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APPLICATILnI FOR CONSTRUC7 .JN PERMIT �� <br /> '� TO BE COMPLETED IN BLACK INK—PLEASE PRINT ���T <br /> i � <br /> J <br /> �1 <br /> l3UILDING DEPARTMENT I HEATING SYSTEM: GGAS J EIECTRIG J_ _ _______ _ '' <br /> 259-E870 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> . /�,��,q I.IAiLADDFE55 ❑lY I�P PHONL <br /> _OCSI4K�Goa14T__3J���t�ad�4.y—�1�CY..L-�"L_�'�0� ��.3�f . <br /> u.�:arv1tI �,minuouess aiv rn� ��rrorv[ <br /> G����:.I�il(CiOHDE51f,4ER MNLpD�P[55 CI1V 1�J' FHONE <br /> _�Q41�� <br /> at':�nALCONiRRLTOR MRiL��DRE55 CITY 21P PIIONE SiAT[LICENSE� <br /> _SatNS BEAIUL.I--�1�Q_E <br /> 1.'i(:���1NiCALCONiRAGiOR MRILADDPE55 CIiY ZIP PNONL SiREIICCtlSC• <br /> ��H� p���yiq�pTpp 1AAILqUDR6S QTY 11P PHONE STAI[L6ENSCv <br /> _r_a � <br /> � �,.y� -i n�,oc�voan <br /> � y N � NEW AD�ITION ALTERATION REPAIR DEh10LIT10N WOODSTOV6FRPL INSERT BUILDING RELOCATION <br /> CONiACT1 PERSO/N�AN��MIC'N[NO <br /> H � H �.�;ucrrnceuFwonn ��:-� :,%/ �j1�TYAC�.�tpY._)—L$fS-Y.�� - <br /> fCy � �yi;pIBEWORKAND50UAREFOOTAGEINYOU'C❑ � <br /> � �� s,vWi��p�_z6a3 <br /> y H rr�cocwl.ousFOFomioiNt �}.� i HEREBY CERTIFY THAT I IIAVE FEA� AN� E%AIdWED THIS <br /> y Cg 7 �� �}' �/}i1.ff9�i APPLICATION AND KNOW THE SAME TO AE TRUE AND CORREC7 ALL <br /> [ij p [cJ uant.ue5cniruciroFvnO�eiaviSxowNoe�owennttacNrouncor�es, PROVISIONS OF LAWS AkD ORDINAh�tS GOVEFNING TNIS TYFE OF <br /> y �y IVORK WILL BE COMPLETE�WITH WHETHER�PEGIFIED HEREIN OR <br /> O H �o* Z isi.ech �� S�Ct(ZJLI.�SfC$_L— NOT. THE GRANTING OF A PERMIT DOES NOf PRESUME TO GIVL <br /> H�g AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> 47� O OTHER STATE OR LOCAL LAW REGUL�TING CONSTRUCTION OR THE <br /> -Zy�S Q�LL7-�iC��{�rV� PERFOf7A1ANCE OF CONSTRUCTIbN.THAT I AM AUTHORIZED BV THE <br /> y ~� 1 �1',� OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR \NIiICH <br /> t' y Z ��.1CCLT�—�1 APPLIC�TION IS h1ADE AND I COMPLV WITH THE STAT[ <br /> �y y CONTRAC'ORS LAW 1827 RCW AND 296200 WAC. <br /> H <br /> GO qC7 ti -- __ - r� <br /> 3, Ch L'� �-- — - X,�--� ,lY/�eS �' S"9 Z —_ <br /> � ��/1 PBa:t Ci nppHLSS ; ��� O 1� ont[ <br /> . � 9 n <br /> HOlA ��/i� L�.c',5� -�G ._-r' �/✓- _ - —_ _ _. __ -" -_ <br /> �� PLUMBING MECHANICAL � _ <br /> NO. TVPE OF�I%TURF OR ITEM FEE NO. TVPE OF E�UIPMENT FEE <br /> , j WAtER CLOSET�TOILET� �5`� - A C---A HNDL�i INITS-H P. <br /> 1 2 BATHTUB 9 ;- �_ FORCEDAIFSVSTE(d5-O.T.U. M E.�. _ <br /> � y LAVATORVIWASHBASIN� p I- UNITHEATERS-B.TU. M _ <br /> ��� � SHOWER ' _ CLOTNESDRVERS <br /> � I KITCHEN SINM 8 DISP ' VENTII ATION FAN <br /> � DISHWASHER - _ RANGE HOOD <br /> � I LAUNDRVTRAY ' - � WATER HEATER <br /> � �� _� CLOTHES WASHER " -- N100D STOVE <br /> I '�.�� URINAL _ � METAL FIREPLACE 8 CHIMNEV "�v � .- <br /> DiiINKING FOUNTAIN FIREPLACE INSERT <br /> � FLOORDRAW ' HEATPUMP <br /> ��� _ BACKFLOW PREVENTERS GAS PIPI.'JG <br /> �I,�� ROOF ORAINS-RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE-BAF,ETC.) <br /> '��' �Tc.�h.3 c•�..,-t.-......- i.�n r F �'G �— <br /> �� <br /> SUB TOTAL S SUB TOTAL S /�a ' �' <br /> � PERMIT S PERMIT 5 <br /> �'I�I _ TOTAL FEE 5 TOTAL FEE S �— � <br /> FOR OFFICE USE ONLY: o, � <br /> IHOHi5O9ACN R[ARSEi11ACK SIDESEiOACN PLANCRLCKNUl.ipER fEC RECNPINO <br /> 26� Zi"� 7.5' c�'S o 'S�`>„• �:� � <br /> u:ds:on�[) iornnen vncnNrsre FEES VALUATION FEE <br /> // � <br /> �- � �� 66� ES OUILDING I j�^,��t��� ��.-��, �c'�, <br /> n�lifCONtSAILOWFBIE lYPEO��(C7O-N5IACIIIRL or�yava .. . .e.!:iea,'.;'s -- <br /> N ,y.N �� � � � �UMPING �' �r� <br /> �����BL�G���� NDA�RIES BA E�� IAECHANICAL ���J C c' <br /> 'f }� )a O�''�G �_ <br /> OGIIPApGYlOAO FlR[S�'RNqF.B5RE00 HEIGMTLIMIIr�iiON — �DOITIONALPLANCMECK �'3 �, �, S' <br /> N� � �� � SPRINKLER • <br /> R[-l':ONFORSPRINKLERS i--- <br /> STATEBUILDINGSl1NCHARGE !- � <br /> �:_�_`_ <br /> viu,eov r�nr:,nraivovcoov CITYOFEVERETT auouCwor�Ks � <br /> LOCALSALES '�� "}G <br /> ,� ,,� , ;�Z J TAX CODE IS 3105 Tora� g� - ; /_S— <br />