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..� ;. <br /> t��'PLICATION FOF. � <br /> '"'`"ro'"" CONSTRUCTION �°"`" <br /> Clf�'OF <br /> everett PE RM IT e <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK- PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATI^N ❑ BUILDIN6 O MECHANICAL ❑ PLUMBINO ❑ SI6N <br /> OWNEN M�It �OO�f55 CIIY jIP pNON( <br /> �Qfl'u 111�'��7.ulcN 4?U• (3�x 98� L k: Slcucn.5 , 1..��i 98d�`� ,33�-1-�la�-IO <br /> MCNItEt NUl1�OMER �/ M�LL�ODPFSA Ci )in PnONC <br /> s�r►�ress�av� Dcr.�an ��q �accson �verelFy �m 4�aaa :��-3zoo <br /> OFNER�I ONIR�CIOl1 Mlll�COnHS Citt IIP nnONE UCEN9E• <br /> m�co,,..�i�4r�ns+ru�����, ��o. ��k�e� � k . sicvcns lA,� q$a��;�y2� mcckuc ►�or <br /> MECN11NiC�LtG �C�08 Mul�00RE49 GII )IP PiIONE IiLlHSE• <br /> iIUMBMOLONIP�C10� M�IL�OOAESS GIIY IiP PiIONE LICENSf� <br /> 'i�ob��5an PIum4�in� (.�� Everc.t+ Y��ai� �.)a�,Ev� l,.,r� �SZCx-/ 355-(d�l f§�P�i�Pa�2Cs2 <br /> (�I NEW ❑ �DDITION C.IJ ALTERATION ❑ R9PAIR U OEMOLIIION ❑ WOODSTOVE/FRi'L,INSERT ❑ AUIlDINO HELOCRt10N <br /> V�l W f10N Oi Wpne ICOli Of!AIEIU�L9 PLUO LePORi <br /> � I�, oo�. � "To.x d� 13a8� - I - Uay - Ooa4 �3c.� <br /> otxn�ae woaK . <br /> d - d �� <br /> uac cr eunoiNo � <br /> ' I HEREBY CERTIFY THAT I H�VE READ AND EXAMINED THIS AP� <br /> PLICATIONAND NNOW THE SAME TOBE TRUE ANOCORRECT.ALL <br /> uae�o[acniP OMO�ppOPERfY�BNOWNBELOWONI�GCNFOUPCOP�f91 pROVISIONSOFLAWSANDORDINANCES�OVERNINGTH!SiVPE <br /> S C �3 OF WORK WILL BECOMPLETEO WITH WHETHERSPECIFIED HERE• <br /> io�—e�ocK_or� IN OR NOT.THE GRANTIN6 Of A PERMIT UOES NOT PRESUME TO <br /> / GIVE AUTMORITV TO VIOLAiE OR CANCEL THE PROVISIONS OF <br /> '�WP a� Rae oy �UC�� Y/ C ANVOiHERSTATEORLOCALLAWRECiULATIN6CONSiRUCTION <br /> CR THE PERFORMANCE OF CONSiRUCTION. ^//� <br /> '1.'Lil/ /'l A 1,�//.f �.�,�5 ��-, � {he sior+��un� rcoNrn�c ROPAUT110RIZED�OENI b�1E �///� <br /> ervi•�•� ,�tstr v <br /> N <br /> .o Ff uG' . td-�.ao rf c� <br /> PROJECI�DDRE!! PP G�Nl9Ci�Y 9� UCEN9EN0 <br /> -lhC I.JW g.uarft�' A� l-h� iUE q��ar4c� <br /> KUMSINO MECH NICAL <br /> NO. TY�E OF FIIITUII[OR ITEM FEE NO. T/PE Oi EOUIOMENT fEE <br /> WATER CLOSET�TOILET) A/C—M1NDlO UNIT9—M P <br /> B�TNTUB 11EFRIOER�110NUNIT9—HP EA. <br /> LAVATORY�W�SM tl�SIN� BOILERS—B.T U/H P <br /> 6MOWEP O�S FIRED�C.UNITS—B.T.U. <br /> NITCHEN SINK�018P fORCED AIR 9YSTEMS—B T U M EA. <br /> OISMWASHER WA�L MEATERS iPV. (,L)M <br /> UUNORYTF�Y UNITHEATER9—B.T.0 M <br /> CLCTMEJ WA9NER EVAPOR�TIVE CCOLEHS <br /> Uf11NAL CLOTHESOHVEP9 <br /> ORINNINO FOUNTAIN VENTIUTION FAN <br /> FLOOR OAAIN R�NOE HOOD <br /> BIICKFLOW PREVENTEpS WATER NEATER . <br /> ROOF�RAINS—RI11NlEADERS WOOD STOVE <br /> 91NK�SERVICE—B�N.ETCJ METAL FIREPLACE 8 CMIMNEV <br /> FIREPLACEINSEPT <br /> MEAT%1MP <br /> O�S PIPINO <br /> E%HAU$T FAN <br /> �US TOTAI � " tU!TOT�L <br /> KRMIT t P[PMIT <br /> TOT�LI[! / TOTALFE! <br /> VPOMtlEIB�CM NE�RSEIBA]K 9�oE�[te�cK PLANCH CNNUMBER FEE PECEIPTNO. <br /> UlEIOHF LOI�PE� �� I���� ��� <br /> wc�Hrsrte FEES VALUATION FEE <br /> ❑vES �HO <br /> BUIlOIN6 $ <br /> hvE o�coMst OCcuvlNcv cnour No of owRliMo uNn! <br /> PLUMBING <br /> !ilFOfB�DO NOO�lIOPiE! M�rOCCineO MECMANICAL / � <br /> OiHER <br /> FIRE SPRINKLERS FEOUIRED O VES ❑ NO <br /> STIITE BUILDINO SUPCHMGE <br /> STATEENEROYSUlICNARGE <br /> IIVOl�C4�lO�1�CCBv VL�NSI'NECNEOBY AppRlG11i5SWNCEBv <br /> � /� ^ ` PUBLIC WOR1lS <br /> It�.'� 1�� TOTAI <br /> PROPERTV OWNERS ARE PESi'ONSIBLE FOR DETERMININQ ALL <br /> PROPERTV IINE LOCAilONS AND RELATED ERSEMENTS. <br />