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APPLICATIC 1 FOR C�NSTRUCT �N �ERMIT ,��',' <br /> TO BE COMPLETED IN BLACK INK—PLEFSE PRINT '�"��� <br /> _ _i <br /> ✓ -_ - ---- -- <br /> -- ----- -- �, <br /> ��l�� I I HE�TI(JG SYSTEId. J G�5 J ELECTRIC J __—_ . --..-- -- �, <br /> BUILDINGDEPARTMENT ' -- - <br /> 259-6810 <br /> DEMOLITION COMBINATION �ILDING MECHANICAL PLUMBING SIGN � <br /> _-..,_.�� uni�nuoness ci.v 'u, r+�o�+c <br /> 1�1�NA� G1oL�owSri �D �,..aVEe� 9S3U/ GE ZsL �/�/4S- <br /> �.'.•,�ii MA�LRDDRE'S CIiY I�P PNO4E .. <br /> qr::r�iEGTORD[S�GNER MARRDORE55 LITV T� PMONE <br /> yC)H <br /> `.C�� GCrv�qALCONTRnCTOH MPIL�DDRESS CITY IIP PNONE S1AiLLICENSE� <br /> � Z / Qun..EC D.e �E�.ETT 9S2u/ ZsS/3ii /�i�/fi6 a8fr3�� <br /> io'z� r'ac�Rc Gqza�Fs � 6 6 C <br /> C H ei G�U!LCnt CON'RnCrpq �AAIL�DDRE55 CiTY ZiP PHONE SIATE LICENSE� <br /> 'd F,�I N <br /> H ��� �'�Wd014GCOMTRAGTOR MM�.�GiJRE55 CITY ZIP PHONE ST�tEIICENS[• <br /> y �L r-+ <br /> K O <br /> r3.'�1 �.inssoFwoaK <br /> .�p H� ✓tJEW ADDITION ALTERATION REPAIR DEMOLITION WOODSTOVEiFRPL INSERT BUILDING RELOCA710N <br /> y Z� �/�, .. cov*act a[�soH nr�o nHov[ra — <br /> coi*Rr,ctrnic[oFwoaK BZ7��Da <br /> � y� DC.LFiBEWOFKANOSWPREFIX:tACr.INVOLVED I�O iSi CIC� G59 �J�� <br /> � Cl C.-x� <br /> �y _bFTOCYIE� GA�'faG.E S76 <br /> H <br /> I-�1 C�170 r��eooseouseoFeu�toiuc I HERE�V CERTIFV THAT I HAVE READ AND E%AIdINED THIS � <br /> H• O ��Q�E APPLICATION AND KNOW THE SAME TO BE TRUE ANU CORRECT.ALL ; <br /> i.ian_oescaiarpNOFvaoveanisFovmeeiowoa�nncHcouneowcs PROVISIONSOFLAWSANDORDINANCESGOVERNiN�THISTYPEOF <br /> � WORK WILL BE COMPLETED WITH WHETHER SPECIFIFD HEREIN OR <br /> t" H y i��r e�aK oc N07. 1HE GRANTWG OF A PERMiT GOES NOT PRESUME TO GIVE � <br /> y AUTNOFITV TO VIOLATE OR CANCEL TH[ ?(70VISIDNS OF ANV <br /> � �U ��V �J� fl- L�I ,7i C`�� ��C�Z Z','�(� 7 OTNER STATE OR LOCAL LAW R[GULATING CONSTRUCTION OR THE i <br /> ❑ 4 PERFORMANCE OF CONSTRUCTiON.THAT I AM AUTHORV.ED�V THE i <br /> � ['1 O\NN[R OF THIS PROPERTV TO PERFORId THE WORK FOR WHICH <br /> y y APPLICATION IS MADE AND I CO.'dPLV WITR THE STATE <br /> y �y COIJTRACTORS LAW 1827 RCW AND 296200 WAC. � <br /> � <br /> x r��"1�1�� 9��6��'— I I <br /> --- - _ �,., , i <br /> i�r�avrrnoorass � S ���J _ � � <br /> �z� w�nvee�y �/�'L - . — <br /> PLUMBING MECHANICAI <br /> NO. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE 4 <br /> '�� WATEP.CLOSLT ITOIL[TI �(- �����:DLG UNI7S-H.P _ — � <br /> .�. � BA7HTU� _ _ FORCED AIR SVSTEIdS-�.T.0 M E A � <br /> LAVAIORV 11'JAS�i�ASRJ� UNIi HEATERS-B.T.U. �d � <br /> SHOWER CLOTHES DFVERS __ � <br /> !'y* �..' _ VENTILATION FAN ( <br /> KITGHEN SINK B DISP --r— <br /> � '� �ISHWASHER RANGE HOOD i I <br /> LAUNDRYTRAV WATER HEATEH �_ I <br /> CLOTHGS WFSHER WOOD STO'JE . <br /> �„ ,,,� UFINAL M[TAL FIREPLACE 8 CHIMNEY _ <br /> FIREPLACE INS[RT <br /> DRINKING FOUNTAIN — --�— <br /> FLOOR DFIAIN HEAT PUMP _ ' <br /> ( '' BACKfLOW PREVENTERS GAS PIPING __ <br /> `� '"� ROOF ORA W S--RAINLE ADERS EXHqUST FAN <br /> SINK(SERVICE-9AR.LTG) � —. � <br /> _— —� <br /> ��' ' _ — — <br /> _ — __T <br /> �^I I — __ � ___ SUBTOTAL b <br /> SUBTOTAL 5 <br /> PERMIT 5 —T PERMIT 5 _ <br /> 10TALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> �nnursnancv -- nrno�s�iAnck smsE,nn��.-- ��,.ar.urccr�u�.�o[� rrr�7 n[i neceirrno <br /> ./i � � �j/ �/� ��2. � / f � ( <br /> G✓ <br /> �� �r ror+e .ot eacn vncnr�i sire FEE VALUATIOY FEE <br /> ��� �UILDING ���� __��_�O U <br /> !/^t O(COMS ALLOV/P&C IYPf Of LOIy51 RLitlhl nccuvnicr N�a Irelwvcuk'¢ — <br /> �"��° � PLUMBING <br /> �—N �-N �'3 ---- ;- - <br /> `�ilEOFBIDG NOOFSTOPi[5 BASEMENT MFCRANIGAL � <br /> i_ _.. <br /> 57b s � ADOITIONALPLNNLMELK �/ S.� <br /> OCCUPANGVLOAD (�AF.SPqNNLEH5RE00 HEIGNiUMRAtIpN — �i - <br /> _� �l/O �� / SPRINKLER ___ _ _ � / _ <br /> r•Cn50NF�SnPINNlERS ��qiB�UILDIN65URGIFH.if `� ' <br /> �u,nwt;ac v�nr�s nrrdrwt r;,-;� - - CITY OF[:VERETT rui�uc WORres - <br /> LOCALSALES <br /> �� �8 y TAX CODE IS 3105 To�A� /-� _ �7 S� <br />