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��I�; ."1�I <br /> �'r�PLICATION FOR':= ���.�„ � <br /> '"""'°"'" CONSTRUCTION O <br /> CIA OF <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259•8810 TO BE COMPLETED IN INK• PLEASE PRINT � <br /> O OEMOLITION ❑COMBINATION �BUILDING ❑ MECHANICAL O PLUMBING ❑ SIGN <br /> �,hfp MNl�U0i�E59 Cirv JU' PIIONC <br /> 1�Av„ � ��U�SO�.( 130� �'Tw;T ras�Ho RO �'vCa�,T ae�o•s 353 ioS� 74S IoS'3 <br /> IIPCHIfEtlOROkSi11NEPy Mul�00N[!1 ���• ���� �������� <br /> ,TI� <br /> 6ENEP�LGONtH�GiON �J{ M4/l��[IUfiCSS /� C�1♦ !iP �j '���NEn ' IICENSC• <br /> ""r��1�C.Q1L]�Nk'�_�]��aY (�VC.. 1'�03 r�5.rcAS�KI¢n L ZZ����� <br /> MEGN�Wf.�ICONtOR1ON/� MNL�OO�E95 CrtV ���(G�{'��0'�3 PPONE UG[HSE• <br /> PLUMBIMOCONIP�CIO� � MeIL�0��E59 f:ilr fi� MIONF UCENSE• <br /> N <br /> CI�SS Of WOAM <br /> ❑ NEW Q ADD1110N ❑ ALTERATION ❑ REPAIR ❑ OEMOLI110N ❑ WOqDSTOVE/FRPI.INSERT ❑ BUILDIN6 RELOCRTION <br /> vw•rioN or rron.icosr or u�renu�s rws ueani <br /> 5�•� <br /> oeecniec woa. <br /> COn�NEtTlntc� NA� ���RJ��_ s -�dC' � ��U+SI-.' — <br /> uscorewioina � I HER[BY CERTIFV TNAT I HAVE READ AND E%AMINED TNIS AP• <br /> COhfNC-C'� S1`bP� UFF�tI-� PLICA710NANOKNOWTHESAMETOBETRUEANDCORRF.CT.ALL <br /> LEO�lOElCAiPT�ONO�PAOPERTY�BNOwNREL WOAA�IAGNfOU11COPIE51 PROVISIONSOFlAWSANDORDINANCESGOVERNINGT�II:iTYPE <br /> 1�1 OF WORK WILL BE COMPLETED WITH WHETHER SPECIFtEf,HERE• <br /> �or�e�oc���or � IN Ofi NOT.THE GRANTING OF A PERMIT DOES NOT PFESUME TO <br /> GiVE AUTHORIiY TO VIOIATE OR CANCEL THE �NOVISIONS Of <br /> LL`3S W �7 TO C—� ( � ANY OTIiER STATE OR LOCAL LAW REGUTATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. . <br /> � � . � SION �Of GONIR�CION OA�ULIIORKED�GENT fUTE <br /> p� '� � X a �� Q� <br /> PPOJECf11DDRE�B �PPUf.�NiRdfYBU5�NE45UCkH5 O <br /> 1'�1 ►3o'"S CASiHpROAfl p . <<s c �r.rc.-� r1� �Wc. <br /> PLUMlING MECMANICAL <br /> NO. TNPE Of FIXTURE OR ITEM FEE NO. TYVE OF EOUIPMENT F!E <br /> W�TEN CLOSET�TOILEi� �iC—A/MN�LO UNITS—M P <br /> BATNTUB REFRIOERAiION UNITS—N P.EA. <br /> LAVIITORY IWASM B�SIN� BOILERS—B.T U/H P. <br /> SHOWEN OAS FIRED A C.UNITS—B.T.0 <br /> NITCHEN SINK{OISP. FOf10E0 AIR SYSTEMS—B T U M EA. <br /> DISMW�SMER W�LLMEATE/15—BSU. M <br /> UUNDRV TRAY UNIT MEATERS—0 T.0 M <br /> CLOTHES W�SMEI1 EVAPOR�TIVE COOIE�S <br /> UNIN�L CIOiNE9ORYERS <br /> ONINRINO FOUNT�IN VENTILATION FI1N <br /> FIOON DRAIN ' R�NOE HO00 <br /> BACKFLOW PREVENTERS W�TER HE�TER <br /> POOF DR�IN$—RAINIEAOER4 WOOD STOVE ' <br /> BINK�SERYICE—BAR.ETCJ ME�AL FIREPUCE 6 CHIMNEV <br /> FIREPUCE iNSERT <br /> HE�T PUMP <br /> O�5 PIVINU <br /> E%H�USTFAN <br /> /U!TOTAL ! 6U!TOT1LL <br /> ►lIIMIT 1 P[11YIT <br /> TOT11L FEf ! TOT�L RL <br /> IROHflEIl�If,R nE�n9E1B�CK SIOElETp1CN RANI;NEC NUMBER FEE AECEIPTNO. <br /> � � f � � � � Z `_ �� �- 5 4 �o s° 953 <br /> uee towe ����AE� �e��Hr erte FEES VAWATION FEE <br /> - � S�'' 3�991, gs OYFS WO <br /> BUILOtN6 S <br /> TTPEOiCON �/`� OCCUP� V6 U NO.OFDWElLINOUNIfS <br /> � ��� (` PLUMBIN6 <br /> D�lEO�ELDO / � NO Ofl10 ! M��OCC lM0 <br /> �� N a MECHANICAL <br /> OTHE1` <br /> FIRE BPRINKlER9 HEO IRED O YE9 O gTATE BUtLD�NO SURCMAFOE <br /> STATEENEROV9UNCHAROE <br /> •PFLIGIIIIOHIICC BY VL�HBCNEGKEDBY �PPR fOR198U�NGEBY <br /> PUBLIC WORNB <br /> I1A �Yl� � � TOTAL ��,_ <br /> Y'� <br /> PROPEHT/OWNF.R9 ARE Pf:9PON91B:.E FOR DEiEHMININO ALL <br /> PPOPERTY LINE LOCATIONfl I1ND RELA'EO EASEMENTS. <br />