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APPLICATiI. _i FOR CONSTRUCi _JN PERMIT <br />CITY OF �VERETT • BUILDING DIVISION � <br />3200 CEDAR STiiEET • EVE9ETT, WA 982U1 • 259-8810 <br />� 7 DE'AIOUTION �OMBINATIONl BUILDING J�MECIiANICAL J�pLUMBING ❑ SIGN <br />PROJECT ADDRESS:��%I/ �� � <br />��-:2�� _.G�`iSZi2UGTlhh1 �vfdLZ��c�it1l �G. �.La Q ���f,�. �.�� <br />i <br />y�i/ ���%/ <br />..rncnq���n�Heclpi Mq1110D1IE55 � - CIfY <br />s�'� L <br />MECN�NIG�L CONiP�LTpI N�II �DIMIESS f.1TV <br />�� <br />PWMBMCCpJfR1GtOR M�ILAOOqE55 CIfY <br />ovU <br />COHiMtf PqI�E Of OIIIf �, � / — <br />S <br />OESCRISE YAqM �Np $QU�RE fO0iA6E INVOLyEO <br />� .rooCS SF 5�t2 <br />�OO S F -�,+alL�9,�`?�� <br />'ZCJk 7 I <br />rnoros¢o use or euiarq — <br />iea��oesc�xrria�orv�+a�nn�srrowNae�owon�n�cNTwocoriesi — <br />�oi �_ Bicct a <br />�����'10 � � Y � �W ���'�"�� <br />PAf1�EL TA711 D. MIMBEN <br />cor�smuerior� iou� ieNt�n. �aness. tticrrxwE r�uunen <br />NO. ' TVPE OF Fll(TUAE OR ITEM <br />WA7ER CLOSET (TOILET) <br />BATHTI IB <br />UVAT(1RY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 6 DISP <br />DISHWASHER <br />� UUNDRY TRAY <br />� CLOTHES WASHER <br />URINAI <br />SINK (SEFVICE — BAR, <br />ri <br />I ICEHSF • <br />7�� PIpNC R�iF ULENSE � <br />LILFNSE <br />NEATING SYSTEM: �C,AS ❑ EI.EC7qIC ❑ <br />CONuctrrn5dl�NDr11pIFN� --'—'— <br />�� <br />I HEREBY CERTIFY THAT I HAVE FEAD AND EXAMINED THIS <br />APPLICATION AND NNOW THE SAME TO BE TRUE AND CORRECT qLL <br />PROVISIONS OF LAWS AND ORDINANCES GOVEqNING THIS TYPE OF <br />WORK WILL BE COMPLIED WlTli WHETHEH SPECIFIED HEREIN Oq <br />!!O"i. THE �3RANTINO OF A PEHMIT DOES NOT PRESUME TO QIVE <br />AUTHORITY TO VIOLATE OR CANCEL 7HE PROVISION OF ANV <br />OTHER STATE OR LOCAL LAW REpULATINO CONSTRUCTION OR THE <br />PERFO MANCE nF CONSTqUCTION. THAT I AM AUTHOHIZED BY THE <br />DWN f THIS PROPERTV TO PEHFORM THE WOqK FOR WHICH <br />APPL AT �I����COMPLV WITH THE STATE <br />CON A L W ND 96.200 WAC. <br />� �� <br />CIfY BUSINf.55lICENSC NO — <br />MECHANICAL <br />FEE HU. TYpE OFEQUIPMENT FEE <br />' NC —AMNDLO UNfTS � <br />_ � FORCEO AIR SYSTEMS �— <br />� HEAT PUMP � <br />' UNIT HEATERS � <br />i CLOTNES DRVERS � <br />� FANGEHOOD , <br />' WATER HEATER � <br />� <br />! WOODSTOVE . <br />FIREPLAC: INSERT <br />GAS FIfiEPLACE <br />GAS RANGE <br />GAS PIPING <br />SUB TOTAL S SUB TOTAL <br />PERMIT f � PERMIT <br />TOTAL FEE f � TOTAL FEE <br />FOR OFFICE USE ONLY: i�. �,� <br />� <br />usezorve� � <br />r�eiarrt <br />_� . �-� __1_� <br />