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APPl.ICATIO� FOR CON�TRUC�N PERMIT °�'°'�''� <br /> �,,����„�,,,�,,, TO BE COMPLETED IN INK—PLEASE PRINT � <br /> urro� <br /> everett HEATINGSVSTEM �(jGAS ,.1ELFC7RIr_� r1J.Ch�� <br /> BUILDING DEPARTMENT <br /> 259-8610 <br /> CEMOLIT:Oiv COMBINATION �' BUILDING MECNANI�AL PLUMBING SIGN <br /> orv4[n MaRRopPEss cilv Dv enGtiE <br /> �iw, srn�sr ����rMe�r �oeoxsas� e,�+.e+1� �A� `1�_�55 4455 <br /> it�iA'are� rnnneoon[s arv Lv wrorrt <br /> �`� <br /> �..� nc�o�+oes�euen euiieonness cirr z�v P�roue <br /> cr;NER�)j',cioq 22owqesr H�x.�cor.� Se'�'csrl.e lAf4 �'Bttq 285K11�5 �rE <br /> _�c, dUJ,dE 2 <br /> r.�i.u�e..�!n�caaxnnan wiuoonEss � cnv z�v v�wn[ uctnsE. <br /> u�,r <br /> PiL�MO�ASCGNteACiOO IANI/.ODNE55 CIiV ZiP F40NE IIGENSEI <br /> U.3.(� � <br /> C14S�O�WOPX <br /> .P.EW ADDITION ALTERATION BEPAIR DEMOLITION WOO�STOVBFRPLINSERT . BWLOINGRELO ATION <br /> --' ` /�(�� p PIWt ��t'- ca+��crr�asoNi.Nnrrwuexo /����� /j/ <br /> (.f'�'ll(1>GiVNICEOfWOPI{ ��J \/� �� P�(�1 I�J <br /> oesce�oewaneerroeouencvoouctwo�v[u � Y' <br /> 175b0 � tniktit, -HowSB a�I,Db ?A6 2 S 116� �(lT�` �� <br /> raoaasmusccrnw�ou�c I HEREQY� CERTIPV THFT I HAVE READ AND EXAMINED THIS <br /> _��� APPLICATION AND NNOY!TNE SAME TO BE TflUE AND COFflEGT.ALL <br /> ic.:e•_ccsaavnorvormvovcnn5novrt�oc�owonnru<r�rc�ncoriis PFOVISIONSOFLAWSAN�OFDINANCESGOVEFNINGTHISTVPEOF <br /> � WOiiK WILL BE COMPLETED YlITH WHETHER SPECI�IED HEREIN OR <br /> ��' u��^ �P �S NOi. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITV TO l'IOLATE OF CANCEL THE PROVISIONS OF ANV <br /> �'�' '�(�(�' . OTHER STATE OH LJCAL LAYI REGULATING CONSTFUCTION OR THE <br /> PF.RFORMANCE OF CONSTRUCiION.THA1 I AM AUTHORIZED BV THE <br /> � � q�L��� f�yz OWNER OF THIF''POPERTY TO PERFOFM THE WORH FOR WNICH <br /> p=L APPUCATION. IS MAOE AND I COMPLV WITH THE STA�� <br /> N CONTFACi045LAW16.27RCWAND796200WAC. �:���y <br /> _�py� 1�' �'O��$ 4� 5 AlU EOff 111MLipqhnAuiN(�UZEt`��.. � o�iE ," <br /> b���u-,-�&CF�D� 0 P 5�-Lok-_ . X��`� i��z��.t...�� �. <br /> �AaE�r�oo��s3 N-1 u. SCh�b1' Il..1 V�SCx��- <br /> '�'{� evNucar�rsc:noos.nessucer�scr�onr:nn�avrtssr��.ue �, <br /> I PLUN.dING MECHANICAI <br /> NO. TYPE OF FI%TUflE OR ITEM FEE NO. TFPE OF EOUIPMENT FEE <br /> WATERCLOeer,�nne�r�(� /� /�i A�f.—ArHNOIfiI1NITS—H.P. <br /> DATHTUD �W�� �y bO �I���A : I Q�J..,J � � M E.A. <br /> LAVATORY(Y <br /> — sHowen OCC . ���'��P:pa <br /> KITCHEN SIN —�\m� � <br /> �ISHWASHEI �0+�1 jT�' . . f I •` v' � <br /> LAUNORY TF O�'-�L��O • a(J <br /> CLOTHES W� <br /> URINAL (� ^ <br /> DROOR CPAI �L'J U ��IO F'�j f I� : ��UJ <br /> BACKFLOWI UL�, P.�1(�JP,C�. <br /> ROOF DRAI� <br /> S�NN�SEflVIi (p�}1R,'''r�7[; �/✓ i <br /> �cc�,oao : ,3 <br /> _ �p/i S� '/oZ <br /> OTAL S <br /> PERMIT S PERMIT $ <br /> � TOTALFEE S TOTALFEe 3 <br /> FOR OPFICE USE ONLY: / oGY,o7' <br /> rr�oasnan� AE�n��c� 9oFse�a riu�n�ecrwuoea �[e� �Z ne¢�o�rw <br /> ✓ <br /> ur.cronr �� �np� vecu�*sne FEES VAIUA ON FEE <br /> C.� �2�'7J� �' euaoiNc �ppQ I�3 rl � 00 <br /> tvv�JrcoxiSµlow�6LL ro�(N,coNSi_RC�uxt uturu[� r�nonuiwuws — - <br /> �� I/�V � PLUMpING <br /> SRE W 0L00 NO Oi 5I0lIiE5 BASEMENi MECM�NIGRL �— <br /> I� So� SQ.�. � N� ' —_ <br /> 'KCU ANCVIWU FlPESFPNNLEPSPE00 NEqNiLl411.1}qN pD01T101ULPtANCHECN G3 '��)� <br /> / OiNER <br /> nt�SCNIONSVqINGlEPS ��� (' <br /> ST�TE6UILDINGSURC��nR;E y ;� I <br /> �i•�oxEnv ri vsn�rr.ov,nav CITYOFEVEflETT auoucw0aK5 <br /> _ 1ti„� ry� � LOCALSRLES _ I <br /> � ' I C� TAX CODE IS 3105 *o*a� � <br /> ri7�/ i.� <br />