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APPLICQTI...7�1 FOR CONSTRUCT'ION R�RMIT �� <br /> TO BE COMPLETED IN BLACK INK= LEASE PRINT — — <br /> HEATING SYSTEM: GAS ._I ELECTRIC J <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION COM9INATION BUILDING MECHANICAL PLUMBING SIGN <br /> o�vr� R l.INL Ap o ..s y�� J1P "" "` J <br /> U�- /. .fCLr ! 1 - Ctiti oN�if �F'''r`i 1 9�D� i�J/^-.5;5 9�/ <br /> T[ ANT 1 NLAG`JRE55 C �v '4 :�T—_� PHON[ <br /> �7��L� . - __ <br /> nRCNiTECiORDES�GNQi 1MRADOHfSF Ciiv Z�P PHONF <br /> GCNERALCONiiIALiOR 1AAILADDRE55 CIiV Z�P �'������E SiATEUCENSER <br /> �( !._CHAII \LiONT;ACI IAAILAO E'� �����/�"/1��,�VL• .�/Z�^` ^^���PH kl ��ELILE��� <br /> '� � y<i�/ J <br /> �/ <br /> r�Ti �� . UI.:OIHGCONLRACiOR 1}A ACDlL55 .CiIY ZIP PIIONE � SiA1LL ENS[� <br /> �T� <br /> �y <br /> CLASS OF\Vf�RN <br /> Y H !A NEW ADDITION �LTENAT104 REPAIR DBIdOLITION WOOOSTOVh�FRPL MSERT BUILDING RELOCATION <br /> Hy <br /> r� G� G041ACiPE�SONANOPHONENO ,'�//y/��,y� , <br /> Kn conrnacrraiceovwonrc �� ` __ --- - /�- ��=`�'f-- <br /> y� OESLRIpE\t'OHKANDSOt1AR[FOO�G�,vO' / � <br /> y y H ��XnIC�?0 �i/��tc�����i� /�� _ "G'��— <br /> aaovosmuseovew�oi�+c i HEREBV CERTIFV THAT I HAVE READ AND �XAMINED THIS <br /> ��±� APPLICATION AND KNOW THE SAME TO B[iFiUE AND CORRECT.ALL <br /> y PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> i�f.nl PF Sf RiPiION OF PR.�P[Rrv�511015'N 6E10}Y Ofl N 1ACM FOOR COPIESI <br /> O H WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HLREM OH <br /> H�C ior u�ocK or NOL THE GRANTING OF A PEiiA11T DOES NOT PRESUME TO GNE <br /> �� n �� _I-Fi AUTHORITV TO VIOLATE OR CANCEL 7HE PROVISIONS OF ANY <br /> H <br /> ��X "�T�O�OI � � -'O�� OTHER STATE OR LOCAL LA1V REGULATING CONSTRUCTION OR THE <br /> Z y J--� PEFFORMANCE OF CONSTRUCTION.THAT I Ald AUTHOF12ED BV THE <br /> a OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> � <br /> py y -- APPLICATION IS MADE AND I COh1PLV WITH THE S1ATE <br /> g y CONTRACTORS LAW 1827 PCW AND 29620�WAC <br /> C']C�+ <br /> ��� Xvn�.�� ,,eey�»,�.$) � �z 9z <br /> .�o v�'i , / �,,:.,�.,, �.� — <br /> BHOJE/CIADDA[55 <br /> � 7 .�C7 i r�li7�i���� / ����e.,.-.�u.��.�n�v r,. <br /> r <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FD(TUpE OR ITEM FEE NO. TYPE OF EOUIPMENT <br /> ' WATER CLOSET�701L[1� A�C-A.HNDLG UNITS-H.P. <br /> 1 _ BATHTU� FORCED AIR SYSTEMS-B TU. M E A. <br /> � �� _ LAVATORV IWASH[3ASIN) UNIT HEA�ERS-B.T.U. M <br /> SHOWER CLOTHES ORYERS <br /> KITCHEN SINK 8 DISP VENTILAT�ON FAN � <br /> — RANGE HOOD --�- <br /> DISHW�SHER <br /> • �_ _ LAUNDRVTRAV __� WATER HE�TER <br /> I = CLOTHES WASHER _ WOODSTOVE <br /> � URINAL METAL FIREPLACE 8 CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> �' ' BACKFLOV.'PREVENTERS _ ' GAS PIPING - <br /> � ROOF DRAINa-QAINLEADERS EXHAUST FAN <br /> SINK(SENVICE-cAR,ETC.) <br /> '=1=' —_ <br /> — -_—�—_ <br /> SUB TOTAL 5 SUB TOTAL 5 /,'")-' - <br /> LI�' PERMIT S PERMIT 5 _�;�_ <br /> � � TOiALFEE 5 TOTALFEE S � ' - <br /> FOR OFFICE USE ONLY: <br /> F(iONTSCiBAGN PCPRSEiOACK 90ESEi0AGM PL�NCNCCNNWJBEfi �C[ A[GEIPiNO. <br /> 7�1 J� <br /> usemr�e �arneEn vxcnHrsrte FEES VALUATION FEE <br /> E3UILDING <br /> I��IOftON15.AllOWP9l[ iYPE�fCONSI.RC1URl �Cuo�N[r q00iPx'fu�n:,[d's — <br /> �t000 � p�UMBING <br /> s'�IE OF BlIX'i. NO OF S10PIE5 C:.5EMENT ��ELHANIGAL <br /> �— <br /> orCUPANGYLOAD FlnFSPRNRlERSRto'o HLIGIQIIMItn11oN ADDIiION�LPIANCMECK _ <br /> SPRINNIEH <br /> R!'n50t1iORSPflMM.LEHS ��� <br /> S7ATE BUILDING SURCIIARGE <br /> mm�cnr �� � r�nr+snFanovEoov CITYOFEVERETT puoucwoaKS <br /> LOCALSALES <br /> TAX COOE IS 3105 TOTAL <br />