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IM Erupisen <br />C�TY OF <br />everett <br />BUILDING DEP/1RTMENT <br />259•8810 <br />❑ DEMOLITION <br />owucn <br />i <br />'%,.:.J .;: �J <br />�.PP�LICATION FO�. <br />C�JNSTRUCTION <br />PERMIT <br />T7 8E L'OMPLETED IN INK - PIEASE PRINT <br />❑ COMBINATION <br />r.inn �nmass <br />;u /•� <br />B BUILDING <br />c� <br />❑ MECHANICAL <br />❑ PLUMBING <br />i �!i ��ft�lr <br />❑ SIGN <br />�nuuaaono�s�ur+cn uu�nuoness cnr rir rnart <br />/%l�, r <br />r.trrt.n��cornneuon rn.n..uumss cnv �u,� �,��.;rie �ucui,c. <br />.n�'�,� <br />M�(n�erur.q r,qr�nut.mn Mnn ennntss G�r nr m�nr�r <br />_ ., ur.n�s� . <br />niuMmr�,cornnu.�or� / M.n w;����., <br />/�__� <br />cuss ar wonr <br />❑ iJEW � AUDI�ION ❑ ALTERATION ❑ REPAIR ❑ pEMOLI110N ❑ WOODSTUVE/FRPL.INSERT <br />wiu�urn� or wonr icost or nurz nui5 rtus iP�qni — <br />� ;-!' ;'��1� �� C <... /_.��yr '� �� � �-.�, <br />_ —_ _ 7. "� — <br />OFSCIUIIL Wq(1K ' <br />0 <br />uae� nescnirnar+or rn <br />� <br />l01 �/ BIOG�! <br />nnoiccreoon[ss <br />g2o� /�✓C�E�/ /�-vh , <br />FLUMBING <br />ND. TYPE OF F11(TUHE OR ITEM <br />WATEP ClOSEI �TOILET� <br />U:'ATONY IW�SH Bl1! <br />SHOWER <br />RITCHEN SINN 6 OISP. <br />OISHWASHER <br />IAUNDRY TRAV <br />CIOTHES WASHEH <br />URINAI <br />DRINNINO FOUNTAIN <br />FLOOA ORAIN <br />SINN <br />n�o�+r SE�o�Cu� <br />2�, / <br />� <br />= r/ <br />,c.�UC�CL—: j <br />❑ BUILDMG RELOCn11011 <br />: �i J <br />1 H[REBV CERTIFY Tfi�T � HAV[ F'AD AND EXAMINED TIiIS AP� <br />PLICATIONAND KNOW THE S�M[ TO BE TRUE ANDCORRECT. ALl <br />PROVISIONSOF LAWSAND ORDINANCES GOVERNING THIS TYFE <br />OF WORK WILL BECOMPLETED WITH WHETNER SPECIFIED HERE� <br />IN OR NOT. THE GRANTI4G Of� A PERMI? DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CAN�EL THE PROVISIONS OF <br />ANV OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />sicruruneorcor+rnnctcnonaunwnizet�i`�cNr nn�e <br />X Y/i,.�.r �—� ii.0 I� //1 Y'B <br />,rrur.er�r5c�rvous [s.i.�cu�srHu <br />MECHANICAL <br />FEE NO. TYPE OP EOUIPMENT <br />A/C - AIHNOLO UNITS - H P <br />�7EFRIGEl1�TION UNITS - M P. E�. <br />BOILEi75 - B.T.0 /H P. <br />GAS FIRED AA. UNITS - BS.U. <br />FO(ICEOAIRSVSTEMS-B.T.U. M&1. <br />WAILHEATERS-U.T.U. M <br />UNITNEATEHS-BS.0 M <br />EVAPONAi1VE COOLERS <br />CLOTNESORYFRS <br />VENTILATION FAN <br />IIANCE HOOD <br />wAtER HEATER <br />wO0D5TOVE <br />METRI FIREPLACE S CIiIh1NEY <br />fIREP1ACE INSERT <br />NEAiPUMP <br />OAS PIPIN6 <br />EkNr1U5T FAN <br />SUB TOTAL f <br />PERMIT S <br />TOTALFEE f <br />Ie�SfI9F[N SIpESE}B�CN <br />i <br />2 �• G <br />n enu v�cu� , r <br />i 3, szo sr- , o.ES �� <br />:cuveHcrcnoun r�oorowrun.cu,i <br />Ho or sro ics3 M�r o,. � o <br />l �'/.. <br />fIRE SPf11NHLERS REOUIRED ❑ vE5 �7 NO <br />n•ri ic<uoN �cr, nr � �ur�s a�ECKm ar �nrn ron issu�NCC n• <br />� 1''I � /r�' <br />PI.AN CMECK <br />O O / <br />6UBTOTRL f <br />PfRMIT <br />TOTAL fEE f <br />Z- I FE'e ^ 2{ I PECEIPT NO <br />BUILDING 5 <br />PLUMBING <br />MECHANICAL <br />OTHER <br />$TATE BUILDING SURCIIARGE <br />STATE ENERGY SUHCHA(7GE <br />PUBLIC WORNS <br />TOTAL <br />FEE <br />PROPERTV OWNERSARE RESPONSIBLE FOR OETERMINING ALL <br />PROPERTY LINE LOCATIONS �ND f1ELATED EASEMENTS. <br />