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FROM�EUERETT BUILDING DEPT � T0� 2066433475 7f^17, 1992 2�13PM ii412 P.02 <br />APPLICATION FOR CONSTRUCTION PERMIT ���� <br />TO BE COMPI.ETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPARTMENT H�TINO SYSTEM: U QAS V ELECTRIC U_�__�� <br />259•8810 <br />I I dBMOLITION I I GOMBINATION BUILDIN(3 l 1 MECHANICAL I I PLUMBING �I I SIGN <br />OWNEN � J� MU��L��oo�R[.�FB '�7� c�m� iw p�qNt <br />^�.�--�0.��!�_ -.___I � "�vr_`IPV11e.UJqVBL'10�i �1�}q'Z� Z � _ <br />TF.NAMT MA1lADDf1ES9 OITY LI' if10NE <br />ARCHITFC70hUr91aN[fl MAILAUbpl99 CI1y ^� L� MONF � <br />PWMtlMCCONTRACTpN MAILAUDIICB! CIIY 2W pMONC BTA7lUC[N$F� � <br />G �B8 O' wonK ' •. <br />�NEW I I qpDITION I I ALTERATION I I REPAIq I I DEMOLITION I I WOODSTOVFJFRPL INSERT I I BUILDINO RELOCATiON <br />mr�rncrn���W\�N ANOP�IONFNO.c _t <br />CONTMCT FWCF Ui WOnN ,. _=7_��-1 � c J T'2 �� V� � __ <br />DCSGRNFN'ORKANUSOUMCfOOTAGCINVqVFU - � <br />��. 14�,.1 Corvc-% �q 1�-1- _ . 6��-. Z 3 z� <br />PNOYW3CDYBCO�OIIM1DW(� .� 1 HEREBY CERTIFY THAT 1 HAVE REAb AND EXAMINED THIS <br />; wr��_. ewa� oc _ <br />` ��v��,v� hr� k _ . <br />; _ `.'�``-�- ���, - <br />` �:6+L, .�I_ 5-E_ <br />Pa�t���r�. . . <br />E�reCe�. �.7�.. R�203 <br />� PLUM91N0 <br />NO. TYPE OF Fl%TURE OR ITEM . FEE <br />, wATER CLOSET (TOILE7) _� _ <br />' - G. BATMI'UB <br />LAVATORI <br />'. �SHOWER <br />� KITCHEN' <br />� . °; � DIShiWASI <br />,. • LAUNDRY <br />, �I. �� CLOTHES <br />URINAL <br />DRINKINQ <br />FLOpA DF <br />BACKFLO' <br />POR OFFICE USE ONLY: <br />. monrsrrn�Wc � nunacra�cx <br />s��f�f , �. <br />�. U5kiaNe- LO1 ' - <br />►Z � <br />miawxrt.uiow�e�t irrc���• <br />� .Z�L <br />;¢r.aro�na No.oraron�s <br />�So Ff t � <br />)CCUF�NCY 4U � fIRC fVANKI Fq6 P <br />�l� <br />sID[ ii7DACN <br />, <br />1p <br />rax cooe is <br />APPLICATION AND KNOW THE 6AMB TO BE TRUE AND CORRECt ALL <br />PROVISIONS OF LAWS AND ORDINANCES (iOVERNIN� 7HIS TYPE OF <br />WORK WII.L BE COMPLETED WITH WHETHER SPECIF�ED HEREIN OR <br />NOT. THE ORANTINQ OF A PERMIT DOEB NOT PRE6UMC TO OIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REGUUTINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I qM AUTHpRIZED BY THE <br />OWNER OF THI3 PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATI,6�N IS MApE AND I COMPLY WITH 1HE STATE <br />conirQncrpqs LAW 1827. RC W AND 288200 WAC. <br />BU0.DIN0 <br />it ..... <br />PLUM91N0 <br />MF,CNANICAL <br />ADDRIONAI, PLAN CHL'CK <br />�tlPfilfNtCtlt� � <br />8TA7E BUILDINO SURCHAROE <br />PlIPIIC WORNS � <br />TOTAL <br />3v <br />� <br />[3 <br />�� <br />NO. <br />�a7 <br />n <br />� <br />