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��CL� <br /> f,PPLICATION FOti' �"$� 31 <br /> '"'`"ro"'° CC3NSTRUCTION " 'c" <br /> �,r o. <br /> everett PERMIT <br /> BUILOING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK • PLEaSE PRINT <br /> ❑ DEMOLITION ❑ COMAINATION �UILDING ❑ MECiIANICAL ❑ PLUMBING ❑ SIGN <br /> OWREP M�IL IOORESS f]lY lit� vHUNF <br /> Flavron V• �twsony--/Sl�l ��-��✓, ��vet� 4�� � �-r'Y� �{ PS[. <br /> •Nf,MIlkpOR01�5�ONFR / M�rt �DOPE55 C�1�— �MONI. <br /> T.�rr4 G��I�tf�Q �� I'F10 Mu��c� (�1„v�. �ue��7� 3 ��i-i� <br /> ` �iENERA .ONiR�C10A Mlil �ODq($5 fi'� P 14TN[ ��IILIrySk• <br /> own� <br /> �� MfM�N�UI CONIRICI(lq 6U l AppRL5M1 �J ♦ l'.n P��ON! IICE N51 • - . <br /> M��y�� A� <br /> V W I I�� F <br /> VWMB�N.CON�A��tOR M�IL�OI>Al.55 �Jr SU' PnONF LICENSr• � � <br /> //�� ��"����/ e � <br /> . V �� /{� f � � <br /> GLA550!WOPM�y i ��k. <br /> � <br /> ❑ NEW LE AODITION ❑ ALTERATION ❑ FEPAIR ❑ �EMOLITIUN ❑ WOUDSTOVE;fRP�.INSERT ❑ BUILUING RELOCATION Y <br /> � vqwr�ONurwoa.�costorM+'�naitiniusi�non� � �. <br /> — y ' <br /> k ,�► �t�„a�, �,3 �?� � � ': <br /> � <br /> � � � <br /> OESCRIBk WOPK � <br /> �i4 B�tr wa.�.r L� �+ h oas�bu�,o� � P� �n(a ,� <br /> USE Of flULLDiNG � <br /> I HEREBV CERTIFV THAT I FIAVE READ AND EXAMINED THIS AP� <br /> ? W� PLICATIONANDKNOWTHESAMETOBETRUEAPIDCORRECT.ALL ' � <br /> i�c p�p�scni�nov rcnovcnrrisrowr�eciowoa•+iea�rouncomrs PROVISIONSOFLAWSANDORDINANCESGOVEHNINGTHISTYPE � � ����• <br /> � OF WORK WILL BECOMPLETED WITH WHETHER SPFCIRED HERE - � "� <br /> io�eioc�—or IN OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO �.,�� <br /> GIVE AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS OF ��? <br /> y 2 ANVOTHERSTATEORLOCALLAWREGULATINGCONSTqUCTION ��S <br /> OR TNE PERFORMANCE OF CONSTRUCTION. � � p� <br /> �/ � SIGN4IIJA( 01 CUNifln(1f�RORR��TI1pRIZED<Cif NL pnfE : , <br /> n� i�. <br /> X 4a-2 � ' E <br /> u 4 <br /> cNOJF.Cl�00RES5 �n14 . h�](JM1pu'aHtYSI'���f�+1[ 4n � ,';� <br /> :v <br /> �'� <br /> /LUMlIN6 MECHANICAL ' <br /> NO. TY�!OF fl1[TURE ON ITEM FEE NO. TYPE Of EOUIPMENT fEE <br /> WATER CLOSET�TOILET� p�C—AiHNDLO UNITS—N P � <br /> BATNTUB NEiRIGEA/.TIONUNITS—HP EA <br /> LAVATORV 1 W�SM 81151N� BOILEAS—B T U M P ' <br /> $MOWER GASFIREDAC UNITS—B7U <br /> NITCMEN SINN 6 OISP FORCED�Iq SYSTEMS—B T U M EA <br /> DISHW�SMER W�ILNEATEfiS—BTU M �, <br /> LAUN�RY TRI1Y UNIT ME/TERS—B T U M '' <br /> CLOTMF.S WASMER EVAPOR�TIVE COOLERS <br /> 1 URINAL CLOTHESORYERS <br /> OH�NNING FOUN�AIN VENTIUTION F�N <br /> FLOON DNI1W R�NGE HOOD <br /> BACKfLOW M7EVENTERS W�TER HEATER <br /> ROOF DRAINS—NAINLEADEFS N�000 STOVE <br /> SINK�SERVICE—BAR.ETC I METAL FIREPLACE 6 CHIMNEY <br /> fIREPLACEINSERT <br /> MEAT PUMP <br /> GRS PIPING <br /> E%MAUSTGAN <br /> {U!TOT�L 1 !U!TOT�L <br /> PERMIT t P[RYIT <br /> TOTAL F![ f TOT11L FEE <br /> �novtseiB•ch nE�nsE*B�ce S�oEscrB�cx �'�AN MECK tlMBER FEE NECEIPTNO <br /> 20 � 'Lo� S� _ �l� ZD70 76 � o <br /> USF IONE l Ol�R � y�C�NI Slit <br /> � � , �/S� � FEES VAWATION F <br /> 7' cres �. o ^„ � <br /> BUiLOING S �� <br /> n'P[OfL051 OCLUPANCYGROUP NOOfDWfL�.INGl1MIS <br /> i �� R �3 .��'� PLUMBING <br /> � <br /> i S4E Or n�Du NO or SromFs M�M oct Lo�D <br /> j �O Q�r�/ � A MECNANICAL <br /> 1 .J �G�. <br /> OTHER � <br /> FIRE SPRINKLERS REOUIRED ❑ VES�NO STATE BUILDING SURCMARGE <br /> STATEENERGYSURCHARGE <br /> •i'�uUnON>r� Pr �'�eNSG��ECeEDB� ��nn �nqitiSu�NCtPr <br /> F � PUBLIC WORKS <br /> � � � �� � TOTAI � <br /> � PROPERIY OWNERS ARE RESPONSIBIE FOR OEfERMINING ALL <br /> ' PROPERiV LINE LOCATIONS AND RELATFD EASEMENTS. <br />