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APPLICATIO. . FOR CONSTRUCT" 1N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDINGDEPARTMENT �HEA7INGSYSTEM: UGAS ❑ELECTRIC aJ '��_ J <br /> 259�8810 <br /> : � DEMOLITION ! ! COMBINATION ��. ', BUILDING I �MECHANICAL �. -PLUMBING �� SIGN <br /> OWNf9 M�R1ppP[55 C�iv tl� V�qYf <br /> ��r,�,ce .�n/lcvs_�ii5 �✓��i«nie �:d1- 9S�v1 � s-��sz� <br /> 1[N�NI NI.0.�MI1C55 CitV $�P VINMI <br /> �AC�rtfCiCqq5Y�4EN MµID00C55 G�n' 1�� P�KNE <br /> C.FN[PN CfMin�ClOn M�4AMME55 CItY 2W PHUME S1A1ClILLNSE� <br /> ��re� <br /> M(GVANiLNCONiN�Cip9 W4�DME$$ piY Z� �If $�Ai[lF[NSE• <br /> %WBMpf.ON1P1LlUR M.11LI.00P:55 CIIV Zlo V1pNC 5t/LClKCNSE• <br /> fUNiP1Ll iRCL C<WC�M1: <br /> �[SCni�E WMR�M150V�FEfW1�GFIM'OIKD LONi1=11'FFSONI.MPIM�£Iq <br /> f<< /��e ios . ?c ___ <br /> i NEF[9V CEFTIFY THFT I HAVG qEAD AND E%AIdINED THIS <br /> rnoro,Eo use Su�ym� APPLIGATION ANO KNUV!TNG SAME TO 6[iRUE AND GORR[CT ALL <br /> � PROVISIpNS Of LAWS AND ORDINANCES GOVEPNING TMIS TIPE OF <br /> iec+�nrswwr�cmprnqov[nrvivrowxeeiavonenncntwoeorvEsi WORN WILL BE COMPLETED WITH WMETHF.P SP[CIFIED MEREIN OR <br /> ti�� �a 3 A ax��h p �����. �i' �S,i�- _ N01.'ME GR4MING OF q PERMIL DOES IIOT PRESUME TO GIVE. <br /> AUTHORITY TO VIOIATF OF CANCEL THE PROVISIONS OF FNV <br /> GTMEF STqTE OP IOG�I L4W REGULATING CONSTRUGTION OR iM@ <br /> -- — PEPfOPMANCE OF CONSIRUCTIUN.THAT I AM FIITHORIZf.D 9V 1MIE <br /> OWNEF OF TNIS PROPERTV TO PERFORM THE WORK FOR WHIGH <br /> APPLICATiON IS MADE AND I C01AOLV WRM TME STATE <br /> �.ncr��nv i o auuatn CONTFACTORS LAW 1827 RGW ANO 296200 WAG <br /> Cf1N5ifiJC�IJNLWNLIN�ER/.Dq1E55.TE12R1q1ENU49ER . / ///' • <br /> .:. 1 i� (. Ii7��voiG C��1 I.�Jq . SbJo/ x � Lw._-c�_C.6L_CC�,_ _LL�d_.'LVL— <br /> PROJECT AO�RESf " <br /> PWMBING GIECNRNILA�� <br /> NO. TYPE OF flXTUPE OR ITEM FEE NO. TvpE OF EOUIPMENT FEE <br /> WATER CLOSEt�TOILET� �1'C-A�HN�LG UNITS-NP <br /> DATHTUB FORCEDFIFSVSIEMS-B.TU M E.A. <br /> L�V4TORV�WASHBASIN) UN17HEAlENS-0S.U. M <br /> SHOWER GIOTM[S ONVENS <br /> KIIGHEN SINN 8 DISP VENIILATION PAtJ <br /> DiSHWpSNER RANGE NO00 <br /> ---� _LAUNDRV TRAV 1YAT[R H[ATEli <br /> CLOTH[5 WASHER W000 STOVF. <br /> URINAL MLTAL PpEPLACE�WOO�BURNING) <br /> DiiMKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DFAI❑ HEAT PUMP <br /> 9ACNFLOW PREVEN7ER5 GAS PINWG ' <br /> — --T- <br /> FWF ORAINS-RAINIEADERS G%HAIIST FAN <br /> _ SINK�SERVICE-BAR.ETCJ _ <br /> SUdiOTAL S SUBTO?AL E <br /> PERIAIT E PERMIT S <br /> TOTFLFEE b TOiAL FEE $ <br /> FOR OFFICE USF ONLY: <br /> 1Nq115liMCk Af�95EtB�CR $IDE6f�B�Lx PI�NCv(CxirJ4p[R ICE Nf[EInIV(t <br /> � � � <br /> usrrovt �o*ear� vecunsrts FEES VAWATION FEE T <br /> I-: vEe �! NO gUII�ING �� <br /> rvr�rvconst noors*onrci as�:wi, ww�.i.��.�+��� -- -� —_ <br /> un.r P:UM01tIG <br /> S�ZEOI6lM PPESVPM✓.lW5RE0� BI.SEYENt MCCNRNICAt <br /> !1 YES I�1 NO - <br /> pLcuvµCVWLO iIMEGURYn[OD NEIGMIIIMIAiKM A�Dlil(YIALPIANGNECN <br /> OiN�F <br /> P[�Spl <br /> SiAikBWLDINGSUNGMARG[ �� <br /> mr�.env nu+sevv�oveoeY CITYOFEVERETT vueucwonxs <br /> LOC�L SIILES <br /> p„� D1R COOE IS 3105 *or�� _�/ ;5-v <br />