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`� , �PPLICATION FO.: ererell <br /> '".`".,°'"" CONSTRUCTION 0 <br /> cm os <br /> everett PE RM IT <br /> BUILDIN(3 DEPARTMENT <br /> 259•8810 TO BE COMPLETED IN INK- PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION O BU��DING �MECHANICAL ❑ PLUMBINl3 ❑SION <br /> ���t?S�C�.rSZ (0 50��A 1 Esuer�n .g I vd. �'�vP�'�Q. _482D I 2��SG -34 86 <br /> •NCNIpIJU11pl9�Ubk11 M�Il�f101i189 L'IlY !10 O��ONI <br /> (il4Vl�l COIIIB�PUII M�II�UOIICBS GIY lIP 1•IrUN! 4CEN1L• <br /> y,,.��,,,�.nic,� . c-,c�s i i'3235 t-Ewu qG `-�ieretl �'i�! .�"5-�� vau„`�i� <br /> PIUNB�NO[ i�UON M1R�D011C59 Ci�� lIP rv�UNF UClN9[• <br /> Gl�iSl11 WONY <br /> ❑ NEW ❑ �DDIIION ❑ AITERATION ❑ REPAIR ❑ OEMOLITION ❑ WOODBTOVE/FRPL.INSERi ❑ BUILDIN6 RELOCATION <br /> Vn u�unr�or Won•�f.051 nr �up nuL':�1U9 L�NOPi <br /> 4! n�pL Wr Iia <br /> r�ac� �. we�lzr h.ea�r <br /> uvc�r aTion'n � � I NEHEBV CENTIFV THAT I HAVE READ AND EXAMINED THIS AP• <br /> S 1� PLICATION AND KNOW THE SAME i0 BE TRUE ANDCORHECT,ALL <br /> lfQ�{0[lCIV/��ONOfVROPEA��i9110WNRlOWOR�It�CNfOUNCOPI[!1 pqOV1810N90FLAW$ANDORDINANCESOOVERNINOTHI9TVPE <br /> OF WORK WILL BE COMPLETEQ WITH WHEIHER SPECIFIED HEFE• <br /> io�_eioc�_or , INORNOT.THEdRANiINOOFAPERMITDOE9NOTPRESUlAETO <br /> QIVE AUTHORIiV TO VIOLATE OR CANCEL THE PROVI910H9 OF <br /> ANV OTHER S1ATE OR LOCAL LAW REOULATINQ CONSiRUCTION <br /> OR TME PERFOFMANCE OF CONSTRUCTION. , <br /> 916N�1URE0iCONiB�CfOA/�ED�CENf D�TE <br /> x Z/y�I ' <br /> FAOJ[GI 11DDR[95 1 ��PUC�N�q LIIY BUSMES9 L�Ct NSE NO <br /> �`��� <br /> rLUMSIN6 MECMANICAI. <br /> NO. T1'►[Of fIMTUII[OII ItEM F[[ NO. TYN O�[OIM/M[Nf F[� <br /> W�TEA CLOSET�fO1LEt� bC—bHNOLO UNIT9—M P <br /> lAtNTUs REFRI6ENATION UNIT9—H P.EA. <br /> UVATORY�WASH BASINI BOILERS—B.T.0 M P. <br /> SHOWEN OA9 fIREO A.C.UNIT$—B.T.U. <br /> NITCNEN 91NIc 6 OISP FORCEO Al19YS7EM3—E.i.0 M EA. �' <br /> DISNW�SNER WA��HEAiENS—e.T.U. M <br /> UVNDRYTRAV UNIiHEATENS—B.T.0 M <br /> CLOtME3 w�SMER EVIIPORATIVE COOIEPS <br /> URINAL CLOiHESORYER9 <br /> ORINRIN6 FOUNTAIN VENTI�ATION fAN <br /> fLOON OpA1N HANOE HOOD <br /> BACI(iIOW PNEVENTEI7S � W�TER HEATEP <br /> ROOF ORAINS—��INLEAOER9 WOOD STOVE <br /> SINN�SERVICE—BAR ETC� METAL FIREPUCE\CHIMNEV <br /> f IPEPLACE INSERT <br /> NEATPUMP <br /> OA9 PIPINO <br /> EMNAUSTFAN <br /> fU�tOT�L f Nl�TOTAI <br /> nerir � r[ewr �" � <br /> TOTAI K[ t tOT11l Ft[ � <br /> �uin7�srie+c� n[•nstiB�ce amESEtaeee � PIANCHECRNUMBER FEE RECEIPTNO. i <br /> usi ru�a iui.nu --- —' ' I <br /> V�f.�1115�1E FEES VALUATION if! <br /> UVES pN0 <br /> BUILDINd s <br /> �.�to�cousi �xruru�crcnour NOO(OWfLUNOUNIIS <br /> PLUMBINO <br /> SitE UI p�00 Hn Of RIOPIE9 MAM OCG IO�D � <br /> MEC//ANICAL <br /> OTHER <br /> FIfiE SPqINNLERS REOUIREU O VES O NO STATE BUILO�NO SUNCMAR6E <br /> STATEENER6VSUNCHARGE <br /> U��p�n,nnrVUL" pr �9iq5CqELKEDOv �PFR FORi9SUANCEBY <br /> PUBIIC WORNS <br /> - �� TOTAI <br /> VHOPERtV OWNERS ARE fiE5PON318LE�OR DEiEAMININO AlL <br /> PROPERiY LINE LOCATION9 AND PELATED EA9EMENTS. � <br />