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A�'PLICA�T60N FOh�=- ���,�„ <br />' '"'E""'"" CONSTRUCTION 0 <br /> GA OF <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259•8810 TO BE COMPLETED IN INK- PLEASE PRINT <br /> ❑ DEMOLITION O COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING f�SIGN ' <br /> OWNEH M�ReDDAE55 G�Iv tiv MOHE , <br /> A�1 A�aF k/�fsH/C�NZG�V /5 z" f3�aaJivay �'+�.�� ��7-�'�/ 25�3S�� ; <br /> •nLNiTCCTOHDkS�GMER M�R�DDR[55 � Qtt liP PNONC <br /> ��NFLW SiG�S 3.512 t�.::;��` �v��� �'/�20/ .335-5's�S�S <br /> GkNCR�L LOYfH�CtOR M/.Il��09F55 C�n' liP N�DMC 4CENSE• <br /> ACe'N�S//36P�G I <br /> MECMINIC�I LOHiP�C10A M�IL�DORE55 Glry ZIV PNONE LICENSC• <br /> oWMB�NGCON1RtG�ON M�IL��DAC55 CItV 21P PuONE tIRNSE• II <br /> CL�55OF WOAN <br /> � NEW ❑ ADD�TION ❑ ALTERA710N ❑ FEPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSEiii ❑ BUILDING AELOCnTION <br /> V�LU���ONO�M'OAKICOSiO�u�tCR��l5PW5L�BOR� �^ <br /> `�>���� <br /> �F9(:R�BE WORK L 1 J <br /> . //15�Q// FL'tQ/�1.J(�A.I✓!i 7C��� L� �V S! �� <br /> usEo.e�niiiNc I NEREBY CERTIFY TNAT I HAVE READ AND EY,AMINED THIS AP� <br /> _����//"QMC-� PLICATION AND KNOW THE SAME TO BE TRUE AN6CORRECT.ALL <br /> lE0�L0ESLNiP11UNO��HOPERtY�SNOWNBEIONOH/.1T�GMiOUAGOPIE51 PRO\'ISIONSOFLAWSANDONDINANCESGOVERNINGTHISTYPE <br /> OF WOAK�IVILL BE COMF'LETEO WITH WHETHEF SPECIFIED HERE• <br /> io�—B�a�—or IN OR NOT.THE GRANTING OF A PERMIT DOES N07 PRESUME TO <br /> GIVE AUTI�ORITY TO VIOLATE OR CANCEL THF. PHOVISIONS OF <br /> ANY OTNER STATE OR I.00AL LAW REGUTATING CONSTqUCTIOM <br /> OR THE PERFORMANCE OF CONSTRUCTION. . <br /> ' SIGNRTURLOFCO�IR4CTORORAU1NOHi1ED�GENi ONE�'z.'�-�V <br /> X � � <br /> VNOJF.CT�DDPE55 ��PLIC�NTS CI1Y BUS�NE 53 UGENSE NO <br /> /5.2� dS'/ba�c� /��SJ� <br /> �IUMSIt1O MECHANICAL <br /> NO. T'PE Of FIIfTUNE OR ITEM FEE NO. IYpE OF EOUIFMENf FEE <br /> WIITER q OSET�TOILET� A/C—�/HNDIG UNITS—N P. <br /> B�TMTV E NEFRIGER�TION UNITS—H P.EA. <br /> UIVATORY(W�SH B�SINI BOILEHS—B.T.U.MP. <br /> ���q GAS FIREO AG UNITS—B T.U. <br /> KITCMEN SINN t NSP. FOPCED�IH SYSTEMS—B.T.U. M EA. <br /> DISMW�SHER W�LIMEATERS—B.T.U. M <br /> IAUNDRY TR�V UNIT ME�TERS—B.T.U. M <br /> CLOiME:s WASIiER EV�PORAi1VE COOLERS <br /> URIN�L CLOTHE5DHYERS <br /> ON�NKING FOUNT�IN VENTILATION FAN <br /> FLOOA�RAIN RANGE HOOD <br /> B�CNFIOW PREVENTERS W�TER HE�TEH <br /> ROOF ORIIINS—R�INLEADERS WOO�STOVE <br /> SMK(SERVICE—BI1R,ETC) METAL FIPEPUICE 6 CNIMNEY <br /> FIREPIACEINSERT <br /> HE�TPUMP <br /> GRS PIPINO <br /> EXHAUST i11N <br /> SUS TOTAL { 6UlTOTAL <br /> PERMIT i ���T <br /> T0T111 FEE f TOTAI FFE <br /> �AONiSEfB�CK AE�HSEtB�GN SiDESEIBeCK � �'IANCHECNNUMBER FEE AECEIVTNO. i <br /> ...� � �— <br /> use z LOt�BE� y�CeNi SRE FEES VALUATION FEE <br /> �� OVES ONO <br /> OUILOING S <br /> rvP[OfGON51 OCCUP�NGYGROUP NO.OfDW[LUNGUNIIS <br /> PLUM8ING <br /> SiZk Of BLDO NO Of STOBIE9 M�K OGG LO�D <br /> MECHANICAL <br /> CTHER <br /> FIRE SPf71NNLERS{7E�UIREb ❑ VES ❑ NO S7nTE DUIl01NG SURCHAHGE <br /> STATEENERGYSURCHnFiGE <br /> AVP�i�R11JN�CG 8� Pl�NSCNEGKE00Y �Pv� �O�t55U�NrEBV <br /> /� ^ PUEIIC WORKS <br /> // <br /> � /�� TOTAI <br /> J/Ci <br /> PROPERTV OWNERS AHE RESPONSIBLE FOR DETERMINING ALL <br /> PROPEfiTY LINE LOCA710NS AND REIATED[ASEMENTS. <br />