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�.:PLICATION fOR <br /> '""`"'°."" CONSTRUCTION `°� <br /> GTY OF <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED !N INK - PLEASE PRINT <br /> O DEMOLITION ❑COMBINATION [B'BUILDING O MECHANICAL ❑ PLUM8ING ❑ SIGN <br /> OW M11l�UORCY4 CIM1 Z�� PXONE <br /> ( Wn C 1 a4,n � 3 !t(--/� �) . [=�1�P1'Tt 18.�()/ <br /> �HGMIIEC�ORpE$�6NEH M�R�OORf45 L.iV jiP PNON[ <br /> L E %l�4HIPI�CIOP ♦ MML�DDBFSS CIIY !IP OHONf UCENSE• <br /> I � (� <br /> OP_7N Souti71J d34r�25 9,70P 5mnr,r�_i r� !il�2� f�lc15Jf1. `7d,�70 vS3-�.s'/� 'r"j�SkH <br /> MkCN�NIC�IGONtN�C'Oq M�IL�OORE59 — O�— IIP p110Nf LIGEMSF• <br /> GWMB�NOCON�NILIOR M4L�ODHE55 Cilv l�P V��ONf I�CtNSE • <br /> CliS80i WOne � <br /> ❑ NEW ❑ ��DITI N ❑ ALTERATION IRI REPAIR ❑ OEMOLITION ❑ WOODSTOVE/fRPL.INSENT ❑ BUILDINO PElOCl1TION <br /> V4W110NJIWORfl�[O lM�IfRi�LS�LUlI�HOIU <br /> N 7 5��=" -- <br /> oEx iBE WORK <br /> L P (/fl L F—Uu,J E�T�U,(� <br /> usE' ewiowa <br /> 2� S I � /J � ��'1L I HEREBV CEFTIFV THAT I HAVE READ AND EXAMINEO THIS AP� <br /> PLICATION AND KNO�N THE SAME TO BE TFUE AND CORRECi.ALL <br /> LCO�lDESCNIPI�ONO�OROPEIIIY�BMOWNBEIOWON�Ii�GMfOURGOPIE& PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISiVPE <br /> OF WORK WILL BE COMPLETED WITH WHETHER SPECIFICD HERE� <br /> �o�_eiocK_or_ IN OR NOT. THE GRANTING OF A PERMITDOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> `nX � � 7F- GU -i-CL% �- �' �� /.' ANYOiHERSiqTEORLOCALLAWREGULATINGCONSTRUCTION <br /> OR THE PER�ORMANCE OF CONSTRUCTIUN <br /> SIONMUFEO GONiP�CtOf10RAUiHON2E0• ENt pqtE <br /> X Glit/J �. .4>n..i�� .�/L/�l 0� <br /> PROJEGI�D�11E8S •P IGN�RLItYBU5WE9lLIC[N9EN0 ♦ <br /> � -LG �; > ,.�" - , , <br /> PLUMSIN6 MECMANICAI. <br /> NO. TYP!OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT F!E <br /> WATER CIOSET(TOILET) A/C—11/MNOLO UNITS—M P. <br /> BATMTUB REFRIGERATION UNITS—H P EA. <br /> IAVATGHY IW�SM B�SIN� BOILfRS—B.T U/i P. <br /> SHOWER Q�S hINEO A C.UNITS—B T.U. <br /> RITCHEN SINK(D19P fON;ED Alq SYSTEMS—B T U. M EA. <br /> DISMWASMER W���HEATERS—B T U. M <br /> UUHDRY TRAV UNIT NEATERS—B.T U M <br /> CIOTHES WASNER EVAPORATIVE COJLEPS <br /> UNINAL CLOiNESORYERS <br /> ORINNIN�Fi/UNT�IN VENTIUTION fAN <br /> FLWR DHAIN RANOE HOOD <br /> BACKfLOW PREVENTERS WATER MEATER <br /> NOO�DNAINS—RAINlEA0ER5 WO00 STOVE <br /> SINI(�SERVICE—B�R.ETC� METAL FIREVUCE 6 CMIMNEY <br /> FlREf`UCE�NSEPT <br /> HE�1T PUMP <br /> GAS PIPIN(1 <br /> E%N�USTFRN � <br /> 6VlTOT�t { fUlTOTAL <br /> PfRMIT t KIIN�i <br /> TOTAL►[E f TOTAL F[! <br /> �auNrlEte�«� pEaqaF�e�CK SiDFSEtescx �'IANCM NNUMBER FF.E nc'� NECEIPTNO. <br /> I'-� <br /> � 2� s' `5(; ,J('��i ) �� — `� 7����� <br /> U:3E L l0t�RE.1 <br /> °�J_ � v�C.1Mi 9 If FEE9 VALUATION FEE <br /> �` arEs 0 p� <br /> n'PE O���C JyS1 OCLIIF�NCV G110UP NO Of OWElLIHO UHIIS BWLDING S (S S V <br /> J� � R' '3 � PLUMB�NG <br /> SILf Of 8Lp6 NO O�S�ORIES M�X OGL LO�D <br /> / � s '/� MECHANICAL <br /> �Y <br /> OTMER TS� {/ P� � <br /> FIRE SPRINI(LER$REOUIfiED O_ YET�}!O STATE BUILDiNO SURCN�RGE ?� - <br /> � /. <br /> STATEENERG�SURCHAROE <br /> ��P41C��ION�LC ♦ VL�NSCMELKEDEY �PPqfORI�lU�NCElY <br /> /'� �n PUBLIC WORNS <br /> \ � !� <br /> ` 'e �� TOTAL <br /> —L <br /> PROP:RTY OWNEFS AFE RESPON9IBLE FON DETERMININ��LL <br /> PROPERTY LINE 40CA710N3 AND REUTED EASEMENTB. <br />