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' <br /> �;'i'�LICATION F01. ' <br /> ���Ewrym� CONSTRUCTION "e <br /> cin or <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> ' 259•8810 TO BE COMPLETED IN INK• PLEASE PRINT <br /> O DEMOLITION ❑ COMBINATION �BUILOING ❑ MECHANICAL O PLUMBINO ❑ SI(3N <br /> QyyryEq M�II�OORESS bIY IIP PNONE <br /> GTi� �iRr�wtsr i�►c, Ro.g�E /o0 3 EVE�t�rr 98yo6 �s8�03 0 2 <br /> •RCNIfEC�OROlS�OHEP M�i1�0011E59 p1v Iiv PNONE <br /> 1/@NAC16k �t7Feio�d�4 ��9,S M+H�V.!)" .TEMst��GtM.98/ey �1�e7�977 / <br /> OENEPILLONIPAGl011 M1�1�f10�1E55 C���� !�P VPONE �IC[N9[• <br /> MEf.M�N�ULCOH�R�GtOq M��I�ODNE3� C�lY 21C PII(]NE l�C[HSf• <br /> PWMlIHOCOH�P�LtOR M�IL�OUAE53 CiIY !i0 p110N[ �itFNS!• <br /> GL�!!Of WOR6 <br /> ❑ NEW ❑ AODITION �ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ 0UIl01NO RELOCATION <br /> WLU�H O�WOMt IC09I O�MAfF�1�L5 PLUS L�PONi <br /> �Dev _. <br /> OFSLNiBE W NA <br /> �3viLD N�I�I �M7'ir�orv A�t�lNb Uvs r+.++�+ "4�F�R � �Ybvro/�N 'S4�r <br /> usE or euaoieo �y��� � � <br /> •T�G�R�R�E e=^"r��/C.'� � HER[BV CERTIFV THAT I HAVE READ AND EXAMINED THIS AP• <br /> PLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT.ALL <br /> IFO�LOfSLRIP110NO�FPOPEN�YI9HOWHBELOWO11��1�L11fJURCOPIE3� PROVISIONSOFLAWSANDORDINANCESGOVERNIN6THISTYPE <br /> OF WORK WILL BECOMPLETED WITH WHETHER SPECIFIED HERE• <br /> io�—e�oc�—or IN OR NOT.TH[GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHOR�TY TO VIOLATE Ofi CANCEL THE PROVISIONS OF <br /> ANVOTHER STATE OR LOCAL LAW qEGULATINGCONSTRUCTION <br /> OR THE PEfiFORMANCE OF CONSTRUCTION. <br /> 516N�Nf1E Of LONIP�CT011 OR AUtROfU)EO�GENT p�tE <br /> X � <br /> ��,�.� � s� B i <br /> PpOJCC1ID ���UL�NI'S Cilv BUSIn[5!UCtNSE HO <br /> �yG Gr�sf,�.�b ,�e�v �v,eyt,��r <br /> PLI IMSINO MECMANICAL <br /> NO. T�Pf OR FIIfTURE OR ITEM FEE NO. TYPF OF EOUIPMENT FF.E <br /> WATER CLOSET(TOI�ET) �/C—�/HNDLO UNITS—H P <br /> flATMTUB REFRIGER�TION UNIT$—H P EA. <br /> IAVATONY(W�SN B�SIN� BOILERS—8.T U/N P <br /> SMOVIER OAS FIRED�C.UNITS—B T U. <br /> KITCHEN SINM t O1SP. fORCE�A1q SYS�EM3—B T U M EA <br /> DISNWASNER WALLHEA7EN5—BTU. M <br /> UUNURY TR�Y UNIT HE�TEAS—B T U M <br /> CLOTNES W�SNER EVAPORATIVE COOLERS <br /> URIN�L CLUTNESONYERS <br /> ORINNING FOUNTIIIN VENTILATION FAN <br /> FLOOR OA�IN RANOE NOOO <br /> BACI(FLOW PREVENiERS WATEF NEATEH <br /> ROOFORA�NS–R�INIEAOEA9 WOODSTOVE � <br /> OINN ISERVICE–B�A.ETC 1 MEfAL FIREPUCE S CNIMNEY <br /> FIREVUCE INSERT <br /> MEATPUMP <br /> OAS PIPINO <br /> E%H�USTFAN <br /> � �UlTOTAL f �Us TOTAL <br /> PERMIT f �[11M1� <br /> TOT�L f!E t T0T11L F!f <br /> inoHiene�cK� nc.nscie•c. 9�oFSUesCe PLANCMECNNUMBEF FEE 9 RECEIPTNO. <br /> . - B£r 1 � 9T�16 <br /> USE fONE �o�•nu y���Hl SRE FEES �ALUATION FEE <br /> �- _� u.esXF+o <br /> lYOE OfCONSI dp OCLUPegr�CVGqOUP NO Of"P�WFLLINO UNii9 BUILDING S C� <br /> �/-/� /� ' Z 'i�– PLUMBING <br /> 6�1E OillDO NO Of SIOP�Stl M�x OCC LO�D <br /> ` Ap,p `vv — MECHANICAI. <br /> T <br /> JTHER <br /> FINE SPRINNLERS REOUIRED ❑ YE9 NO STATE BUILDINU SURCHApOE <br /> STATEENEPGYSUnCMl1RGE <br /> �YV�ICAIqH�CCB� PI�MlCHFGNEOlY �PPNlONIlSU�HGEBY <br /> PUBI IC WORNS <br /> � . YV�• /�Q, � TOT�� _ l 3 Q O <br /> PROPENTV OW NERS ARE RESPON918LE FOR DETEFMININO ALL <br /> PROPEHTV IINE LOCATIONS ANU RELAT[D EA3EMEN78. . <br /> .)Z:�:�j^rT�rs?e'�• '.�,r-..—,:.q.�-cr..v. .:•.^T "r.tfm�c�r�nq�r.r :::r.•�....ca+^..+r;twTr•;n:.s:�.�.:...:t�,. .�,�.�,n.�...�r:.�.,,.•zir-w�as...;...��.... <br />