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fM EH�p�M^ �`���'P��C AT I O N F O'�:-' ���,�� <br /> ��TM�f CONSTRUCTION O <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259•Beto TO BE COMPLETED IN INK- PLEASE PHINT <br /> ❑ DEMOLITION O COMBINATION ❑ BUILDING O MECHANICAL ❑ PLUMBING ❑ SIGN <br /> Q.�.HEq 1n�il�DOnE55 c�TY zir rHONG <br /> vo� oF wu,.�-,���� �aa ►3r�a���l � �r�.t(- �8� � <br /> •nCMrtEWORpES�GNER MAILnDDRE55 OiY � 2i� PNON[ <br /> G[NEP�ICONiR�GfO� MMI��OF[55 Ci�v ZII� FI�OHE LILCNSE• <br /> M[CN�NIWLCONfP�LTOq M��qIL��DDRE55 CIIY lIP PIIONC UC[NSEr <br /> �.,e�c-�= 5��,� Sv�n f�• (i0 k ISJL' c-:�rr �z�i �� �+�4 r-u�6s s izi K, <br /> PWMB�NiCONiR�GiOR M�IL�DDNE55 Ci1Y ZU MIONE LILtNS[ • <br /> GLASSOF WOAN <br /> 0/NEW ❑ �DDITION ❑ ALTERAiIUN ❑ REPAIR ❑ DCMOLIIION ❑ WOODSTOVE/FfiPL.INSERT ❑ BUILDING RELOCATION_ <br /> .I(V�IWilOH0/WOAMILOSIOf MAI[Ri�lS>LUSIRBOIU ' <br /> �f(�}D bOq`� <br /> ocsC �eE wonn <br /> �O�,nl¢tr �UY�. =r/1Z'rti _ <br /> use oi em�oi�c I HEREBV CERTIFV THAi � HAVE READ AND EXAMINED TNIS AP- <br /> �-- PLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT.ALL <br /> LEGIILDESCF�PiIJNOfPHOPENfY�SN(nMNBELOWOA��1PGNfOU(lCOPIE51 PROVISIONSOFLAWSANDORDINANCESGOV[RNINGTHISTVPE <br /> OF WORK WILL BE COMPL[TED WITH WHETHEii SPECIFIED F!ERE• <br /> iot_eioc�—or IN Oti NOT. THE GRANTING OF A PERMIT DOES NO�PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTIIER STA1E OR LOCAL lAW REGULATING CONSTRUCTION <br /> OR THC- PERFORMANCE OF CONSTRUCTION. <br /> SIGNAIURLO�CONIRACIGR011FUfNOR12GDFGfNi IIAiF <br /> X �� � � G'-z`� -8� <br /> PAOJECT�ODRESS +�Pt IGnNiS GtV OUSINE55 Uf,(NSE HO ' <br /> Zfj02 Q32oADwA� I' <br /> ►LUMSIN6 MECHANICAL <br /> NO. n'PE OF FIIITURE OH ITEM FEE NO. TYPE OF EOUIPMEN7 FEE <br /> WIITEP CLOSET ITOIIET) A/C—A/HNOLG UNITS—N P <br /> B�THTUO �EFRIGEPnTIONUNITS—NP E�. <br /> UV�TORY(WASH BASIN� BOILERS—B T U/M P <br /> SHOWER GAS FIREO A C.�INITS—fl.T U. <br /> NITCHEN SINK 8 OIS^. 3 FORGED A�R SYSTEMS—B TL. M EA � <br /> DISMWASHER K'ALLHEATERS—B.TU. M <br /> LAUNDRYTRIIY UNITNEATERS—OS.U. M <br /> CLOTMES W�SNEA E�APORATIVE COOIEHS <br /> URINAI ClOT1/E5�RYEPS <br /> DPINKING FUUNTAIN VENTILATION FAN <br /> FIOOA DRAIN R/.NGE HO00 .. <br /> B�CKFLOW PREVENTERS wATEN NEATEA <br /> ROOFDRMNS—RAINIEADENS WOODSTCVE � <br /> SINK�SERVICE—BRtl.ETC� AIETAL FIREPLACE 6 CHIMNEY <br /> FlREVUCEINSERT <br /> 11[nT PUMP <br /> GAS PIPING <br /> �j E%MAVSTfAN �' <br /> CUSTOT�L f SUlTOTAL <br /> PERMIT t PENMIT <br /> TOTAI FEE ! T0T11L FEE <br /> reDNtSEre�cn RE�RSEIB�CK sDEs[iB�Ce PL/NCNECKNUMBER �FEE RECEIPTNO. <br /> USE ZONf LOi�RE� vec�Hi sm FEES VALUATION FEE <br /> OVES �n0 <br /> OWLDiNG S ' <br /> tYCE O�CONSi OCCUPeNLV GNOUP NO.OF OWELLIN6 UNI15 <br /> PLUMBING <br /> Si2E Of BIDG NO OG SiOR�ES M�%JCC LO�D <br /> MECHANICAL <br /> OTNER <br /> FIRE SPRINKLEPS REOUIRED ❑VES ❑ NO S7ATE BUILDING SURCHARGE <br /> STATEENENGYSURCHARGE <br /> M�GUGIION�GC Pv PLANSCNECNED BY �PPR fOf1 b5UM6E 01' PUB�IC WORNS <br /> � �., _ TOTAL <br /> � c_i�� <br /> PROPERTV OWNERS ARE PESPONSIBLE�OF DETERMINING ALL <br /> PROPERTYLINELOCATIONSANDRELATEDEASEMENTS. <br /> ..: _.... . . ..__..�x.a�.:.. . .. . . . . . .._ .. '.' <br /> . :_,. . . . ._.- . . _ •__'" .'_ <br /> _ ..J.�. <br />