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i;;�PLICATION FO1. ' <br />�^. Ew�°�°'° CO N ST R U CT I O N <br />�If�' OF <br />everett PERMIT <br />BUILDINGDEPARTMENT TO BE COMPLETED IN INK• PLEASE PRINT <br />259•8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />MeIL�00'�C55 CI�V ZO' <br />(���IF_vt�n,tl l,/S� �� ��X ��L� �Ft1�iTZ L= `jh';/ <br />I <br />❑ PLUMBING <br />everen <br />e <br />�j SIGN <br />GNLIutLC�Of1Uf5rtit1111 ""'•••.••'".."'".. <br />ECVI-�n=Y��5H393 I <br />M�II �IIUIIE'i5 / Glv . lil�G� 7�'��ON! L�CLNSE • <br />(ilIICIiALf.ON�R�L10f1 , n �L�il, C�(� .% �� ! I �t� �ifilJ{i /'y,� �•% L�� Ll- t ��� <br />I'YlEYE�' S/�i'/� ��f'� / �r r i e ier sr <br />Mt r.uewcet cornrur.iun <br />u•u nnonisc f°� <br />PLOMOIW i CONIMGI00 <br />M��I. �DOnL55 Cirv lu' ���ONE liCtNSE • <br />r0'SNEyy 'tMQ ADD1710N ❑ ��TER�TION ❑ REPAIR ❑ bEMOL1110N ❑ WOODS70VE/F(1PL.INiERT ❑�UILDIN(; Rf:LOC4�lOH_ <br />vel W����N Of WOlir if.a51 OI �eAltnul5 PLUS 1�fl91i� <br />� 3 SOC'' °C�-- <br />o[s[nm[ won� � , '7 , N�� �1,` U/yj ��2 ic E-YiG N< <br />ioi� <br />IOJECI �Ol'FES <br />P �_3L <br />PLUMBING <br />Ho. � <br />v. <br />ITEM <br />�AVATORY(WAS <br />SHOwER <br />NITCHEN $INK 6 <br />DISHW�ISMER <br />UUNDRV TRI1V <br />CLO'HESW�SH <br />DNF�N <br />� ROM SE 1 O�G <br />�CSIION �CC <br />.— BAR`ETC) <br />SUB TOTAL <br />PERMIT <br />T0T11L fEE <br />NE�R�FIB�LN <br />l01 �PU <br />occuver�cv cn: <br />no or s�omes <br />s <br />VeC�Nt SiiE <br />❑vE5 ONO <br />MA% <br />NEC�y I�PPfIlOPISSU <br />'I�v <br />UNIIS <br />s ,�a <br />I fiEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS AP• <br />PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br />PRO'• SIONSOFLAWSANDOFDINANCESGOVERNINGTHISTYPE <br />OFWC `.KWILLBECOMPLETEDWITHWHETHEHSPECIFIEDHERE• <br />IN OR �JT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR I.00AL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. . <br />S�GIU7URE Of CON70AC10P OR R 1110f112EU AGENi ORIE <br />X �t��•- �-/9-fl£�S <br />�PPLIf.e� C�Iv 9USiNE55 L�CLNSE NO <br />MECHANICAL <br />A/C — A/HNOLO UNIiS — H P. <br />REPa�GERATION UNI15 — H P EA. <br />901LER5 — B.TL1H P. <br />GAS FIR�D A.C. UNITS — B.T.U. <br />FOFCED AIR SYSTEMS — B.T.U. M <br />WALL MEATERS — BS U. M <br />UNIT HEATERS — U.TL. M <br />E� �� PORAi1VE COOLEHS <br />Cl:1THE5 DflYENS <br />VFJTILATION FAN <br />Rn�OEHOOD <br />WATERHEATER '� <br />WOODS70VE <br />METAI FIREPLACE 6 CNIMNEY _� <br />fl(IEPLHCE INSEHT �_ <br />HEATPUMP <br />GAS PIPING __ <br />SUBTO' <br />p[qMIT <br />TOT�LI <br />VLqN I: ,F.CK NUMBEfi I FEE <br />RECEIPT NO. <br />BUILOR�G S <br />PLUMBING <br />MECMANICAL <br />�TIIER <br />STArE BUILDING SU�CMARGE <br />STATE'NERGVSUACHARGE <br />PUBLIC WORKS <br />� <br />TOTAL <br />PROPERiYL�i�ELOC�70N5ANDNREBATEDEA EMENTISINGALL <br />