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APPLICL►TIG 7 FOR CONSTRUCT. ,1� P'ERMIT ���� <br /> TO BE CUMPLETED IN BLACK INK—PLEASE PRINT � <br /> _ _- -- - __ � <br /> ---- _ <br /> I HEATING SYSTEM: � GAS U ELECTRIG '�J_ ____-. _.______ I, <br /> BUILDING DEPARTMENT `-- �— <br /> 259-8810 <br /> DEMOUTION COMBINATION XBUILDING �Qv1ECHAkICAL /QLUMBING _ SIGN <br /> n�ar��.i+ _ —� rani�nooness <br /> �� CIiY ZIP PHONF. <br /> �.}.,, U V"'7- <br /> �1�54�+.a�.._'��-1'��'��C-.+2��Lu2-3T���E`•W�-/�-��-� '�rorve `7S �S_----- --- <br /> � � TENn t �.�ai�nouN�ss ci�v ?�p -- — <br /> i0 � tA � nnc�alFN an�r+en inni�noosess — cirv zir rrioNe <br /> �. m �i�L�n.{+1C Z�Ru -�S*'� SS—'S�'cir��i �Z87'�—n��ri���sn�ucErisr:p <br /> N �, � GENER4LCONiBACTOR MAIL�DORL55 <br /> � � �iq,�rc�� <Li9u1-36+� �t•-�,�--1 (1v�u,tr�,_, 90�''i�—�5� 24'S� — <br /> � � � 6�FCMANIG4LCONTRACiOR MAILA URE55 CITY 21P PI�01:E ��� /ST��CSEa ,<. <br /> (+ ��� � i � <br /> N N � �j��.�u.....�r..�_ E�' — _—_ � . <br /> � � � �TS(n�\� JG�co�+tnacTenJ�(� � �rn�ni�nooaEss cnv z�r �i�o•+e �77`t's�nr�Flclrylcp <br /> O N V'��'Y'</� � JTrN� ��� <br /> H � Q{y Clp5SOF4VORH <br /> � ` n 7`NE�Y �DDITION ALTERATION REPAIR �EMOLITION WOODSTOVE/FRPL INSERT DI,ILDING RELOCATION <br /> M <br /> � N / �� �� r r vCT P[FlSOH A�1D PHONE NO <br /> y -+; �u g��+-���—�+^�a��_�� ` "2 4 35-- <br /> �y CONIPAGTPRiCEOFWOH �I��O� V ��� �Da <br /> {py H �ESCFIOEYlOdNANDWI �iAGEINV06'E� <br /> ng C N N�� C,UN � E1Z�j - <br /> � �y � raoaoscouseocewior� �� ^ � -- I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> O vi S I^��"i'E i'�W^�^y�Y�� � ��'�.L APPLICATION AND HNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> �eca�oescamTior+oFaaorearv�sr�ocmueiowoanr�ncHFouacoaies� PROVISIONSOFLAWSANDORU�NANCESGOVERNINGTHISTYPEOF <br /> WORK WILL BE COMPLETED WITH`NHETHER SPECIFIED H[REIN OR <br /> �oT � e�ocK oF I'��,�"--a_`C.�S-T NOT. THE 6R�NTING OF A PERMIT DOFS NOT PRESUME TO GNE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> �^� OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFOR1dANCE OF CONSTRUCTION.THAT I Ald AUTHORIZED BY THE <br /> OWNER OF THIS PROPEPT`! TO PERFOF�M THE WORK FOR WHICH <br /> — — APPLICATION IS MADE AND I CO�dPLY WITH THE STATE <br /> CONTRA RS LAW 1827 FCW AN�296200 WAC. - <br /> 5 L2 — �v�-` �L. S$. �l,u�_9� <br /> :,;� « <br /> rao.e rnooaEss � _ <br /> LIIVo..i .�fit:5ll:0 II � <br /> `� PLUMBING MECHANICAL <br /> ���' ry0. TYPE OF FI%TURE OR ITEh7 FEE NO. TYPE OF EOUIPIdENT FEE II <br /> WATER GLOSET(TOILET) /S '� A�C-AMNDLG UNITS-H.P. <br /> 1 L BATHTUl3 /� ' FOFiCED AIR SYSTEMS-B.T.U. M E.A. i I , <br /> LAVATORY(WASH BASIN) � UNIT HEATEI?S-B.T.U. M <br /> _ -r- I <br /> ' �' SHOWER l CLUTHESDRYERS ' <br /> ' _�� KITCHEN SINK&DISP J i VcNTILATION FAM _�_ .; <br /> � ' � '� DISHWASHER � RANGE HOOD <br /> ' � LAUNDRI'TRAY WATER HEATER <br /> iCLOTHES WASHER WOOD STOVE ' �� <br /> ��► UFINAL � METAL FIREPLACE 8 GHIMNEY O' lTU <br /> � DRINKWG FOUNTAIN FIREPLACE INSERT � <br /> ' FLOOR DRAIN HEAT PU�dP � <br /> �� BACKFLOW PREVENTEPS !'� GAS PIPING � <br /> li �1�t —� ROOF DRAINS-RAINLEAGERS S � _ EXHAUST FAN <br /> � SINK(SERVICE-�AR,ET0.) � _ 7� Q��� <br /> � � <br /> i <br /> u � '_' —" �_ <br /> i � SUB TOTAL S —r— SUB TOTAL S //C � d� <br /> - PERPdIT S �_T- _ PERMIT S _ � _ <br /> ��. TOTALFEE 5 TOTALFEE S /L� ' (I7� <br /> FOR OFFICE USE ONLY: ;?�.SO <br /> � FRONTSETB�CN REAPSEtB�CN SI�ETBAGN PlANC1�CKllU1d9E'� FEE /� ^� �BCEiPt���! <br /> J7��� �� <br /> /��-.2 F/.►.�G P4�T /' VALUATION FEE � <br /> USE 20NE LOT AREA VACANT SITE FEES <br /> �� PUILOING __ ��JZ$ _ 11�� � � � <br /> IVPEOfLOtl1S-ALLOWA�LF iYPfOFCONS1ALiUAL ocrqoi�h i�umonFLL�ri�i��,�s �� i � .. <br /> PWh101NG <br /> SRE�S� NOAFSTORIES B�SEIdENi �A[CHANICAL _ ��O �� � �� <br /> � ` �' � �— ADDITIONAI PLAN CHECK i <br /> � OCGUPANCYLOAO FIRESPRNKLERSFEO'D HEIG11tLRAITATIryI - �, <br /> / <br /> �(�J SPRINKLER � <br /> —�� <br /> REASON FO SPBINKLENS <br /> STATE BUIIDING SUflCHAflGE i j� <br /> INtAKEOY PLANSAPPROVE�DY CITYOFEVERETT PIJpLICWORKS C� i '(� <br /> J� LOCALSALES 7 <br /> 27 QL TAX COUE IS 3105 T�TA� �j,� � P�S , <br />