX rnQE IS 310� <br />