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APPLICATI�1 FOR CONSTRUC7�N PERMIT/}. <br />GTY OF [VERETT • E3UILDWG DIVISION ��T <br />3200 CEDAR STREET • EV[RETT. WA 98201 • 257-8810 <br />�� DEM1IOUTION COAIBINATION ��BUILDING " MECHANICAL PLUMBING SIGN <br />�PROJECT AODRESS . ,/ ,�- � cr <br />y0a �% �/ �� i� <br />�u d�ncs om . ��_ni <br />i��',�.•�' Li�-r�it 3/C/�Eo(t2�� CA-•-� { (��rr-I�,r✓7 9�'Jvf `/JS- 7-d'Y�j _ <br />in..�rt/ � uui�o�m�ss �7 o*. rm rnomr <br />t�.,�t.:.... �t'c_ k�0 f-�..z�,� KlYm�.�e1r.,��i� J <br />�_ — — <br />u.iu�wms: arv - nr rr�o�u <br />� 3/0/ : a�..,� S,f�s E.cv.2�ed�/�,�� 3r��/ �.�s-.�srd��Y_ <br />u.�,�,�ss ���. n �w � s,.,E�K��sE. <br />' �k ��bL iN k.'(1`ill.tA�fi• /'LQU/l� 1.+� y'I�Ot`.i �$J -(it'yL•SC�. .. . <br />u�a�oouas an z� r�or¢ s.reiecHsr. <br />IlU4&MICOHiP�C10P WR�UC'�L55 Cllv �il li�r:� ,.:��EI�.-Ir��f• <br />CONiPM;iFUCECf W(wr. <br />� �j_�Od HEATING SYSTEM: ��-i GAS � � ELECTRIC __ _ _ <br />o[srn�etxUnx.NOFuo.netoov.eFmvavEo . Ic':hn:'�i�t{='•-"�,•a.n.en[vo <br />wr &ocx <br />TRAY <br />nic�e iaunrn <br />TOTAL <br />—1.�� �i�<� �..�' CI'•" / --_-- <br />�(_1' '��(//. �.J� � — . <br />I HEREOY CEFTIFY TMAT I HAVE READ AND ExA611N[0 TnC� <br />APPLICATION FN� NNOW TNE SAId[ TO �E TRUE ANp CORR@Q ALL <br />PROVI510"�5 OF LFWSA��D ORDI��ANCES GOVERNING TMIS T1PL GI <br />WORN WILL OE G01dPUE0 WITM WHETHER SPEbFlCD HEPCI'a OI+. <br />':OT. T11E GRANiMG OF A PERh1IT DCES NOT PRESU1dE W�,n L <br />AUiNORITY TO VIOLAiE OR CANCEL TME PROJISION OF �+'. � <br />O1HER STAiE OR LOCAL LAW RLGULATING WNSTRUCTION OR n�E <br />PERFOR1dANCE OF CONST(iUCTION. iNAt 1 Atd FUTHOfitZCD [3V Lrt_ <br />OWNER OF THIS PROPERTY TO PERFOR1d "iNE WORK FOR C:Mit �� <br />APPIICAT10N IS IAADE PND I COIAPLV 1NITH TNE St4iL <br />CONTRAGTORS LAW 19 27 RCW AND 296200 WAC. <br />x U-/-00 <br />_�.,.�nunc o�rc <br />cn r r�s�riiss irc�Hse rx> <br />MECNANICpL <br />NO. TYPE OF EOUIPlAENT FEE <br />A C— A HNDLG UNITS <br />FORGED Alii SVSi[6li <br />M[AT PUM11P '"�— <br />UNIT HEAILFS <br />CIOiHES DPYERS <br />RAtJGE IIOOD <br />VlAiCR N[FTLP -• —. <br />WOOD STOVE - <br />IdETAL FIREPLACE IN'OOD BURNINQ) ' <br />FlREPLACE INSERT �WOOD fiURNING) <br />fiAS FIREPLACE �� <br />GASRANGE <br />GAS PIPING � <br />E%HAUSTFAN <br />FOR OFFICE USE ONLY: <br />�� :on.c. nunson•-. � � •. n�ir.nrniuern r¢ <br />j_Od U �/'-O�/ <br />...,rt w*�au , -_ — FEES <br />. . i.. r.•.; <br />., �:u,iurrorv �x� a ownvr, �rr' i <br />r cun <br />, h� <br />w��u ��L� u.. ., <br />� <br />(%.�Ilf`�'II�J�f I N'.I�- . 1,�[C��4M1iC�L <br />N i1C5 C LY <br />PEI.AN /JDitiOH4 YWI CVECK <br />pT�[R <br />PE�S <br />1i�f� �wi0��5uaCti�PGE <br />ru�+�+ .vcoo. �i CITYOFEVERETi I'������<�vn"`s <br />; J . LOCAL SALES { <br />� ,�. TA% COUE IS 3105 I, ToiAl _ _ <br />SUB <br />ncccm•wo <br />FEE <br />