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APPLICATION FOQ ���,�„ <br />'°.E"'°'"" CONSTRUCTIOh <br />cm oF � <br />ever�tt PERMIT <br />UEPT OF COMh1UNITY DEVELOPMENT $ERVICES <br />CITY HALL 259�8745 <br />[VERETi, WA98201 ❑COMBINATION ❑ BUILDING ❑MECHANICAL PLUMBING PERMIT NO. <br />p'µ.� },q �.1 n�ellnUf>XI55 Ulr ZIY PMO'�F Z, <br />�1f 411� ^ � 1NZUU1 �5 'sls P� SlJ clk;fC'� �(l� � _ <br />�0.f111T[CItlRO!Slf,uld N�IL���RISS UfY ZIP PHONF <br />CfvINAt[OVINACtOR MnII�DDRE55 Uiv Z�P VMON[ IICFNSF� <br />NICIIA\IUL (9v1NnC1pR �UIt �OpR(SS CIlY ,IP PMCNE UCFNS[ I <br />�IP��111>LCONI AC10N �+UInUUNISS / '• ,•,"..• .••- <br />"ch r�, ,��s�Q��-� � � � �hc . �170.5 %i�,� a �l`�Q3 � 77/�90,30 t�}-�'-Crl <br />��,>5��„ x� �.I� <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEn10LITION ❑FENCE ❑$IGN ❑GARAGE ❑BUILD�NC RCLOGTION <br />��uunnon ur woxa <br />t <br />nisc�nhL't-� I.I . Y'�1 ��l..l' � f�i�(� `." ._._ <br />0.10PO4IU VSF OI flUItDItiG <br />1tUl o(SCRIP1�oN or r¢ork0.lr �sMOMv xRON� OF etin<.N fol'X COV�Is: <br />1 OI _ NI OC� __ Of <br />1011 wDORlSS � �� � � <br />PLUMBING <br />NO. TYPE OF F�tTURE <br />�YATF H ClOSL i ITOIIF T� <br />4MHTU9 <br />U\UTORVIWASH f1A514� <br />SHOWEft <br />KIiCHLN SINK S DISP <br />DISN'ASMf R <br />I�UNDRI7RAY <br />QO1111$ �M1'ASNFR <br />14'AIkN MUiEF ---- <br />uuiw� <br />DRINKItiG f OUIJTAIN <br />FIOOR DHAIN <br />VANUti� �RFAKERS <br />ROOF OftAINS—RAINIE�AEHS <br />SIr+K 6FR\'ICE—FlAe. kTC I <br />USf ZO'�F <br />S• w <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT ALL <br />PROVISIONS O� LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL OE COMPLIEO WITH WHETHER SPECIFIED HEREIN <br />OR NOT THf. GRANTING OF A PERMIT OOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEI. THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THF PERFORMANCE Of CONSTRUCTION. <br />til(:NA7l:R( OF CO`�iRACTOR OR AUTHORIZED AGENT DATE <br />Y ! c, ��',�l�.,i�e�,c�1 C7� -�3d —gZ <br />MECHANICAI <br />FEF NO. TYPE OF EQUIPMFN7 <br />AIN COM1D UtiITS—H P tA <br />REFftIGfRAT10NUNITS—HP FA <br />�{pRkRS—I�F [A <br />CAS HBED A C UNIT$—TONNACE EI. <br />IORCfDAIN5Y51EM5—HiU MEA <br />WALI MEAIkNS—fl i U M <br />Uh9IMEA7INS—JTU M <br />EYAPORATIVF COOLEftS <br />CIOiME'i �RVFaS <br />VI NiILAiION fAti <br />R�NCFMOOD <br />AIRMANOLWGUNIi— CFM <br />S10VE <br />n1CUL FINEPUCE 6 CHIMYEY <br />�E�MIT 1 � � I' <br />TOUI FFE s � ._� <br />FibACK STR[[TS(TIlACK RURIARUSF10�C1. <br />p1 CONST <br />J! IiIUG <br />ZON[ <br />LOT ARFA <br />;�7i <br />VAUNi SIIF <br />❑YES uN0 <br />eour �:o o� owtiur+c. u�irs <br />5 n1AX OCC LOAU <br />FlIUNOOM1IS FIP.E SPHIM1KIERS <br />A►�lOVAlS <br />1 ENVIFONMENTAL CMFCK 115T <br />3 flUILDING �L�NS <br />7 fIXE HVDRANT <br />1 FIRE PROT[CTION SY`.'E:d <br />5 GRADWGIL%CA\'A710N8CLtARINGiCRUtlNING <br />6 ORAINAGE <br />7 FNVIRONMENTALIMPACT51AiEMENT <br />E Y.UL7H DISiRICT <br />�Y i DAT[ <br />APPlIU716u AC.. OY F'LANS CHfCKED �Y I APPR FJR ISSUANCk 13V <br />H-149 <br />SUlTOTAI s <br />►ERMI7 f <br />NVMf1EH PIAN CHtCK 1tF <br />(FE RECEIPT NO. <br />iFFS VALUATION iEE <br />dl9LDMf, f <br />rLun+F1�NC <br />MkC11AMCAL <br />O7M(R <br />PtNnLiY U BC. <br />SEC J01�a) <br />TOUI <br />�ERMIT VAIIDATION <br />WHEN PROPERIY VAlIDA7FO0N i1115 SPACFI THI5151'COR PERMIT <br />