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APPLICATIC 1 FOR CONSTRUCT' 1N PERMiT � <br /> ' TO BE COMPLETED IN BLACK INK—PLEASE PRINT �✓�rr <br /> � HEATING SVSTEM: �GAS J ELECTRIC J � _ J <br /> BUILUING DEPARTMENT �------ ---.-_ ----_—_ ------.--_ -__--_— <br /> �S9 p810 <br /> DEMOLITION COMBINATION xBUILDING MECHANICAL PLUMBING SIGN <br /> - — ---- - -- -- . — — <br /> / - . --_ — _ -- <br /> �� ��i r. ien nn:,ui�: p - ----------- <br /> � ��SY � lt,�nS� �� c_ � '` � � 7`��� S � ll0'���, L`'� l.�t'/� ���� ' � � �C. <br /> ������ MRi�p ORF55 CrtV 7iP �PNONf <br /> ��uLUI1F.C10NDE51GNEF M�il11DORE5S fitv ;iP PHONE <br /> ��FNFR�LCONi qL10R MALL�DDRE55 CIiV 7iP P�iONE S1Aif IICENSE• <br /> s� ,,��+ :�;,� 2 �� r���t� Sr s��� �,-► �� �� ��s���Z ,��ss�cZ1���� <br /> 6�EG 4NiGl CONTH�CiOR M�R�ODFE55 CITV jiP PNONE STQE IICENSE� <br /> �'LIiMBINCCONTR�CTOR I,IqILRODRESS CIiV ZII> PMONE STR7ELICENSC� <br /> GONipR i fqICE Of WOF�N. � -- <br /> v' C� n <br /> i �yg <br /> [lfSCRiBE W011N AN�SOUaRf FOOUGE LVVOlVEO CONGLT VERSON RND?HpqF N0 � y\ �� ��e � <br /> YS <br /> I ( �7 --r— <br /> �,r�'r..-�� �,.] V1ow�Q- � � ,J' / �! -� <br /> i HEREBV CEFTIFV TFIAT I HAVE READ AND EXAIAINEC THiS <br /> nr+oa eouse r etmoirvc APPLICATION AND HNOW THE SAME TO BE TRUE AND CORREJT.ALL <br /> �� .� h�C� PROVISIONS OF LAWS AND ORDINANCFS GOVERNING THIS IVPE OF <br /> iecnioesc�7nirnoHovvaoaearr,sNowNeeiowoa�rucHtwocoriesi WOfiK WILL BE COMPLETED WITH WHETHER SPECIFIED H'cREIN OR <br /> ���� J eL�K �� NOT. THE GRANTING OF A FEPMIT DOES NOT PRESUME TO GIVE <br /> Tj I- II �i �J AUTHORITV TO VIOLP.TE OR CAMCEL TH,' PROVISIONS OF ANV <br /> _ �� G�(1' v� �M o✓� I(.�'� �4 b / I _ _ OTHER SiATE OR LOCAL LAW REGL_ATING I,ONSTRUCTION OR THE <br /> PEFFORh1HNCE OF CONSTRUCTION. THAT I AM AUTHORIZED 8V THE <br /> OWNER OF THIS P(70PERTV TO PERFORM THE WORN FOR WHICH <br /> — APPL:CATION IS MAD[ AN I OMPLY WITH THE STATE <br /> ��n�e�rnx�o r�uti�rea � CONTRA S LAW� AND 96.200 WAC ! <br /> coN mucrrorii r�iE uen nnoNEss reiE�roHenurneEn <br /> 'N...��rA S2 � t�C.��c'rl L..�_ / // ( /� <br /> ��i—_�__ �� X-.--- — <br /> �— _.- — — .�,�� ------ <br /> PROJF.CTAUDRESS /� �-��; � ��� <br /> 1 ___. �l.� ' / �- � —r—. - �- --- ---- <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OA ITEM FEE N0. TVPE OF E�)UIP6IENT FEE <br /> WATER CIOSEi(TOILET) !�/ A C--A HNDLG UNITS-HP. ' <br /> DATHTUD // _ FORCED AIR SVSTEMS-87.U. M E.A. / 1 <br /> LAVATORV�WASH�ASIN) / UNIi HEATEpS-B.T U. M <br /> SHOWER / CLOTHES DRVERS / <br /> NITCHEN SINK 8 DISP � VENTILATION FAN <br /> _� DISHWASHER � / RANGE HOOD � <br /> � LAUNDRV7RAV J WATER HEAiER __ <br /> CLOTHES WASHER / WOOD STOVE <br /> _ URINAL METAL FIREP�ACE(WOOD BURNING) _�3��__ <br /> DRINKING FOUNTAIN FIREPLACE INSERi <br /> FLOOR DRAIN HEAT PUMP <br /> _ BACKFLOW PREVENTERS GAS PIPING <br /> qOOF f FAINS-RAINLEADERS E%HAUST FAN <br /> _ SINK �SERVICE_ BAR,ETC.) � <br /> - — - � -- <br /> _T <br /> SUB TOTAL 5 l ; SUB TOT�L $ <br /> PERMIT $ PERMIT $ � <br /> TOTAIFEE 5 TOTAL ��EE $ <br /> FOR OFFICE USE ONLY: ,�C�� 2/�..�J <br /> Fuor�r,Ftn�cK� nlnnyt�onrr.� 9oESE*P� ��.����(�/�� rinqr,r�t -nNunn]n+ ur necHr�No '7 <br /> � _ ._� � 7v� ��7 7 �..J C� 7 L <br /> __— <br /> utit t�-� i-��naFn �nr.�Nt si FEES VALUATION FEE <br /> �� I V S NO.,,-. BUiIUING . _/.�_3�._ - _7L_�,G�-> <br /> Ivpf o nN`f NO OFfiOP1E5 Ma��+ t . �.�t� --- ---- - <br /> _ �'IJ __ _�_ PI.UMAWG — ____ _�/ _'. <br /> ':iTF Oi�OIf�C FrIE SPRINNlEFS REU'D BASEMEM � � MECHANICAL CJ� � <br /> I��S4 .�f 'r' VES L'NO - — -- ---- -`--i- <br /> y'�l i�4� ' ADDIiIONRL PLAN CHECK <br /> Oi fboqq�V I O�II FIqE MRRM REOD NEIGN�tiMilqilON <br /> �A- 2�� ^ T. <br /> o,,,tR n�rd_�» - <br /> �,F���,� -- - — --�ll, _ <br /> STATF BUILDING SURCHA�G[ _ ���1 <br /> ��irn.� i�� rteNsnnnaov�oHv CITYOFEVERETT PunuCwoAks /��); _ <br /> LOCALSALES <br /> ,�„ TAX COOE IS 3105 TOTAL �. � <br /> � IJ <br />