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APPLICATIO�.� FOH GONSTRUCT;.�N PERMIT ,��� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT ,_ <br /> I H[�TING SYST[h7t GGAS J ELECTRIC J _— ----- - — . <br /> BUILDING DEPARTMENT <br /> 259-6810 SIGN <br /> DEMOLITION �COMBINATION BUILDING MECHANICAL PLUMBING _ <br /> a,v zir n�crve <br /> -,.�n rananoor�css ' <br /> �_6cp_mso�cT 3siS__13��y—P�crr wA�p9gZo1�1��33 <br /> ,��.�� <br /> riI.A,:;',:r n�minooness -_ ._ <br /> ,V� cirv zm vroriE <br /> ,,:.�.������cior+ocs�curra Mnaaonness ___ __ <br /> �L]1YL GLV ZIP PNON[ :.IAlll U[:I.Ni...i.e <br /> GFNERALLONiRNCiOR MAI�PpOPE55 p��M/Y /I.hQE _ . <br /> l] /lV�f—�� <br /> �� G GITV 21P PHONL Sl�d[LiLr.,:.l a <br /> VEO��WCALCONLRPCiOR MAILRDDRE55 _ <br /> �C�� ��D 2iP 51ni���6.us[° _ _ . <br /> � PMONC. <br /> � Plt➢.IpINGC/�ONLPACTOR MFIlAU0�65 CI1V <br /> A � CL'i `J� �.J _ —_ <br /> y (;�ASS OF 1YOAN <br /> L� `^� /NEW ADDITION ALTERATION REPAIR DEMOLITION WOODSTOVEFRPLINSERT BUILDWGRELOCAiION <br /> CONiPCiPEF50NANDPHONENO �J <br /> �� � �,�_� a(:�. �31j� �(�{SF�t�.�--//Sf1=��L— - <br /> CC1dRACi FRICLOP WORN ' � <br /> �H� DLSC81pE\Y�NN l.NO SOUARE 1�001�f,E 1Y\OL\'i I� — <br /> VJ H S.�,r�lt___Fm+a,-ly d-'x«iNq_�bc.sr3o L6--- � — <br /> y Ei vr��,ro�r usEor�ow�ort+c I HERE�� CERTIFY iHAT ; HAVE qEAD AND E%AMWED THIS <br /> x7' � //i' � ApPLICAT10N AND HNOW THE 3AAIE TO BE TRUE AND CORRECT ALL <br /> �I Qy � ��� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> p H �mu�oescnivuoHOF�Ror'mrvs�o�vrvo[towoamr�c.� �m�corics� y�ORK WILL BE COMPLETED WITH WHETNEF SPECIFIED HER[IN OR <br /> p1 �l7 i v Sta,(�J�(,JC/�.L___ NOT. T �- GRANTING Of A PEP611T DOES NOi PRESUME TO GIVE <br /> CLOCK OF <br /> �� n —� AUTI �TY TO VIO�_q7E OR CANCEL THE PFiOVIS�ONS O <br /> ~ z G f��__(?�C(,.�C�C_S_�AvG------ ��Nt� fATE OR LOCAL LAW PEGULATING CONSTRUCTION OR TH[ <br /> z y � PERFIiriMANCE OF CONSTRUCTION.iHAT I AM AUTHORIZED BV 7HC° <br /> �i H y pQ OWNER OF THIS PROPERTV TD PERFORM THE WORK FGI7 C��+ICH <br /> � � N ��S��L.I�1,4z[J APFLICA710N IS MADE AND I COM1IPLY WITH TH[ SiATE <br /> CON?RACTORS LAVJ 1827 RCW AND 296200 WAC. <br /> odv, �-9 `� <br /> � � � p�; �s �'` - - - <br /> X .� <br /> yo � _ - � - o -�-a ��, � _ <br /> r.���mi noor.tss _ <br /> �`�, �� 1 ��.3 2. U l�,Lc�`,-� , � ,� , .,, <br /> MECHANICAI <br /> i �� PLUMBING NQ TYPE OF EQUIPMENT FEE <br /> ��p, TYPE OF FI%TUflE OFi ITEM FEE <br /> WATER CLOSET(TOILET) A�C-A�HNDLG UNITS-H.P. <br /> � _ —�b� � FORCED AIR SVSTEMS-B.T.U. td [.�. _ - <br /> z BATHTUB — 1,:N1T HE�7ERS-B.T.U. M -- <br /> ��� LAVATORY IW�SH BASIN) U' <br /> 1 _ �L_ J�� � CLO7HE5 DFYERS —� --- <br /> � -� SHOW@fl _ <br /> ' S� VEN7ILATIONFAN _--� <br /> KITCHEN SINY.B DISP RANGE HOOD <br /> � DISHWASHEF� , � WATER HEATER - <br /> !�� I LAUNDRYTRAV . <br /> I "��I CLOTHESWASHER �� _ WOODSTOVE _ <br /> METAL FIAEPLACE 8 CHIMNEY <br /> URINAL FIREPLACEINSERT - - <br /> DRINKING FOUNTAIN � � HEAi PUMP - <br /> � ' � � FLOOR DRAIN _ - ' __ <br /> GAS PIPING <br /> �1� BACKFLOW PREVENTERS � EXHAUSTFAN -- <br /> ROOF DRFINS-RAINLEADEPS -- �j <br /> SINK(SEflVICE-BAR,ETC.) — t Q OG� � —���""— � <br /> I�' � — -. <br /> SUBiOTAL S __��;��__ <br /> SUB TOTAL 5 _ ��- - PEP�11T 5 _ <br /> �_' - — PERMIT S — TOTALFEE S <br /> - TOTALPEE 5 <br /> FOR OFFI'::.USE ONLY: — ��nr+c��ecK r+u��oE� "�. `;��E1Pi"o <br /> �RONI 5[TBAC� RCAfl SEiOACN SIDE SELBAG/ '���� �/ J. .,�� �J� J . <br /> ZS r 7�S FEE/ <br /> 2 vacnNisne FEES YALIJATION <br /> USE?O l�O7i�AR6A y ' <br /> ��" � f–Y+��I�� /�� BOILCING ����=.J�.__�,� � _�'�� � <br /> iVPEOFfONiSAIIOWAPIE bP[OfCOtI5I4C10�L occuvniCv voC�mvuln�,uan5 7� i — <br /> .� .�A ' �° " I PLUMBlNG � — �� <br /> (�J ,v 3 ���� <br /> SZEOFPLOG NDOFSTORIES DASEMENt MECHANICAL �fJ-1-_. <br /> achc. +3ro��� y Np : <br /> ,�_ .'/�� ADDITIONPIPLANCHECK __/T:.1i:�. <br /> OCCUCANCV LOAO FlPE SPRNNLERS REOU MEIGIIT IIMIiRiION <br /> �J� �I:U �F _ SPRINKLER �T � � <br /> REASONFOFSPRINNlERS $TATEBUILDINGSURCHARGE L � �/ <br /> —" ��—_ <br /> �•un.r�. <br /> r�n�;���������r CITYOFEVERETT PUOLILWORKS ����� <br /> LOCALSALES I .�;, <br /> � TAX CODE IS 3105 TOTAL <br /> S � <br /> , �. <br />