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FROWEUERETT BUILDIIO DEPT TO: :V166417475 7RN 17. 1992 2:17PN U412 P.02 <br /> APPLICATwN FOR CONSTRUCTION PERMIT " <br /> TO RE COAIPLETEO IN 13LACK'NK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEATING SYSTEM: j:W:A rj ELECTRIC U_ <br /> 2598810 <br /> I I DEMOLITION I I COMBINATION IT BUILDING IIMECHANICAL I IPLUMBING I I SIGN <br /> P'mTh WA raarCN Uri rP rMOM -- <br /> �{LQV�>)uLLZLuVV�rn« 14[1)0 13c1- getl tick ITTCVt Vtmc 4tl t7- ZE6 GilN-rm V. <br /> KAE AnpnEo am >s RAr4L --- <br /> bDs I�Zi� NL lhrup W _g, llru�c OD 1/h-3U3/ <br /> IularTFapAaeapKEn waAMIATL env p. H. <br /> ctxai,[[,tu. LlL:,r. I4yIo1�I9a1Rr1R7wV-%I-' cc NDU� T06( 4V-T27j <br /> aCMMI ym lA,..mw1CM iffyV H1arAI tMTr ICCM[I <br /> WCHNMMLCa1TAZTIM MEAAamn alt H M1Ori t1ATE—MM I <br /> HWYaU mrrAEcrm MY Atgnrn alr T/ marc •ALE UttrlF1 <br /> KNEW I I ADDITION I I ALTERATION I I ROM I I DEMOLITION 1 I WOODSTOVFARPL INSERT I I BUILDING RELOCATION <br /> K O!L7 00 <br /> AprLA10NAMNA1NtNp <br /> f-0NIAAtrIMR aTrprrl 0 <br /> ocurrw KOM ANptEAMR FamMLrWdWp I 1f6S.LL-S <br /> Alr.., s-y^�1(acli.l� 1159 « 773 yd <br /> PrIPw[PUR arMRf1IA1 I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> 511 1LIL QRlr1(v1(Q A-PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> tFMtUI a rplrrAO(�I"18"C"llKU:v`M MMCF,'"Omp AOVISIONS OF LAWS AND DROINANCES GOVERNING THIS TYPE OF <br /> taT R _ tUtal 11 114 WORK WILL BE COMPISTED WITH WHETHER 6PECIFILO HEREIN OR <br /> NOT.THE GRANTING OF A PERMIT ROES NOT PRESUME TO GIVE <br /> O. ,,__VN �'W�sq <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> 1 .1.,11;I t hOTHER;TATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OP CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM 1HE WORK rOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH 1HE STATE <br /> cl -, CONTRACTORS LAW 16.27 RC W AND 266200 WAC. <br /> rxwo.ur-l�(�L_e �)1 11, (tA1_n <br /> u 024244 - <br /> PCIMSING anwwwrm M -- <br /> MECHANICAL <br /> fORINKINa <br /> TYPE OF FIXTURE OR ITEM FIE NO. TYPE OF fOUIPMENT FEE <br /> R CLOSET QOILETI - AR}-ANDIG UNIns <br /> rIUD ' FOgCE0AIRSYSTfiA. _ iORY(W�SH BASWI ' __UNIT HEATERS--S.6R CLOTHEBDRYERS '�ENSINK{DIBP I VENTILATIONFANIA6HERI RANGEHODD �— <br /> OgYtMTHES WASHERWOOOSTOVE "�- <br /> L _ 1 METAL FIREPLACE LINO FOUNTAINFIREPLACE INSERTriI GRAIN t HEATPUMP "'��BACKFLOWPREVENTERS "��" OAS PIPING !ROOPDMINS-RAINLUDERB" EXHAUBTFAN •�-- <br /> BINKJSFRVICE-BAR,BTC. UBICTAL E 6 _ERMIT f { r <br /> ICTAL FEE { TOTAL FEE 6 r " <br /> FOR OFFICE USE ONLY: <br /> II[AA ACTNpr sutaTuu rvAalcar wArTA FEE <br /> r 2 ' l nu ooI -=r' r 03, a <br /> 1E "� Zo vtcAK are reea VALUATION E <br /> 1 01AD ID 3 `r <br /> ma mnt alFlTlKI 1rRdSmtICrW1 am.... ssi.rHrrm . ... - <br /> Q-IJ IKUM6Pm �G I <br /> oEj sr . MO EY�raAq wcurM MrcHAMCAL -- r--. <br /> 'in Sf GAA Z D <br /> .cCaHINCr IOAU rms.n rRt AFW MOI wrtATKN - AbDITKKIAL RAN pRCK <br /> /V j n t <br /> •[rtw Fm trrMarnt � l <br /> STATE WrtpN08URCNAROE <br /> niuc rr nr:n Arrw.sptr CITY OF EYERETT PUNW wORKO 120 <br /> 'q JH IOCAl8ALE6 <br /> y 45 TAK CODE 18 J105 TOTAL i <br />