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-� <br /> APPLICATIO�FOr� CQ�NS'Q'F�UGT�N PERMIT �,,.� <br /> TO BE C LETED IN BLACK INK—PLEASE PRI <br /> � <br /> BUILDING DEPARTMENT �� HEATWG SVSTEM: � GPS J ELECTRiC J � <br /> 259�8810 <br /> i-; DEMOLITION I' COMBINATION � �� BUILDING .�MECHANICAL i.]PLUMBING i i SIGN <br /> O EF 4.14 MDaESi Cliv DP PNO�+E <br /> �t��i� 6o�,{� z SIS y7 s3- Ev�- �.vF�l 2s f-�SI� <br /> rcri�ur �.ucwoncss urr ziP P�wr+e <br /> 0.RCJNJiFCJO�NEN MARAOORE55 GITY I�� PXONE <br /> 1 �y� <br /> GEYEF�Of1i�iOF MeRI.DDPE55 CItY 3ii VIA�NE STAiELILENSE/ <br /> 1 <br /> MECMAN�L141`CO1N1�{y\CIDH MqL�0�FE55 GiY Z�P PXONE 51�1El�CENSE� <br /> �W` nl <br /> vl�MBWGCONIPI.QOn M�iLRO�AESS Ciiv 1iP VwUriE SULEL4ENSE� <br /> ni� <br /> CGuI LiPfl�CE0iWQ11K�C� ,� <br /> UO <br /> �ESCF BE WtlIN ANO SWAflE FOJi�GE INV0.YE0 CONUCi PERSpN ANO FIqNE NO <br /> -n 11;rr c ���n <br /> �'�' I HEREBY CERTIFV THAT I NAVE READ AND E%AMINED THIS <br /> veovo5Eou5G4v mra APPLICATION AND NNOW TME SAME TO BE TPUE AN�COFFECT ALL <br /> - PFOVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS iVPE OF <br /> iccuoe PiFiKK10iPROFEFIVISMOM'NBEIOWOB�RACNM'OCOViE51 WORK WILI BE COMPLETED WITH WHETHER SPEQFiED MEFEW OR <br /> Lor ��K oF NOT. THE Gft/NTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUfNORITV TO VIOLATE OR CANCEL THE PROVISION$OF APIV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> -- -- PERfORMANCE GF CONSTRUCTION.THAT I AM AUTHOFIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFONM THE WORN FOR WHILH <br /> APPLICATION IS IdAOE ANO I COMPLV WITH TME $TATE <br /> n�aGE�*pv i J NuuoEe CONTRACTOR$LAW 1 B27 flCW AND 296200 WAC. /�/ <br /> CONSiPpCiqN LO�N LENOEH.AO�NE55.tEIEPNq1E NUUBEP ��� //) 5YJ/�'/�� ���/� y� <br /> /7 �V v��3 <br /> _ .L�_�' I l/ "i /�.J-arC�u�C� 'G/'� <br /> PFOJECC,T A�FESS�.���-� � .. . _ •� <br /> `-f � <br /> PLUMBING MECMAMICAL <br /> NO. TYPE OF FI%TUfiE OR ITEM FEE N0. T�PE OF E�UIPMENT FEE <br /> WATEF CLOSET�TOIIET) A:—A�HNDLG UNITS—H P <br /> BATHTUB FORCEO Alq SVSTEIdS—B TU. A1 E A. <br /> IAVATORY�WA5HBA51N) UN�THEATEPS—BTU. M <br /> SHOWER CLOTHES�RVEFS <br /> NITLHEN SINK 8 DISP ' VENTILATION f-AN ' <br /> DISHWFSHER RF4GE HOOD T <br /> LAUNDRV TRAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL h1ETAL PIREPIACE IWOOD BUPNING� <br /> ORINNING FOUNTAIN FIREPWCE INSEPT <br /> FLOGR DRFIN HEAT PU1AP <br /> BACNFLOW PREVENTEFS GAS PIPING ' <br /> FOOF DRAINS—�AINLEADERS E%HAUST FAN � <br /> Su�N�SERVICE—BAR.ETC) ' <br /> SU�iOTAL 5 SUB TOTAI $ <br /> _' —_"__—_—__ " —____ _ � _ <br /> PEFldR PERMIT 5 <br /> . ..__..._. . _..— .. - .._ — __' —____"— _—.-- '.__ _._ ' <br /> TOTAL FEE S � TOTA�_FEE S <br /> FOR OFFICE USE ONLY: <br /> �nCu�SEiBCCK AFeR5E1BeC� S�DESEIORCM v�nVCeEC i�o�AB[n �FF nECE�P*rv0 <br /> a �s <br /> us�Zo:c wteqE� v<.nn+5��e FEES VALUATION FEE <br /> �ES NO Bm�DiHG <br /> [i i �NS� NO OF SIOPiES ttc.o:y:r . xC.ns.�'S — —' <br /> `��'� GLUMBiNG <br /> SIEO[OlW FlflESPflINVLEPSPEbO B�SEMENi MfCHRNIGRI <br /> �'. VES �: NO - <br /> UCUPANCvl0�0 �inE0.�f1MREOC ��E�GNLUNrtnnON ApDIT10NRlPLANCIIECN <br /> � OiHER • <br /> aEe50N <br /> S�ATE BOiLOiNG SUACNARGE <br /> �:*:.io. vur+se�vuo,tom �� CITYOFEVERETT vueucwoaks � <br /> �— LOCAL SALES <br /> E I TAX COOE IS 3105 mra� <br />