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��.:PPLICA�TION FO.� ���,�„ <br /> '".`",°'»" CONSTRUCTION 0 <br /> CIIY Oi <br /> everett PERMIT <br /> BUILDING DEPAR7MENT TO BE COMPLETED IN INK• PLEASE PRINT <br /> 259•874� <br /> f] DFMOLITION ❑COMBINATION ❑ BUILDIN(i ❑ MECHANICAI ❑ PLUMBING ❑ SIGN <br /> �'J�VNEO / MML�Of�REAB CIIY IIP PNONL ����Df�O <br /> .q ( 7 <br /> �����A��L�QC rAl� I�it��[�"l3AXNFL �1r��UY" �QS�U01�.� FUNi�.I/�f����lfta ��nr.S �f��.+Mvy� <br /> �� UTY—� 21P PIIOHC <br /> •NCNd[CIU1110E9tONER M�IL�DORE99 .,_J <br /> I�f �iie -�7eH2MAn,✓ �em /i�e s'.�/-U�ev <br /> QEM[f1QGONIB�LIOR M�IL�DDf1E91 CIIY ZIP PNONE UCUIFF • <br /> �� FAl-�L=l TNC_ ENC+ELT ~/�,YA13 <br /> uEc�uwr.uccN�n�cin M�aeooness t j�, � z�r mwNE ucrNsi . <br /> p � �S3Z -zu�'_ s. . •. <br /> GY�'[ �<S'0✓� /��Ql1e%�a�fur�+�e' En�o,iani.� Gvv�e.,eio� ��6. 1��D3k 7�5-��9� Ell•/C•K 1/)_ `f <br /> PWMB�NOGONIR�GIOR M�IL�DD 59 C�T' 2�F . VIIONE IICE�1tiC• <br /> CL�SS Of WOAK <br /> ❑ NEW ❑ ADDITION RLTEFATION ❑ REPAIR ❑ DEMOLITION ❑ WOO�STOVE/FRPL.INSERT BUILDINO REIOCATION_ <br /> Wl�1�ONOi WOBIt IC031 Of M�IEOI�L4 MU8 UBOIO <br /> rscnreeDnK� / J/Yl J, .!C YILd l, �1AG U ,;,r �L*f c✓ r �F <br /> ,YYY410�C �/� �<�✓ Q)e�t /dl�,�f Yun�. U i � �� ' u a..�. <br /> \us[ x eunm a�J �/ � I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIu AP� <br /> ���A /y�Ao�s4/ou 9� PL/i/P�' �Z`�� PLICAtIONANDKNOWTHESAMETOBETRUEANDCORFECT.nLI <br /> ieaeioescnivnoNo PAOVENtV191WWNBEIOWOA�II11G1/0U0 PIE& PROVI310N90FLAWSANDORDINANCESGOVEFNINOTHISTVPE <br /> OF WORK WILL BE COMPIETED WITH WIIE7HER SPECIFIED HERE• <br /> �o�__eioc�—or IN OR NOT.ThiE GRANTINO OF A PERMIT DOES NOT PRESUME TO <br /> QIVE AUTHURITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANVOTHE���iii 6jA?EORLOCALLAWREOULATIN6CONSTRUCTION <br /> " pFl THF�FO A �E OF CONSTRUCTION. <br /> � 910N�9 � fR O � � 12EDAOENi O�iE 7'Z �'�S� <br /> �/, '�— <br /> ^ r' �• i �/L// �ZDO Ls.' <br /> �1 G LVnr...�.a�. ull. <br /> �Po�IC�N�lGITrBU9OEHlUL N9EN0 7Tq-�� <br /> PIIOJfCi IIDOIIEl6 <br /> X �d ' <br /> PLUMOINO � MFCHANICAL _-- <br /> NO. <br /> TYPE OF FIIITUNE � FEf NO. TYPE OF ECUIiMENT FEE <br /> WATER Cl09Et TOIIED AIR CONU.UNITS-H.P.EA. <br /> BAtHTUB _ REFRIOERhiIONUNlTB-N.P.EA. ___ <br /> L�VATOPY WASH BASINI BOILER9-M.P.EA _ — <br /> ;IIIOWfIi --.__ "___ '__ _."_ n�RflflfP�CllNlfY–T(1NN�Off� <br /> NITCHEN SINR 6 DI9R FORCED I11R SVSTEMS–B 1.U. M EA. __ ___ <br /> DISNW�SHER WAIL HE�TEN9–B.T.U. M _ <br /> LAUNORYTH�Y UNITHE�iERS–B.7.U. M _ <br /> CLOTHES N�ASNER EV�POR�IIVE COOLERS --- <br /> WATER NEAiER CLOTHEBDRYERS — — <br /> URINAL VENTILATION FI1N — <br /> DHINNINO FOUNiAIN RANOE NOOD --- <br /> FIOORDR�IN AIpHANDLINOUNIT– CF.M. __ <br /> V�CUUM BPE�NERS SiOVE — -- <br /> ROOF URAINB–R�INLEADER$ METAL iIREPUC[6 CNIMNEY __ <br /> SINK SERVICE–BAR,ETC. . WOODSTOVE/FIREPLACE INSERT _ -- <br /> 8UB tOT�L _ ._. SUB TOTAL _ F ____ <br /> PERMIi � PERMIT ___ � -__ -- <br /> TOTIIL FEF • TOTAL FEE � _ --- <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> 1110NI]EIB�CR �E�1ISEIB�CR BIOEBEfB�Ctl PL�NCNEGN UMBEN <br /> OP`ARCNECK�[E <br /> N.A• _ � ��F� 7 `E� � PEC R 'J�v_�"' <br /> �,.�, <br /> USElONE iorente WC�NT�ITE fE[! V1W�TION FEE <br /> N� �,� OYE9 JVIO 1. <br /> IYPCOICON9I OCLU��NCYfi110UP HO.OfUVI€ll�N0UN119 �I �C.( Q'�4 / –f�— <br /> g-,�/ �-z " BUILDINO s r�lk�• � as� <br /> s¢r o�oinpa eo ur s�om[s M�%.OGC 10�0 <br /> 6�. U SF� � S r�uMaino _--_ <br /> MECH�NIC�L . <br /> FIRE SPRINKLERS REOUIRED [] YES ❑ NO OTNER <br /> PENALTY __ <br /> •nPUG�bONM.CBv �UNSLHECkEDBY �PVRfORiS9U�NCEBY .�� <br /> TOT�I �_V <br /> �3-�� G .G <br />