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APPLICATIO� FOR CONSTRUCT�N PERMIT <br /> CITY OF'VERETT•BUILDING DIVISION � <br /> 3200 CEDAR STAEIfi•EVEREIT,WA 98201 •(425)257•BB70 <br /> ❑ DEMOLITION ❑ CO�M,Br/If1AT10N jC7 BUILDING ❑ MECMANICAL ❑ PLUMBIN3 ❑ SION <br /> PROJECTADDRESS:_�:Eb47 �r�.,uo AJ� � EVFea�; <br /> SHq�p l�l�iLD�Qfp CcKpoMATiofJ '13�z 5'1�' P�. Ue. InnCySu��E 98]7o G59� <br /> rnwFn uui.00ucsc an rm na+t ' <br /> �Mevt u.n uvrss cnr �ro nql,t <br /> D�VE A IIc�mANS R���qKEwonD �17. STAnIWOoD ui/i H`IaZ�et �36c)65Z-s3y9 <br /> in_rnrcrmrrtavnn u�nwxwrpss cnv rm nK.,r <br /> S n� ly�,�oi�lG coCF 131x 5�n �� . N.E• I�iCY3UiGlE QXR'70 �3to�(,5`1-[�5� <br /> nMrnu r.n�nn�arn uui nantss cnv Ar � Ir«�y.-'r 9un uCrr�x� <br /> "�O RE DETEK'YVI�NLO / rrPR � O7J (�� <br /> dri55 Oh }�p Mq.f tu�fIKMSE• <br /> 70 �E DETECMiN'EO <br /> rwu�nm,coum.nan u.����nEs� an no nrroMr s�nn�ccr�sr. <br /> "a BE D E�MiN�D <br /> CDVI11nC1 MUC[pr VM�F <br /> L-ST d ZpOOLh.`-� HEATING SYSTEM: �GAS ❑ELECTRIC ❑ <br /> nrscni�r�ah.�nsou�nt rppr.cr MvaYro cwncr nnsoN.rorr�orrc wp <br /> 2 STciC� E WiTN OFlScMEN� y1p SH�1Q✓ ��^�'� 1 <br /> (2351 sF Pl-u5 BHSE�?��t/i j" n � ' -).�� <br /> �_ I HEFEBY CERTIFY TNAi I H�VE READ AND E%�MINED THIS <br /> r�ecfo v�or pw�pvn �PPLICRTIpN�NG 1NOW TNE SAME i0 BE TRUE AN�CONNECT ALL <br /> 5iN6lE FAMi�,✓ FROVISIONSOFLAWSANOORDINANCESGOVERNINGiN151'YPEOF <br /> WOAN WRL BE COIAPIIED WITH WMETHER SPECIFIEJ HEREiN OR <br /> uc�io[scnmup.p riwr[nnivqm�B[�owpimr,cHiwpcw+tsl IqT. THE GR�NTING OF A PERMIT ppES NOT PqESVM[ TO GIVE <br /> �a��maa___Cr S7 —�J AU7HOPITY TO VIOUTE OR CANCEL THE �qOV15�ON OF ANV <br /> L CCEL .2 "r OTHER STAiE OR LOCAL LAW REGVLATINQ GONSTRUCTION OH THE <br /> � LD 61 E PEPFORMANCE OF CONSiqUCiION TM�T 1 AM�UTHOFIZEO BY TME <br /> fI OWNER OF THIS PqOPERTY TO PERFORM TNE WORK FOR WHICH <br /> UGL. ID PG �I� NOryDM�SN �O APP���ATIUN IS M�DE AND I COM7LV WI7N THE STATE <br /> ���u • CONiqp�TOR �WtpZJRCWAND296200WAC. <br /> _�33 � o�/ o�o/ �� i <br /> f.OYSIp11L��lMIO�MIfMf111f1(M1651[IfMqNErypypfP �. !�% l0-1S-97 <br /> -----_ s:r.«raurc oa[ <br /> �yNN�000 mo,ersn�E �y� �559s G1Y01�4M5:1C(N{f lq <br /> PLUMBING MECNANIC11l <br /> NO. TYPEOFFlI(TVREORITEM FEE NO. iYPEOFEWIPMENf FEE <br /> 3 WRTEHCLOSET�TOILFI) A/C—M/qp�(3UNff5 <br /> _ BATHTU� IORCEORIRSYSTEMS <br /> LAVATORY�WASH BASIN) IIE�T PUMP <br /> SHOWER UNIT HEATERS <br /> / NITCNEN$INK 8 pISP CLOINES URVENS � <br /> i DISHWASNER RANGEHOOD <br /> i LAUNpRY TRAY WATER MEATER <br /> GLOTHES WASHER 'NOOD STOVE T— <br /> _ UI11N4L METALFIREPIACEpVO0D0URNING� <br /> _ DRINkINGfOUNTr11N FIREPLACEINSERT(WOODBUFNING) <br /> fIOOR DRAIN z GAS FIFE?LACE <br /> OACNFLOIY PREVENTERS GASRFNGE <br /> _ SINN�SCRVICE_�AR_ETC.) a[ GASPIPING —� <br /> _.__ EXHAUST FAN <br /> SUB70TqL ' SUBTOTAL f <br /> _ PERI.IIT �— PEFMIT 5 <br /> __ TOTALFEE 5 TOTALFEE f <br /> FOR OFFICE USE ONLC rf�-�, <br /> I11(`N1V1�1'\ nI�11 f�p�CR S�Sf�PKR ry1xC11[CR�LVRfR ( '11fff1��N0 <br /> ,�' ' �� 1 �� � ��1,, r _ i� •-�. ��i f/a:1 �n <br /> as�vovr �o�u��� � v.c�r� n FEES WIU�TION FEE <br /> _ �� J Yf5 ❑NU RWbNiC/r J�J. /�+ � L+ JZ.� � i Ip <br /> ��IICN111411.�111�f NO b 11V/�IIING $IjF V lla�l — J—� . <br /> y r.n. � 2 .Z BY3 S p �m+mna LD� � <br /> .n:c�.�. x,n�w.is ocror.w�io.n x.vura �r�.mKu '_'_._—_ __— ,�2_.�O <br /> na <br /> �.I�_/ �e� O v� __ ___'_"_�_' <br /> nnc.n,.:.iinvico—� mnscn — �ppuavuneMOKc• <br /> nn�..i=�.n�un -- m+m on�tn � �_ <br /> 9�11 P�q1�nr�SunO��M:f / ;�s�� <br /> IMln�'�:pYV PI�4[Mpnpvlllflv � y, <br /> CITYOFEVERETT runi��:�.,w�.� _, .ij _ <br /> 1/ � LOCALSALES <br /> �.L ____. �'•'� IZ Y 97 TA%CODE IS J105 TOT�t_ � �� <br /> � <br />