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i;PPLICATION fOh <br /> '°.`",°."° CO N STR U CT10 N "�`°" <br /> ��..�. <br /> everett PERMIT <br /> BUIIDING DEPARTMENT <br /> 259-BB10 TO BE COMPLETED IN INK - PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION BUILDING ❑ MErHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNEII MMi �Ofllq54 cnr in� rrior�[ <br /> .� ,�iJ,�AC.D„ E' _"T7k�Nc�2, .n� I,I,I�i (ASC/-�DE DR E�� rtlh- 9Ptp3 353-&3bo <br /> —.s/1 M� ' - <br /> - ----- ---- ------ — -- --- _ LUI�._—;'`2L"���� <br /> nlrnnelr.uNuucton uui nnunlL•, cn. ln• -_..-..—_ruuHi nCirau . <br /> �/�{Mc` <br /> MI.P�11N24 CONIIUCiOq M�II �Il00Ei5 CII♦ l�l' p110Nf IICEN51.• <br /> �WMfliN4CON�f1�C�fU1�� M�il �pD�fFS Uh :�P fYIUHf IN:fNN • <br /> N/ <br /> LUSSOi V/Onv � <br /> �NEW ❑ ADOIiION ❑ AlT[RAIION n REI'�IR ❑ DEMOLIIIUN ❑ WppO510VE?PPlJNSfRT ❑ p�)ILDING f1ELOCAIION <br /> vuuenoH nr won.�cosi or u�rtniei.s rurs i•nom —_ <br /> -� �oi � <br /> �«���„�.w����. - <br /> E2tZT 3 C�42 Gi+24GG <br /> ux or ewi w�m — — �—— <br /> 1 f1ER[BV CERTIFV TIIAT I HAVE READ AND EXAMINED i111S Af'� <br /> �7F�'I�A'�r(.L- PUCATION AND KNOW THE SAME TO BE TFUE ANDCORRECT.ALL <br /> ltanioFSr.nivuor�ornnor[nniS�wwHpRnwan��r�aurounr.urns pqOVI510N$OFLAWS�NDORD�NANCESGOVERNINGiHISTYPE <br /> OF WORK WILL BE COMPLEtED WITH WHETHERSPEGFIED HEFE <br /> ioil�moc �e«/ nr�E�KCy(/OMdb 7RA�S INORNOT. THEGRANTINGOFAPERMITDOESNOTPRESUMETO <br /> GIVE AUiIiORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV O7HER STATE OR LOCAL LAW REGULATING CONSifiUCT10N <br /> OR THE PERFOFMANCE OF CONSTRUCTION. <br /> vr,N�iunrnrc��Hninrirairmnun�nnizrnea[H� un�t. <br /> X / � ��7��d <br /> rnaee�.00ness .r - . o;cnrnusNrssnrn�sr <br /> l/I s AnE E- z.�3 � <br /> PLUMSIN4 MECHANICAL <br /> NO. iYPE OF FIRTURE OR ITEM FEE NO. TYPF OF EOUIPMENT FEF <br /> W�TEA CLOSET�TOILET� AiC-�MNDLO UNI TS-H P <br /> B�TMTUB REff11GE9AilONUNITS-NP EA <br /> UVIITURY IW�SH BI151NI AOIlERS-B T U iM P <br /> SHOWER OAS f IRED�C.UNITS-0 T U <br /> NITCHEN S�NK 6 DISP FOBCED AIR SVSTEMS-B T U M EA <br /> DISMW�SNEA W���NEATE�iS-B T U M <br /> UUNORY iR�Y UNIT 11EATER3-B T U M <br /> CIOTNES WASNER EVAPO�ATIVE COOLEfIS <br /> URINAI CLOTNES Df1YER5 <br /> ORINNINO FOUNT�IN VENTIIATION fAN <br /> FIOOR�RAIN RANOE IIOOD <br /> B�CKiLOW PREVENTENS WAtER HEATEfi <br /> ROOF DR�INS-R�INLEAOEf15 WOOD SIOVE <br /> SINN�SERVICE-BAl1.EtC 1 METAL FlREPIACE 6 C1IIMNEY <br /> fIREf'LACE INSE(1T <br /> MF.�T pUMP <br /> OAS PIPINO <br /> Ex1UUST��N <br /> tU!tOiAl f lUSTOTAL <br /> OERMIT 1 IKPMIT <br /> TOTAL FfE t TOT�L FEE <br /> inowi.s[�o+rr. neenSE�B�r.. smEsnn�r.K �KANC��E KNVMBER FEE (�� RECEIPTNO <br /> zo - z �� � � • �" �� I ,t--�� -�b° �t 5�y S <br /> ust n'[ iot�nt� ������ ��F FEES VALUATION FEE <br /> K- � �f.` j7iG ��� UVEF �q <br /> nrr o,�yr p�si occun.Ncr cnoun r�o or owr wna ur�ns <br /> OUILDMG S <br /> y � '�! �" M.UMBING <br /> b�t[Or 1 Oq NO O�9V iF4 Me� OrL ir�en <br /> 87 4 � ,�/� MECIIANICAL � <br /> r ,� <br /> O111Eli <br /> flqE SPqINKLERS REUUIRED ❑ vES �NO <br /> �r� — - SUTE OUILOMC SUfiCRARGE <br /> STnTEENERGrSUnCNARCE <br /> U`19�.:/.hO•lelf. P♦ 1'I�rISC1lfCeiUBv •1`I`II IOIIISSUAqII flr <br /> \ / n / �UBLIC WOPKS <br /> 1 Y/O !T O_ ����� 10tAL <br /> ��lJ �b"`� <br /> PROPERTV OWNEiiS ARE f1E5PON51BLE FOR DETERfAININO ALl <br /> PROPf:RiV LINF. IOCATIONS�ND RELATED FARF.MFNTS <br />