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� APPLIGATIQ'�'� F'OR CONSTRUC7� 1N PEi��1111T ��-' <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT �'+'�'��E�T <br /> I�IGATING SYSTEtA: f GAS ❑ELECTFIC IJ _ — _ 1 <br /> BUILDING DEPARTMENT <br />� 259-8810 " '/ <br /> I i DEMOLITION f I COMBINATION BUILDING umECHANiCAL PLUM8ING ! i SIGN <br /> OWlIEP M�IlA0�PE55 ItY ZiP P�fOCc <br /> [�.'�J Ly /�MeS �� � y/=� �I��2 �v�!'�i I <br /> TENANT � MAIL�OORE55 � GIiY 21P P��OtlE <br /> A�iGuiEGTOH0E51GNEP IA.PLA�OflE55 � CItY ZIP CIIOHE <br /> GENEf1�LLONTR�CTOR IAAiLA��BE55 CITY ZiP PIIONE STAiELICEN5E1 <br /> ��'� ������ �°�"�S - <br /> 9�� tdLCHANIGAIC YTR�GTOB I.IAIL 0liG5` CITY 21P PHONE SiAIELiCENSE/ <br /> " �' � 1�,� '7�/oi �el�. Sko��7 75')-/i3o � zU�9 <br /> m�� ra.�>; ���- � _ _- <br /> 'a H V1 PLUTAOINGCONTRAGTOR MRiLA00RE55 CIiY 21P PHONE SiAiELiLE1l5[/ <br /> rx <br /> H 93 — <br /> � �"� ���5�5 WORK <br /> �-3 Cb �.L'INEW f] ADDITION I I ALTERATION I i REPAIfi I i DEMOLITION I �I WOODSTOVE/FRPL INSEFT I I BUILDING RELOCATION <br /> � H� _ cor�rnctreasor+nr�or�{orier+o /� <br /> y ��-~i LG`lTRACT PfiICE OF WOPN �?x��` _�G O �ZO I L_ 7y 7 - �� 3G <br /> '^ Z� C[SC�i�E VlOHH AtIO 50UAlIE FOOTAGE iNVOLVED ' <br /> c_��� <br /> " ye T,cta�c M2�a+���=� ,�y�fe� 1 ��� �; <br /> PROPDSEDUSEOFOUI DING � I HEREBY CERTIFY THAT I HAVE RLAD AND EXAMWED THIS I <br /> � �p ��� _ _ APPLICATION AND KNOW TH�SAME TO BE TRUE AND CORRECL ALL <br /> IEGR�DESCRIPTIONOFPROPERTY�5HOY1N0ELOVlOHPTLACnFWRCGViES� PROVISIONSOFLAWS�NDORDINANCESGOVERNMGTHISTYPEOF <br /> � WORK VVILL BE COMPLE7ED WITH WH[THER SPECIFIED HEREIN OR <br /> y y[y ioT� BLOCK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEI_ THE PriOVISIONS OF ANY <br /> r ~y OTHER STATE OF{LOCAL LAW FiEGi1LATING CONSTRUCTION OF THE I <br /> O �H PERFORA1ANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> n d� OVJNER OF THIS PROPERTV TO PERFORh1 THE WORK FOR WHICH �I <br /> � [�� APPLICATION IS M11P.DE AND I COMPLY WITH THE SL1T�3 , <br /> ,z y� . COWTRACTORS lAW 1p27 RCNJ AND 256200 WAC. , <br /> HUcn � I <br /> �'ZJ - y/y /���lGe-- X - - '"�, �-� g 3 <br /> Gi;OJ[rinCOR[SS �.n... . [.v� I <br /> ��"�' PLUtdBING �dECHANICAL ' <br /> n, " ._, <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF E�UIPtdENT FEE � <br /> � WATER GL056T!TOILET) ti'C—MHNDLG UNITS—H.P. � <br /> `� BATHTUB — � FORCED AIR SVSTEMS—�.T.I��J.[-F•J� _—~— � <br /> '�'' • LAVATORYIWASH�ASIN) UNITHEATERS—B.TU. M i '� <br /> SHOWER _� GLOTHESDRYERS <br /> '�� KITCHEN SINK 8 DISP _r_�_ VEMTILP.TION FAN ' <br /> �e� �ISriWASHER _ __L RANGE HOOD ---� <br /> LAUNDRY TRAY ' _� 1NArER HEATER II <br /> CLOTHES WASHER —�- WOOD STOVE � <br /> e��. _ URINAL �.1ETAL FIREPLACE 8 CHIPdNEY <br /> �= DRINKING FOUNTAIN FIREPLACf_INSEflT �� <br /> FLOOR DF7AIN I I[AT PUMP ' <br /> � BACKFLOIY PREVENI FRS �^ GAS PIPING �. <br /> �'= ROOF DRAINS—RAINLEADERS EXIIAUST FAN i � <br /> SINK(SEAVICE—�AR,ETC.� ' �_ _ . � ' � <br /> — —i-- � e" O � <br /> ,_� — � — - —� S � <br /> SUB TOTAI 5 SUB TOT�L 5 �(Z;' ;� ! <br /> ��� PERIdIT 5 �� P[RMIT $ _�'J�i— <br /> TOTALFEE 5 TOTALF[E $ �" ' 1 <br /> I: <br /> _ FOR OFFICE USE ONLY: �' <br /> rr+ours[roncK n[nns[macK sioesrroncK rinnaucni�ui��ni.n rec nec[i��n�o. `', . ' <br /> J` /� � . <br /> us[zeuE iotmi[n vncnursne FEES VALUATION FEE 4 <br /> uuaoiNu � � <br /> nv�avconrs.nuownoie rvrcnrcon,i.nnuni ucw�.�k. aoorowu���,�.�,:�, -- --- �- <br /> 4w�v ' p�Uh7[31NG <br /> SV[oFOIDG. NO.OFSiOPIES O15EtAGNT MECHANICAL ' <br /> i <br /> G:,CUPANGVLOAD FNESPIiNNLE�5flE0'U ��EiG111LI1dIiAIIOt! �ODI110NALPlANCiIECK <br /> � <br /> $PRINKLER � <br /> nf:n�ON FGR SPRIIIHlERS �-- <br /> STATE EIUILOING SURCHAFlGE - `, <br /> irrnkiov r�n�isnrrFi���ouv CITY�FEVERETT pUuuCwo�Ks � <br /> �ocn� sn�es i <br /> TAX CO�E IS 3105 rorn� <br /> . '. ,-. � - ........ . . '-�� �- '� - '� r.-:,.. r ..._� .__ .... ., . .. ... . ....... - <br /> .:+- <br /> �.. +y <br /> i ': � � �::: � '-- <br /> j_ � ,=a� "- <br /> l; `". <br /> � -° , <br /> , .•� , , <br /> ! , <br />