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�'�� � APPLICATIG�� FO�R CONSTRU�7 aON �ERMIT ! <br /> TO BE COMPLETED IN BLACK INK—PLEASF PRINT ��r <br /> '� HEATINGSYSTEM: �GAS JELECTRIC U __ _ ___ _ � I <br /> BUILDING DEPARTIv1ENT <br /> 259-6810 <br /> DEMOLITION K COMBINATION BUILDING MECHANICAL PIUMBING SIGN <br /> :.�1':'If:(i I.IAIIADDRI.Si CIIY )I� f'110NG 1-1U:�C. 1�r-91(/S <br /> [)C.r�SA�niN IZ. !'1�fZ�..i.lt� qND {��a.�:.n� 1'�� �.-_w. CC,13 NuuV OR.A/�3,UIr E\'4(1LTT 'ift2U`R �:�iw 33�-7.y10 _ <br /> �IrJ�NT AIAILAOORE55 CITV ZIP PHON[ <br /> nr.���il[GT�RDESiGNEP MARA�DRESS Gltt :ir P��Ot�F i <br /> HOH <br /> �+C'i1 i.onP�i�3sz.� DEs2aN Tw18 "G CP�7J'a.ltiv� nVE. E✓rnrT ''/Sa�l 2SJ.-92J,� <br /> R1ay G6JERALCONiPACTON MAILADDRE55 CITY 2iP��/)� 7j P110NE STAT[IILENSE• <br /> ��7H 7T�-�,�- �.r- ��T� ,OaGi,J G�'�L doR .�/ ./b�«�-n Sss�r �o ci.uc iY� �J <br /> a y� 1.'I G�hqI�AC . �AC10R MAR A�LPE55 CItY 21P P110NE SiAiE LIGENSE� <br /> H �� io 6r sE�Ec,rD - ' <br /> F3 H �LL11fpWGCONTRPCTON MALR��FCSS Cliv 26' PNONE SiATEIICENS[Y <br /> K y� �� P,.c. SG�.Ec.sED '� <br /> � H� CLASS OF WOFK <br /> y y� 1• NEW ADDITION ALTERATION REPAIR DEMOLITION WOODSTOVE/FRPL INSERT BUILDItJG RELOCATION <br /> � O� N J ` �`�r,Zr��p covtnci c�nson nr�o rr�ouE No <br /> y� LDYTRACi�RiCE OF WORK (7jC-1'�SPM2N IL. Z/aRti-ryt�y �ZUC� �?.3%�2H�J <br /> � H DESCRiOEWORKANU500AREPOOiAGEMVOIVED?�J �+iy��4E ANp D4iJC <br /> � �g � z.�ti <br /> M C�7 �£ FAw,2�-v Z:siDENc� (35�i :�o.t�'c) _ , <br /> 4'1� O rnoPosEouseoFem�owc i HEREBV CERiIPV THAT I HAVE READ l+ND EXAIdINED THIS i <br /> H C�3� APPLICATION AND KNOW THE SAIdE TO B[TRUE AND f,Of�RECT.ALL ' <br /> aH Ci7 f'�l.�f �PMS+-4 Ri-SZTXaNc.:. _ . <br /> t., Z iecn�oescwprior+oveaoaeaivis�wwr�eE�owoan*ucHFouacorie�i PROVISICNS Of LAWS AND ORDINANCES GOVERNING 1HI5 TYPE OP <br /> WGRK WILL BE COMFLETEO WITH WHETHER SPECIRED HEREIN OR <br /> �y ~y �or B�ocK oF NOT. THE GRANTING OF A PERMIT DO[S NOT PRESUME TO GIVE <br /> �. p �H AUTHORITV TO VIOLATE OR CANCEL 7HE PROVISIONS OF AFV I <br /> n d� S CE_ A'}"riti116 OTNER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE 4 <br /> PERFORMANCE OF CONSTRUCTION.1HAT I AM AUTHORIT.ED BY THE <br /> � r � <br /> C'7 OWNER OF THIS PROPERTV TO PFRFORM THE WORK FOR WHICH � <br /> y �� APPLICATION IS MADE AND I CO�dPLV WITH THE STHTE � <br /> CO TRACTORS LAW 18.27 AC AND 296.200 WAC � <br /> �,(,{A.i,.ti• Nn ��iti�-�-�- s �� $-�5Z � <br /> , <br /> -, l �. ; <br /> x .�i ,� �, � �l�e �_z . <br /> r��;mcinooaess �� „""��'�' �.�� i <br /> i '91S Siwe.n Lnke. 'Dzr.rr EvE2r.�n- F: �: - ����sF�, - - � <br /> PLUMBING MECHANICAL <br /> � NO. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF EOUIP�+ENT FE[ <br /> I � 3 WATER CLOSET ITOILET� �S �- _ A�C-A HNDLG UNITS-!i P, ___ _ i <br /> �'°` � - FORCED AIH SYSTEIdS-[3.T I I. A1 [.A. <br /> Z BATHTUB �v �- � -_.-_-- <br /> �_ LAVAWRV(W�SH BASIN) 'U :- UNIT HEATEPS-�.T.U. td <br /> f�. � = CLOTHES DFVERS � <br /> + SHOWER � <br /> -.� .� KITCHEN SINK 8 DISP � � VENTILATION FAN � <br /> J DISHWASHER � - I RANGEHOOG i <br /> LAUNDRV TF1AY WAT[fi i1EA7ER I <br /> I^ = � CLOTHES WASHER j � WOOD STOVE <br /> UFiINAL 1 METAL fIREPLACE 8 CHIMNEY A�i <br /> DRWKINGFOUNiAIN FIREPV�CEINSERT = � <br /> '""� � FLOOR DRAW —� -�7� HEAT PUMP <br /> ����� BACKFIOWPREVEM[RS -� r G�SPIPING <br /> ROOF DRNNS-RAINLEADLRS �"j E%HAUST FAN . <br /> SINK(SERVICE-BAR,ETG.1 ' — <br /> +� --�'— -- <br /> ��S � Jee.i �i.s� <._.yA`+e�_ �cia� Sf "� �i <br /> �. m <br /> _ �— i <br /> '`'� SUB TOTAL 5 ti.r ; � SUB TOTAL 5 �'.:� - I <br /> PERMIT 5 �— PF.RMIT 5 <br /> TOTALFEE S TOTALF[E � —� <br /> FOR OFFICE USE ONLY: s3v '�f �` <br /> IPOIliSEiPACN PEARSL111ACK ��� SIDESElOA�✓� PLANI]4CkNUM11pC /) fEE �6EIPLNO � <br /> / =�_.�1�./ � �� . � ��>_�.71L� � <br /> o�C� �s,rE n�nJ _7 <br /> usezor+ rtnnirzn vncnNtsu[ FEES VALUATION FEE � <br /> r <br /> — ��z.� v�g �,���.o,�a ���e��o`'= — ���' ��., �_ I <br /> irvLO�CONIS�LLOWABItr 1Mf0�Ct�'15�nilu:l �:t.:ru�c� xomFwt,�.•.._, - - --- ---- �--� — <br /> .ILN 7lN ��,.. � ��������v� _ �: t � <br /> ��¢[OFpL NOOFSIDc¢i OASEMENt MECHANICAL Qr�J 1'U� <br /> �zc,�Q���r 2�oc� ,Z No — � <br /> �—` ' AODITIONALPLANCHEGK /— <br /> OCCUPANCYlOAO / FlR[SPRNNL[RSfiW� HEIGHLLIMIINION 'J - �0.2 ��� <br /> �.,I �� r SPPINKLCR � <br /> fi6�50N(OR SPRMNlEPS � ��� <br /> SiAIL BUILDING SURCHAHG[ '� �SZ� <br /> u�m.er,r r�nr+,m'i'noveonr CITYOFEVERETT puuucwonKs Io�' <br /> v�' <br /> LOCALSALES <br /> �������� i � TAl(COUEIS3105 rorn� � /� :j ; �� <br />