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�4PPLICATION FOR COMSTRUCTIJN PERIIAIT °°��°« <br /> m,.e,�,�,�,,, TO BE COMPLETED IN INK—PLEASE PRINT � <br /> cirvoc <br /> everett HEATINGSVSTEM: GAS ❑ELECTFIC � '� � <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> � �. DEMOLITION I i COMBINATION � BUILDING I-IMECHANICAL I-7pLUMBING �� SIGN <br /> OCNEP qpILA0�RE5. CIiY I.P PrvpNE <br /> HIu. Stvi�n' �N�es4Mwr �oBvx as5 B�u,e�T �.ah, �i�Yl.,^' ��`L'f455 <br /> iE14Ni YAIL��DPESS CIiY ZIp VIKKrE <br /> u�� . <br /> u�cNiiEcronoc,�ciEn wa�ooness ��ry qp p�ro�E <br /> R6�� 22o w2sr H�+zic ra S�Mm� l,of� �'8tl`► 285' (16S' �,e <br /> GCNEfUILON}MC.iOR M�ILAO�PESS GTY IIP VIqNE LICENSE� <br /> �, aw,✓E 2 <br /> M[CHNIiC.4Cd1IRACiOfl NNL�1pD11E55 CIiY 2iP PIq11E IICfl�SE/ <br /> _uN� <br /> r�uuowccarrnnc*on r.u�anooness cin ziv p�E �kEHSE� <br /> �.<.}.)�� <br /> QAG50�WOflN <br /> QNEW I i AD�ITION I_j A�TERATION I 1 flEPAIR I I OEMOUTION ❑ WOODSTOVE/FPPLINSERT G BUILDINGRELO TION <br /> 3^`^ � [ P��t C011iACTPfPSONANOPIqNENO � q�� <br /> L01111UCiVpI.^,EOFWO(IN VJ �!�Y" <br /> PLSCRiOG W0liN LND 5W�PE f WInG[IN pLYEp <br /> � 2ab 2 5 1 .9'' s`�' <br /> vnon��po use�em�mno <br /> �A(�nfp.��� I HEfiE CERTIFV THAT 1 HAVE flEAO AND E%AMINED THIS <br /> �`�LL� APPLICATION AND KNOW THE SAME TO 6E TRUE AND CORflECT.ALL <br /> �me�ocscnivnoimrrnonEn.r�sHwmeeiowonnr+no�rwncon¢si PROYISIONSOFLAWSANDOFDINANCESGOVERNINGTHISTYPEOF <br /> �or owcn�o� � H'�RK WILI BE COMPLETED WITH WMETHER SPECIFIED HEREIN pR <br /> NOT.TI1E GRANTING OF A PEFMIT DOES NOT PRESUME TO GIVE <br /> ��y�� AUTMORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> f_t`-'�w �� • OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION Ofl THE <br /> PERFORIAANCE OF CONSTRUCTION.THAT I AM Al1THORIZEO BY THE <br /> �� �� q� ��� � OWNER OF TNIS PROPERTY TO PERFOFM THE WOFiK FOR WMICH <br /> ��v � APPLICATION IS MA�E AND I COMPLV WITH THE ��A�� <br /> n ry,,,,,,� 1� �,��� � CONT 5 LAW 1 2]RCV:AND 296 200 WAp. at W <br /> �WfN�N� 5 �IU EOf IIiMLi 11 flAUiN RE�� i pAIE 1P <br /> � (. <br /> bu ?�6r l� O.Rt�i o s�.wy� . X !�-lu- S�� I►av�s[�'i_ <br /> raaEcr�ooAcss � �- <br /> 2 NPPLICNIiS CIiY OUSME55 UC'NSEl10 ANO Bb5iNE55 NAME <br /> PLUMOING MECHANICAL <br /> N0. TYPE OF FI%TURE Oq ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATEF CLOev mn�u rn , Aif NNNDIG:INIiS--H.P. <br /> L�AVATORV(N /- ���� �y a� �I�l�n ' ���Je J � 1 � M E.A. <br /> - 'SHOWER OCC . GR�JQ� Dp� <br /> KITCHEN SIN (' \/�'v/ � <br /> �IStIWASHEI `ONSTrf'• � y'�F• •' ' � <br /> i <br /> LAUNOPYTR Q(�i:�LJQO � �(� <br /> CLOTHES WI ' <br /> URINAL ) <br /> F�LOORORnI NL�N ��/v �I`f� " �SVJ <br /> BACKFLOWI �LL �` �t�Jp. 2 <br /> ROOF DRAIN � � <br /> SINK�SERVII l D+✓StR,'�'r/7[: `/� =--' <br /> v <br /> , C�cc�,oao : �3 ; <br /> �-u sx. '� T— <br /> TO'iAL 5 <br /> PERMIT..._ y PERMIT S — <br /> TOTALFEE 5 TOTALFEE S <br /> FOR OFFICE USE ONLY: • / aGY,af <br /> fl10lIi5G1��CN qFA115Ei0AC; $IOESEiOACN pLNJCNEC NUMpfH ifE L q[�EIV Iq � <br /> / /o r Q `�.� <br /> uSEzo�r�e_ ��eZn�� w�srtE PEES VALUA ;ON FEE <br /> --'� , � eunomc D 00 . �6 3�] I O O � <br /> nv[arrom�s/q�mv,Ui� nnocoxsr¢ruu om.�.rn wwmnu,.cw,n <br /> /V �/✓ ��� � PLI/MBiNG <br /> S�ZEOFBL�G NO.OLSTOqiES . <br /> 17 Soo SQ.F7. 2 a'`s`"��J MFCHMlIC0.L �— <br /> OCCU ANCYL�AD FIOESYRNNLENSBEOD HEqHtLNli�ipry RDUIiION�LPUNCHlCK L3 .{..qF.-nr.�A1'- <br /> � 3 I — r'«^`r—..� <br /> , / orHeA <br /> nEesa�foasrnmKtens �`/ '�J <br /> STATEDUILDINOSMLlURGE y �� <br /> ixu.env vi Hsnrrnoveoar CITYOFEVERETT PUB4CWORKS <br /> ^(�` � ly� LOCAL SALES ' <br /> ,Y1 r rn, ,h rnx coo�is 3ins *or�� —T— <br /> —�i`__—.4� _ . . . . . . ..f:yl-�--.-,_�' , <br /> �„ '—" '. - - . _ � <br />��_�._ -- <br />