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APPLIC�:f10N FOR CUNSTRI.�:TION <br /> hs��,o,Be PERMIT <br /> GTY OF V,r„' <br /> everett e <br /> BUILDINO DEPARTMENT <br /> 259�eB10 TO BE COMPLETED IN INK— PLEASE PRINT <br /> ow E ue�uunnrss air Lr �r�oNF <br /> 1�Gt-�_—i�_y��� �0 3 i Ca4�soh l�d. EVCr•��=q�ao3— ��� <br /> fEN�N� M�il�OIIIIC55— "� -- CifY liP RMHE <br /> �J <br /> �nc�m¢ronncsiaHcn' --------------------- <br /> MMLnuop[59 "--_ __.__ '__ ___'_.'._'_"____' <br /> ciir �-�- �n• ivo.�r �.__.-------- <br /> OENEPAICONIR.1GlOf1 — uql e����E55 --"----" --"-----"'–'--"-- � --- <br /> Giv "Im .__' 1'11UNE _--- <br /> IICENSE� <br /> N IC�L . IPI�C MAI �0 F59 -----__—. tIIY lIP--_.–RIONC <br /> 7 �-r UGFNSE� <br /> i �.�. IY����� �,�1 a �q� ` ��- S.�/. Sui•�(-c � L„ij�r.�.�aec�. <br /> PLUMBINOCUNIR�CIOP ---- – <br /> t " �I O N S C�Iv IiP P��ONE ucens-i�,,' <br /> a�slorwon� — ' - _._ -______._______�-(����5�__ ��-���-/j.s•My- ;'6� <br /> ❑ NEW ❑ ADDITION �LiERAT10N ❑ REPRIR ❑ DEMOLITION ❑ WOOOSIOVE/fRP�INSERT ❑ OUILDINOPEIOC�TION <br /> 1EII�NIIMPROVEMEHIOf11NiEP RFMW[LONV � CONI�LfPE113pN�ryOPIpNENO <br /> "CNiP/Cf PRKE Of WO�K <br /> UE BEKOP AND60UeRElpOUOEiN\ lvEO _ — -- -----_ _ <br /> I ��-�—' <br /> � � Cl. � S "� <br /> � UlEOfSUIlDINO – — _.________ <br /> 1 HEFEBV CERTIFV THAT I f1r1VE PEAD AND E%AMINED THIS APPLICRTION AND <br /> KNOW'NE SAME T�BE iRUE ANOCORRECT.ALL PRnVI510N90F WW9AND <br /> tEOei [scam�qHprpnpn¢nrv�snowriet�owonern�rounc •icsi - OROW�NCES(70VEpNINOT1115TVPEOFWORNWILLBECOMPLETEOWITH <br /> WIIEIHFR SPf.CIfIED HElIEIN Ofi NOT.THE:RANTING Of p PERMIi UO[S NOT <br /> ior aioce ar PRESUM[T06IVEAUTHORItVIOVIOLATEORCANCEITNEPROVISIONSOF <br /> -- ANYUTHERSTATEORLOCALLAWpE6UUTINGCONSTHUCTIONORTHEPER� <br /> FOIIMANCE OF CONSiRUCIION Tli�T I AM AUTHORIZEO BY TF1E OWNER OF <br /> THI'J PROPERTV i0 PERFORM T11E WORK fOR WHICH APPLICATION IS MAOE <br /> AND 1 COM7L WI�H THE STATE CO RAC70qS LAW 1827 CW qND <br /> 298 P00 WA � <br /> sia RURE c mec�on rnuyr� �i � oEN� oere <br /> X ' z��r <br /> c�eop"p�J e ///JJJ <br /> — D J/ /✓�� �� �PVII ANI CIIY DU9ME5 tIGO15E NO�Np BUSINE84 N�ME <br /> L <br /> PLUMBINO MECHIIMICAL <br /> NO. 7YPlOFFIK7UpEORITEM FEE NO. nPEOFEOUIPMENT FEE <br /> WA1ER CLOSET(TOILEn NC-NNNDLO UNITS-HP. <br /> BATHTUB _ _ � FORCEOAIqSV5tEM5-BT.U. �y � � <br /> LAVAIOR'��WASH BABIN) UNIT HEATERS-B.T.U. M <br /> BHOWEp CLUTHESORYERS <br /> KITCHEN SINK6 DISP. VENTILATION fAN - <br /> D19HWASHER f1AN0E II000 - - <br /> LAUNDRYTRAY ---- --- - --� WATERHEATER . _ ..-� --�---'---- ---- � <br /> CLOTHES WASHER ,- -- <br /> WOOD STOVE <br /> URIN�I ME1AL FIREPLACE e CHIMNEY <br /> DPINNINO FOUNTAIN FIREPLACE INSFRT <br /> FLOORDRAIN HEATPOMP -T <br /> BACKFLOW PREVENTERS OAS PIPINO <br /> _ ROOFOFAIN9-pqINLEAUER3 C%HAUSTFAN <br /> _ 81NK�9ERV�CE-BAR,ETC.) — <br /> ___ 3UB TOTAL f SUB TOTAL f <br /> PERMIT S S � <br /> PERMIi <br /> TOTALFEE S lO7ALFEE f �, <br /> lNONTBEI6ICN qEAq8E1B�LN 9�OE6E1fi�LK PUNCN[CKNIIMBFP FF[ 11EC[IWMO. <br /> IISEIONE LOIIIIE� WC�HIBpE FEEB <br /> n res ❑ qo VALUATION FEE <br /> nr[orcoNec occuwi�cranour rroorpw¢iiupuwns- BUILDINO <br /> LLLOW�BIV�CTU�I ----- - -- '__ ___ <br /> PLUMDING <br /> eittor eioo NO W 8lONE9 asu�. oec i.oeo-�----- --------------- � - --... .- ---- ---��------ -- <br /> u v MECHANICAL <br /> IiN _____'___ _______ __ <br /> -_ ueim�iuMnePinq OiHER _- —_ _ <br /> fIREBPNNNLER9REWiPEO ❑ VE! ❑ NO � —�--- ---'-- — — <br /> -� STATE BUIIDINO5URC/1ARGE <br /> STATE ENEROY SURCHARr3E <br /> •P%IC�t10N�CC0V rier�s�rrner - --- ----- --.- .. __.__ ______ <br /> PUBUC WOiiKS <br /> TOTAL <br />