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�vPPLICAR�TION, c�«�n <br /> ,".E"ro'"" CO N ST O <br /> �,,.a, <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259•8745 TO BE COMPLETED IN INK- PLEASE PRINT <br /> ❑ OEMOLITION ❑ COMBINATION f,]-BUILDINO U MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER M11L�DDRE39 ��n' LIV FNONE <br /> /2�nIJ L P r'Q�y Jx ii /�?Q.0 r' �✓ EV�,or.r.r111���5�-o�t L. 9 <br /> ♦RLMIIEC ORDF�10� �� �^- ��rv �O VMONE ,—� <br /> R N� nF� / ��� .C'T UD/d � '��' /`'�/� ST S UIT['//.Z- CO/�oN PS �� 7'��/-��'OZ� <br /> yOfN�EP�LCOMfN1LIDN MI11L�0 PEBS CIIY ' [�P VeONE �y R �rll FNSF• <br /> "]'�.J/��{1�f 1l G �NS'TiPUGT/n �L.�_�,�� - GS,�� ,/jC• U�i'Lj� �L�f D -�1.'k�('L-TT ���`f 15/.,�J <br /> MEGN�NIC4COHIPACTOq M�II��`-�� CI�Y 21P VNONE � LiCENSF� <br /> Sd H F� <br /> VWMBMOCONiRA�IOH M�IL110UREi4 CIIY ZiP P�IOHE LILENSE• <br /> CL�SSOf WOPN <br /> ❑ NEW �TI ADDITION ❑ AITERATION ❑ 9EPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSEFT ❑ BUILDIN6 RELOCAT�ON <br /> V�W11110H 0�WOP1t ICOSi O�M��fRULS oW!L�BORI <br /> J � J � .�ct� r � i <br /> l(i.Ll.��,..� rJ ].�t�7.J v_� ,r. �/' ._ . <br /> oEsenieewonK , �— �0 00 U.C9� <br /> us orew�oivo I HEREBY CERTIFY THAT I HAVE FEAD AND E%AMINED THtS AP• <br /> PLICATION AND KNOW THE SAME TO B[TRUE AND CORRECT.ALL <br /> lEO�LDF6CRIP110NOFPROPENIY�9MOWNlELOWOR�I1�GNfOURCOPIE& PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> ,o ',,/ - �� ��7J��.� OF WORK WILL BE COMPLETED WITH WHETHEH SPECIFIED HERE- <br /> io��sioer,�_.or.J�[�1le�d-7--+�'= IN OR NOT.THE 6RANTIN6 OF A PERMIT DOES NOT PRESUME TO <br /> 61VE AUTNORITY TO ViULATE OR CANCEL THE PROVISIONS OK <br /> , / �./' i � ANY OTHER STATE OR LOCAL lAW REGUTATING CONSTRUCTION <br /> JL��' � �l�+t� �''� � � OR THE PERFORMANCE OF CONSTRUCTION. �J p <br /> BIONATUREOFCONfR�CTOROAAU7NORIZEU�GEN1 D�IE ��p��J"e� <br /> ,� x �. l' � _ <br /> PRO ELI�pORE9! / ��PU CIIYBUSINEBSLIGENSENO�"ER C <br /> � 3/s�L"L. <br /> PLUMBINO MECHAN�CAL _ <br /> NO. TYVE C�FI%TURE FEE NO. TYPE OF EOUIPMENT FEE <br /> W�TERCLOSET�IUI.En AIF7 COND. UNITS-H.P.EA <br /> B�THTUB REFR16ERATION UNITS-H.P.E�. <br /> L�V�10RY(WA94 BA31N� _ OOILERS-N.P.E�. <br /> SHOWF.R �RS F!RED AC UNITS-TONN�6E EA <br /> KITCMEN SINNB�ISP. FORCEO AIR SVSTEMS-B.T.U. M E�. <br /> DISHWASHER WALLMEATERS-B.TL. M <br /> UUNORY iRAY UNIT MEATERS-B1,U. M <br /> CLOTHE9 WASHER EVAPOR�TIVE COOLERS _ <br /> WATERHEATER CLOTMES ORYERS — <br /> URINAL VENiILATION i�N <br /> DRINNINO FOUNTAIN RANOE NOOD <br /> FLOOR DR�IN �IR HANOUNO UNIT- QF.M. _ <br /> V�CUUM BREANERS 9TOVE <br /> NOOF OHAINS-RAINLE�DERS METAL FIREPLAGE 6 CHIMNEY <br /> SINNISENVICE-BAq,ETC. WOO�STOVE/FIREPLACE INSERT <br /> — -" BUB T0T111. __ BUB TOTIIL • __ _ <br /> V PEFMIT -' t PERMIi f - <br /> TOTIIL FEE • TOTAL FEE � _ <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> fRON"SEIO�LK HEMSEIB�CK 91pE5E10�CK P��NGNECNNU BER vL�NCHECnfEE ���33 <br /> ��� � � C / 6G I "'IO� !EE / Z� SS RECEIPINO <br /> O v� � J <br /> USE lONE lOi�RE� y�WNf Si E F[!! V�LUIITION �� <br /> �.� I i ores t�o �„` <br /> fYPE Of LONS•I` OCCUPM�GY G�R1OOP NO Of OWEl�IN011N1I9 _ �� <br /> �� ' /V ��` .J � euaowa s"L � 2�� � <br /> $ILE Of B170 NO O(SIORIES M�[OCC LO�� - � —� <br /> PI.UMBINO � <br /> '1ncr� .33� .rF --•— -- <br /> MECN�NIC�L <br /> FIRE SPAINNLERS REOUINED ❑YES ❑NO OTNE11 <br /> PEN�L7V <br /> AVVlIG110N�LC0Y Pl�N5C11ECNEUBY �PPA �aAISSU�NCEBY �_� <br /> / TOT.� a a 3 V <br /> i"�!/`�l �—�j `• � p��rovcc� o con���-liSiS£6'Wit <br /> �T zonin��. SEP� and di;cretionaiy permit <br /> � requirements. <br /> �_ Date� 2'� � <br /> By ?lanntn� Depl. <br />