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FROhI:EUERETT BUILDING DEPT�'� T0: 2066433475 7'"' 17� 1992 2�13PM q412 P.02 <br />APPLICATION FOR CONSTRUCTION PERMIT �w'� <br />TO BE COMPLETED IN BLqCK INK—PLEASE PRINT <br />BUILDING DEPARTMENT HEATING SYSTEM: U GAS U ELEC7RIC U_� �� <br />259•BB10 <br />I I DEMOLITiL'N I I COMBINATION BUILDING l 1 MECHANICAL I I PLUMBING �I I SIGN <br />OWi'EF MAILAOOR[FS CRY ZIP PHONt � <br />�b��l � rw�{' ���lD_ [�l-�� +� � eVve U.k,4Rc�oq �i`�L1-Z�3 <br />TfNANT � ' M�a,moness � cin zir dncviE <br />ARGHITFCiUhUEYlUNC11 MA�IAUUAE55 CIIY ZIP PIIONG � <br />S� r�1 F�4 S G�t.� �!Z <br />OENEMICOMiRnCTpR MAILADOPCSS CITY 21P PHONE SIDTF.I.IC!'NSG! <br />SC�m � /�-s chc �.�e-i C4���L`���'�.; <br />MFCNANICI�LGIXITOACTOR MAILAUIMI[Sa CI1Y � LIP PMON4 6UTELIC[NSF� <br />PIUMtlINf:CONTMCT(87 MAILALOIIE99 G7Y 21P PNONC 6TFilUCCN$F/ <br />f.lA65CYYIOIIK •� - <br />i�NEW I 1 qpD�TION I I ALTERATION I I REPAiq I I bEMOLITION I I WOODSTOVE/FRPL INSERT I I BUILDINp pELOCATION <br />GWITMLI FNICt U� WOlIN <br />OCSCRIOF WpqY, ANU SGVAiI! fOOT6GC INV(11 Vp[I <br />��I�l1V.J C�DVK�_ <br />aHor�scovscorounnwo ' — <br />�7 • P -0.�+n, I�/ V�CS,�in-`C e <br />LE WL Uk5 IP11UN qf VP.pvFRTv �SNmV!'N BELOW Un ATTACH cppq rqplE9) <br />�nT�_, BLOCN pf <br />_ ��,�.�1�-�--�k . <br />_�_. . . <br />_....:. _ � �-�1'Y��.�C_. <br />l .�Z_ .- <br />�-�'�-f-6, �( . S � E . <br />PhUJt lilOD CSS wI ' <br />� �rP.cP i-t- w�: � 4� ' i�� 2 n?> <br />LAVATORY (WASH BASIN) <br />n <br />J <br />FLOOF <br />POR OFFICE USE ONLY: <br />'i1CWTAfTHA�K fICApSF/TJNeCX� <br />USh Z� / LOl �Mt� / <br />�TPt01COMd.WIPNABLE 7YPCOfCONST.I�ipQ <br />—a'Z /J �"�v <br />3QEOF�I NO.OfSTOA�Fb <br />i65�f�F t � <br />sv� s,� Gqa. <br />KCUVANCV IOAU fiPC SPPNNI F.q6 NEf <br />�E� SPRINKI FR5 r O <br />�T�hFPY PLNISAOPRGVFIIBV <br />.11� <br />2 y3 <br />� °6�t4—z3 2 � <br />I HEREBV CER7IFY THAT I HAVE REAb AND EXAMINEC THIS <br />APPLICATION AND KNOW THE SAME TO 8E TRUE NND CORREC7. ALL <br />PHOVISIONS OF LAWS AND ORDINANCES GOVERNINQ 7HI5 TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTINO OF A PERMIT DOES N0T PRESUMC TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISICNS OF �1NY <br />OTHER STATE OR LOCAL LqW REGULATING CONSTRUCTION OR 1'F�E <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY T�4� <br />OWNEfl OF THI$ PROPERTY TO PERFORM THE WORK FOR WHICIi <br />APPLICAT N I5 MApH AND I COMPLY WITH 1HE STATE <br />CONT ACT S LAW 18.27 RCW ND 296.200 WAC. <br />x v.�?� ��-q -j <br />Lli1NlUpf � NT( �� <br />..._..._..---•�--�--� .�z—__ . —• •-- <br />FEE <br />-B.T.U. M E.A. �� � <br />M � <br />STOVE — <br />FIfiEPLACE & CHIMNEY � � <br />� / . _.. _.._ .........�.. <br />FEES ' <br />Bl11LDIN0 <br />w�annwxcwiu ._..... <br />PLUMBING <br />Mf.CHANICAL � <br />Aripp�� � — ADDITIONAI.PLANCNECK <br />J <br />�� � <br />STATE BUILOiNp SURCNARGE <br />vr �vcnc� � PUPLIC WORHS <br />icn� sa�Es <br />GODE IS 3105 totn� <br />U <br />`.. <br />� <br />