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APPLICATIG . FOR CONSTRUCT. JN PERMlT ��"' <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT ""'cv�nE°T <br /> fHEATINGSYSTEM: JGAS rJELECTRIG J _ _ _ _._ . <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION x COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> ��t'.1�� 41PILAUonESS -� Gliv dr vr.::•:l <br /> �fj � `l�.-. n 1� +-1lr��.IC,LQZ �l.l,i Lc�rl G��'L�f�l'� <br /> � H jt�N� �AtI�D�E55 CITY Z�P PNONE . <br /> �V <br /> p � / Utt ZIP PHONE <br /> AHOI��iCC10R0[SIGNEfi MRILRDDRk53 ,/ <br /> � y �, Km •� - <br /> (,!'.I RAL CONTRACiOR MAIL AO�Rl55 LIiV ZIP Pr10N[ S1AT[IICCNSC� <br /> � � " .�l�1Zi�1`'�n�,:� � � �f__v�3.�°��'? g�'LS�-r,a:��<< 9��""��3���r��r�in,�a <br /> O s o u•rumwcnicor�rnncron raaaaooaEss cnv z�o rHove s�aTeucervse� <br /> �p M �V _ <br /> N MM <br /> 6 � � P;W.I9MGCONiRACTOP ia�iLnlIDnE55 CI1Y ZIP PHONE S1AlEiICfHSf• <br /> IC <br /> An y c��ssorWonK � <br /> G� •p h ' <br /> NEW ADDITION ALTERATION �REPAIR DEMOLIiION WOODSTOVE�FflPL INSERT BUILDING RELOCATION <br /> My' N �J LONiACiPPR50NNJDP ON[NO I j���---fff <br /> r y � CONiRnf.iPR:CEOf\VORn t I�` �i.(�'—lJt �/�/*�� � l��' � 'J�— <br /> ~ y �ESCRIpEWOAKAND50UME�WtAGGINVOLV[Da (��(,�'� � /Cy'R�1�1(:`K. <br /> � N <br /> g N C���u,��,J�C'.u�:�_a�,1.�, '- �1�sT14. -� ---- --- <br /> � � r rr.oros[ usEOFeuaoi�� /L( 4.5 � i HEREBY CENTIFV THAT I HAVE READ AND EXAMINED THIS <br /> y y �, � APPLICATION AND KNOW THE SA61E TO BE TRUE AND CORRECT.ALL <br /> � y ii�;n�oescAivnonovcnoPeerviswwr�oEiowonnrrnc�irouacoai[s PROVISIONSOFLAVJSANOORDINANCESGOVERNINGTHISTVPEOP <br /> WORK W�LL BE COMPLETED IkITH WHETHEfi SPECIFIED HEREIN OR <br /> ior o�ocK oF NOT. THE GRANTING OP .4 PERMIT DOES NOT PRESUME TO GNG <br /> AUTHORITY 70 VIOLATE Ofl CANCEL THE PROVISIOhS OF ANY <br /> � OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERPORMANCE OF CONSTRl1CTION.THAT I AM AUTHORIZED BV THF <br /> OWNER OF THIS PROPERiV 10 PERFORM THE WORK FOR WHICH <br /> _���� APPLICATIUN IS MADE AND I COFdPLY WITH THE S1ATE <br /> - � GONTRACTORS LAW tB.T RCW�ND 296 200 WF,C <br /> % 7.l �"LZ��4JJ����—�,/�/- `�r -- <br /> �T' <br /> �bivo�tcraooaess ,� _ . <br /> ��JX�7 4 C�%� .���< u� �. <br /> r i.n,,... , . �,�.i .. <br /> ��� -�-. PLUMBING MECHANICAL <br /> � <br /> ��" NO. TYPE OF FIxTURE OH ITEM FEE NO. TYPE OF EDUIPMENT FE <br /> ( WATER CLOSET(TOILET� _ A�G--A HNDLG UNITS—HP. <br /> � BATHTUB FORCED AIR SVSTEIAS--B.T.U. M E.A. _ . <br /> I1 LAVATORY(WASH BASIN) _ UNIT HEATERS—B.TU. M _T •i <br /> '�'� 1 SHOWER _ CLOTHES DRYERS � <br /> ��� KITCHF.N SINK 8 DISP VENTILATION FAN �_ <br /> DISHWASHER RANGE HOOD <br /> , LAUNDfiV TRAV —_ WATER HEATER II <br /> CLOiHES WASHER WOOD STOVE <br /> � I �� URINAL METAL FIREPLACL R CHIMNEY <br /> DRINI<ING FOUNTAIN FIR[PLACE INSERT __ I <br /> FLOOR DRAIN HEAT PUMP �I <br /> BACKFLOW PREVENTERS GAS PIPING , <br /> I �� ROOF DRAINS—RAINLEADERS E%HAUST FAN <br /> SINK ISERVICF.—BAR,ETC.) II <br /> . �� -- T i <br /> �._ - -- --T- <br /> SUBTOTAL 5 SUBTOTAL 5 '� <br /> PERMIT S --� PERMIT 5 , <br /> _ TOTALFEE 5 TOTALFE[ 5 �— <br /> r' <br /> FOR OFFICE USE ONLY: <br /> IHONTSELBACK li[ARtiE1CALH SIDCSElOACM PIN+C��[LKt1iiA15C1� fE[ R6GEIPiNO <br /> � l'> � <br /> usezorm totna[n vncnr�rsit[ FEES VALUATION FEE <br /> OUILD�NG _ _ __�� �'V�/ <br /> Ivf[0(L�NISAIlONR6lE iYPE04L0115iACiUAL oc`p0.v� rv00lownuxGUN�s --- - l <br /> PWMBING /� �w � <br /> [il[OFBLDG. NO.OFS1pRiE5 OASEMENi MECIIANICAL I <br /> OGGUPANGVLOAO FIRESPRNKLERSflEOD ��EIGNilIM114noN AUOITIONALPIANGHECK i� <br /> SPRINKL[R �, <br /> nf ASON iOR SPRMHLEl15 �� <br /> STATL DU�LDING SURCNA(iGE _v <br /> �cinKeev rine�sarraovcoer CITYOFEVERETT puuucwonKs <br /> LOCAL SALES �I � , <br /> � TAX CODE IS 3105 TOTAL <br />