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�fi.".:.:'. <br /> FR011�EVeRETT BUILDING DEPT T0� 2066433475 7F.N 17� 1992 2� 13PM N412 P.02 <br /> A6�PLICATION �'OF; CONSTRU�TIOP�1 PERM1�' �w�� <br /> TO BE COMFLtTED IN BLACK INK—PLEASE PRINT <br /> BUILpING DEPARTMENT HrATING svs7EM: j�_cns U ELECTRIG IJ __. �� <br /> 259•8010 <br /> I I DEMOLITION I I COMBINA710N BUILDING t J MCCHAMICAL i I pLUMBiNG I I SIGN <br /> ON'NEN MAiLA00RCtS CRY ZIP PHONh <br /> r� irCn'� .}�> IU�I10 ��-_i-I�ci 1���'-a ; ` �I.Iruu�, `1�00 i u�l�1-232.=s <br /> CTFNwNT MAM1AOOfIG'S CIIY ZIP PIIONE <br /> y��1 ARCNRFG1UNUt31UNCi1 Mq1�AUUNE55 CItY 21P PIIONF <br /> ��i�' �C?�. 132?� Nr��i��, . �� "i i���('. ��R�c:�S �7��-�.�. ��ilL . .—.�_-- <br /> �1-3 OENUULWATq�CTOp MAILADDPCSS �CiiY ZIP PHONE DiATFIICh"NSEI <br /> ,o x (�'.u��tr wm�l 4I��nCS IU�IIG1�r,l-f'c � Rcl��(�� v .ls_i��'� ��`��I ¢�I�I-2�23 ('C,�L�I�ri 2=1C�rn.T <br /> '�pl-�W MFLHANiC�LCONTMCTOR MAILAUUflG55 CI1Y bP PMON� G1RE4CCNSF! <br /> H �3 ___ <br /> � � PWMtlINCCONTMGTOR h1ALLAL�l1E35 CIIY 21P YMOiJC yiAIELICCN$f• <br /> H�1 <br /> � H"�+9 �u�.S�cv�wonK � � �-- _ .. <br /> y H 17CI,NEW I I APDITION I I ALTERATION I I REPAIq I I b[1dOLITION I I WOODSTOVFJFRPL INSERT I I BUILDING RELOCATION <br /> � x� ` •. • .� (� " / — COlIT�GTPER604AN�PI1nHF110 / — <br /> y� (Xk1TRAGiPN17eUFWOnR _ � �•.�1 �����1.�. �'L� �1 ' � �r. �l�-��/r '�"� 11�1.�1_ — `�'�iL�..__� '__ <br /> O N OCSLRInFWOqKM'JSUU�11ElDOTnGCIAN(uVF[i <br /> � � .��'1 ? '}�S�(. Ci' 2�7�'i C �' , -712� <br /> G�j��G HHuroscouscoroin�n1iHr. - i HEREBY CERT�FY 7HAT I HnVE FEAD AND EXAtdINED THtS <br /> 7 H 3 �� ����'-^..`��I I`I V������ �f�.�,1C C_� _ APP��CfiTION AK�KNOV!THE SAbiE 70 BE TRUE AND CORR6C7.ALL <br /> yyC� �EW�UtsI11P110NOfGPOGFPTV(CNOWNBELUWUf1AiiM^NFOURGOPiES) PROVISIONSOFLAWSANOOR�WANCESGOVeRNiNC7HISTYPEOP <br /> t� �I WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> H H inr _. e�a:rc o� ^ ._... NOT. THE GRANTItJG OF A PERM17 DOES N0T PRESUMC TO GI'JE <br /> � �� If I � r AUTN��HIlY TO VIOLqT[ Oft CANCEL THE PROVISIONS OF ANV <br /> � C7[A �C't,�-C�,.\,'1 �1��,.1 � l I `.I �A�.I� .� Y �� GTHER STATE OR LOC4L LAW REGULATING CONSTRUCTION OR TH"e <br /> � C� _i PERFOR'dANCE OF CONSTRUC110N.THAT I A�d AUTHORIZED BY THE <br /> �'i OIYNER OF THIS PRGF'EATY TO PERFORM THE WOfih: fOR WHICH <br /> � � APPLICATIGN IS AIApE AND I COMPLY WITH 1HE STATE <br /> H O fA T�- ;�J;—� CONTRACTORS LAW 1827 RC W AND 296200 WAC. <br /> __ �.1�� .�,�,(�._ i � , �" . _ <br /> — � � C <br /> �C�'�'�l ` �I J7 � / X � � °��t � (L9_i���'lti) ���_1.;�c'„1 � <br /> PhOJtClM�ncSF 'f'I�i ',Y ��' s+:rnae i ll�� nuf In � <br /> �c,� I ls 2�� C.c.l,�e , � � �-�_L--.. —. �� <br /> }�, ; <,.n,� . ,..,.�.�o <br /> ,;�.,�� °�� PLUM9ING � � MHCHANICAL <br /> - , �r NO. TYPE OF FIXTURE OA ITLM F[F. NO. TYPE OF EOUIPMENT FEE <br /> ��j WATER CLOSET ITOILET) '"� tvC--�0.-r�NUI G UNI7S—II.P. � <br /> ��� � BATHIU6 _ _ /U� _ _ _� FORCEDA�F.SYSTEMS—B.1.U. td E.A. _ � <br /> �_ IAVATORY(WASH BASIN) __ 9�j� UNIT HEATERS—�,T.U, hS __� _ <br /> SNOWEq �; _ L CLOTNES�RYEliS ! <br /> �� � KI7CHEN SINK&DISP _ ii V[NT!LA710N FAN _ ; <br /> � . �_ DISHWASHER RANGE HCOD _ . --� <br /> LAUNDRY 1RAV ; WATER H[ATER , <br /> CLOTHESYJASNER —� WOObSTOVE � <br /> � �' URINpL M[TAL FIREPLACE d CHIMNGY �— �, <br /> _� DRI4KING FOlJN7AW� FIH[PLACE INSERT ; ��. <br /> FLOOR ORA�N ! HEAT PUMP �� <br /> '�� BACKFLOW PR[VEN'ERS i �_ GAS PIPING ' ' <br /> �I ' ROOF DRAINS—RAINLEADEPS �— EXHAU57 FAN —i— �� <br /> SINK ISBflVICE—�AR,ETC.) ; . . I I, <br /> � y� � �- i <br /> i <br /> ' � � � i <br /> . . ... . � �� / _. _� ..._ , <br /> ,_— — "' _" 1 —. .. � ' <br /> � <br /> _ .. ._ �....... — .. --r— � <br /> � i <br /> SU81 O7AL S � i S110 TUTAL $ � — <br /> '� PERMIT b � PERMIT $. .. 1_ � <br /> �� TOTALFE'c 5 ' ^ 70`ALFEE 5 ' _ <br /> FOR OFFICE USE ONLY: <br /> '-�- � Ff10N1SfTPyI( OL�FSF.TP1(X SiDC.GT[I/+�N� P:NIGI[CNNIIM3fR FEG � �hCFIYINp.��q/ , <br /> ZS .� � . � i� _:.%�% �! o <br /> USbZQIX1G LUTAHG�/.� Vr1CAMSIIE � FEES VALUATIDN F�. � <br /> _/`'''� _�G c�7/ �UI�DM�� � 6 p�Z. � i � . <br /> �rrlOICONi6.A110WABlE 1YMOtf.ONF1�Cip4l tt<��+a u�at.�Ubr�:ulili -- '- — " //�� � � <br /> ._ <br /> .�.1yt- °n3 VLUME3ING __"' ... ..7� <br /> ;¢�n0 no.MCrOAiFS onsEucr,r MF.CMhNICAL I� � ' <br /> Z��� s�+ / y.,' ' ; <br /> bw SF Gi+M1 Z' �J pDDITIONAI.PLANCHCCK <br /> YCI1vANCYLO�U fIRCS�W�KIFfi6PE0U N[�GIR�i111TATlq� '-�- <br /> Nr� �� 7—� � <br /> uPfi1NKLGfl y <br /> �b/SON FOO SPNiNKI FN5 ' l�"-- <br /> 6TATEBUILOINpSURCH4RGE � i r j � <br /> irnKcer rii,Hsnvvauvcoov �ITYOFEVERETT PURIICwoRN6 �) ' � <br /> LOCALSALES � <br /> �,J�,� 6�, TAX GODE IS 3105 rotn�_ ��J`j��j(} <br /> ,_ _. <br /> � <br />