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FRMIEUum" BIILDIM DEPT TOI 20E(A3347S JPN 17, 19W 2r13PN 11412 P.02 <br /> APPLICATINN FOR CONSTRUCI-ION PERMIT <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEATINGBYSTEM: i(JGAS UELECTRIC <br /> 253.8810 <br /> I I DEMOLITION 11 COMBINATION p9-BUILDING I IMECHANICAL I IPLUMBING 1 I SIGN <br /> VANLN W Adlll[n CRY n PIIDIw <br /> .nlr tu....:. Uw= I•INIu Get Krd FAIR 1k11cWc gXQ0,+ Ltd (e`IH•2 i2; <br /> nnwr M♦AA w n drr <br /> I FRN Rll� Ar 30T � v nK[K <br /> APc roz'� ut,_ �eUK _ y8cuy 7.1. A42 -31N4 <br /> ARFNRFCI ORD[dDNLn wI AWAtn Cnr <br /> DLnM1AL �luMr jaL'A(q (yM1 y MOM LT_AF ILILNL[• <br /> WCN4awcDNrnN:inR FILL Awnen am nP -- <br /> I rgRF Furl ucLw F <br /> ftwpW dnRA " 1,4N n d11 !F ArBru' FIAI[IIttNMF <br /> u Anu ROM <br /> NEW 11 ADDITION I I ALTERATION I I REPAIR I I DEMOLITION 11 WOODSTOVWRPL INSERT I I BUILDING RELOCATION <br /> ro=rRAct Lww ur.rom <br /> 117 J`3 Ul•04 OWI rFE ANp "� i .1. 9.4 2323 <br /> ^L[rALv rIPRAAMrF4MR[raorAtx PAKfIYfO <br /> Ll .�St•T',1Y.,;1\ n 74Ud r I1¢ _ <br /> FNunxnPUL[vdwdxD I HEREBY CERTIFY TNAi I HAVE READ AND GXAMINED THIS <br /> ,•,L4 F-r mLI�T IzC 11(,IOq((, APPLICATIL V AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> 0 <br /> U1 wrLdornpi R'ONrINWWDIIAtPGIFggdMlLq PROVISIONn OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LMrVj�� qdx WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �A.� NOT.THE GRANTING OF A PE'rl'IT DOES NOT PRESUME TO GIVE <br /> 13AI r,J"III H IL'IY1 IPIr l AUTHORITY TD VIOLATE OR CANCEL THE PROVIS'ON6 OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK TO$ WHICH <br /> APPLICATION 16 MADE AND I COMPLY WITH THE STATE <br /> _(3as tf a 134 ITh , L CONTRACTORS LAW 1027 RCW AND 901200 WAC. <br /> T-5 7 sw g� o - aPn10 `l3 <br /> mAc,APm[Fx avow �lL1^I4 <br /> PLUMBING MECHANICAL <br /> NC TTPEOF FIXTURE OR ITEM FFC NO. TYPE OF FOUIPMENT FEB <br /> WATER CLOSET(TOILET) _ _ AIG-MINDLG UNITS-H.P. <br /> t�n <br /> TUB I FORCED AIR SYSTEM".T.U. MEA - _S <br /> ORY RWASN BASIN) IUNIT HEATERS-B•T.U. M <br /> ER G OTHES DRYERS <br /> EN SINK A DISP — • 1 VENTILATION FAN <br /> A6MER RANGE HOODDRY TINY WATER NEATER <br /> HES WASHER I WOOD STOVELZ METAL FIREPLACEt CHIMN6YING FOUNTAIN FIREPLACE INGER1R DRAINHEAT PUMPLOW PREVENTF.R9GAS PIPING DRAINS—RAINLCADER6�SERVICE—SAR•ETC. •• <br /> SUBTOTAL f ' _ BUB TOTAL a , <br /> _ PERMIT { ' PERMIT { <br /> TOTAL FEE { TOTAL FEE $I <br /> FOR OFFICE USE ONLY., <br /> •MHFrlRADL� mmai;df , FNL RIYLX RN1tl A FLL <br /> z5 1.5 'c7 "`Y�j"°I.o <br /> sLnAl[ LDr.,nLA %0ANrdre Pala I VALUATION I FEE <br /> _ Silo N0 BDADPa &,5n Wnt u1[YMM tmaMIM111CrI4l M4iwsr aPOnIwMMPLUUBM <br /> LA sw J MEc~&LRLWIfG•nldrtArA), — ADDITIONAI.PLAN STATE BUILDING SU1r CITYOFEVERETT PURIIC WORKSLOCAL SALESTAX CODE IS 3105 TRIAL <br />