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�I 4�1 i/. • I <br /> , ,: , I,-I APPLICARUCTIO� ��"en <br /> ,^.EMro�»^ CO N ST 0 <br /> �,,.o. <br /> everett PERMIT <br /> BUILDINO DEPARTMENT TO BE COMPLETED IN INK • PIEASE PRINT <br /> 2b9•8810 i <br /> ❑ DEMOLITION ❑COMBINATION ❑ BUILDINa O MECHANICAL ❑ PLUMBINO ❑ S�aN i <br /> M�n �nuncv5 f.irv l�r nr�yr <br /> ow,.�. .- r J 3� z �--,�-,. ,� �,, �, <br /> ' r �✓1NTZ- r ,� i�2�_`/ v � , ���� <br /> � oonEn � <br /> •�GNI16�OA DklIONER . <br /> � M14��URF99 f.��� --- lil• �•�^^�I l6l'1YI • <br /> I OENlR1/Lpprn'NIA��pP /t /� <br /> � " '- • / � / l Ml 00 f!Y !�� 1•unNl A 1K14TW • <br /> MFGIT�Ny1. /CONIR�CyION / �� �G `I Iy.��/ <br /> � �O.l 9✓/ 'Y ) l ��r� e.n. ,u• ria�ui ,ni,,.. . K <br /> •WMlMOCON�P�CIOR �M�R OOH� <br /> l• Of WO1�M <br /> NEN� ❑ �ODIi10R ❑ AUER�I�ON ❑ REPAIR ❑ DCMOLIIIUN ❑ WOOOSIOVE/fRPL.INSERT OUILOIN(i �7ELOC���n�� <br /> v� i�noMu�woar�cos�u/y�uii���.i•;r��ui�n.uu � / � J .. r' / <br /> .�f" f ' <br /> / ) � /) 1l . ��t�' l,/C/ ��lY � " , r �i 1 . <br /> oi�tei�t woee � . <br /> �� <br /> � us�urwno�Na I IIER[BY CFRfIFV TfIAt I FIAVE READ AND EXAMINED 11115 AP• <br /> i7 � __ _ PUCATIONANDKNOWTHES�METOAFIRUEANDCORRECTnLL <br /> � PHOVISIONSOF LAWSANDORDINANCESOOVEANIN07FiIS 1VP[ <br /> l[O�LO!lC�IPIIONO�/��10fPh�9��UWNBEUIW0��11 L IOU < 1 f4 I <br /> DF WORK WIl1.BE COAAPLETED WITH WHE711ER SPECIf1ED 11ERE� <br /> io�--eioc�—o� IN OR NOT. iNE GRANTINO OF A PERMIi DOES NOT PRESUME TO <br /> - OIVE AUIHOR17V TO VIOIATE OR C4NCEl THE PROVISIONS OF <br /> ANV 011l[R S1ATF OR I.00AI.LAW RFOULATINO CONSiRUCTION <br /> �. Oi7 THE PERFORMANGE OF CONSTNUCiION. �/� ��i I <br /> siar+etuueorcnN�nectononeunwrorrunacr+� n+�r c; <br /> X � ,� <br /> i . � •r <br /> � ��PU �NtSCI1vBU5�NtS4Uf.N19[NO <br /> � �AOIELt�O�Af�S <br /> �.�/'f G� Eo .4� <br /> /LUMSINO MECHIINICAL <br /> - FEE NO. TYPE OF EOUIPMENi fE! <br /> � NO. TtP[Of FIXTURE OR ITEM <br /> � W�TERCIOSET�TOILEf� /O — AiC —����NDlOUN1T9—NP <br /> '� REFf110EPAiIONUNIT4—HP EA �� <br /> y l�TNTUB , �� <br /> BOILERS—8 T U�H P <br /> �'.I UV�T011YIW�SNB�9INI _ . <br /> SNOWEA � OnSFIf1EO�C UNI�S—BTU <br /> FOPCEO AU1 SY$lEM3—B�U M E� <br /> �� KIiCNENSiNN�DISP M <br /> W�LL NE�1Ef15—B T V <br /> OISHWA9HER <br /> • UNIT 11EA1Efi9—B T U ( , <br /> UUNpRYTRAY '� <br /> ' EVAPOMT�VE CUOLE119 � <br /> , ��aTNE�W�gME� CIOTHE90RVER5 � <br /> URINAL <br /> VENTII�TION F�N <br /> , DRINRINOFOUNt�IN qpN(1E1100D <br /> � fL00�O���N <br /> � W�TERNEATE� <br /> B�CKFLO W PnEVE N 1 EnS _ <br /> ROOF ORAtNS—�AINLE�DENS WOOD SfOVE <br /> ' METQ PIREPI.ACE S CHIMNEV <br /> SINK�SEPVICE—B�n.EtC 1 � — <br /> iIPEPIACEINSERT <br /> NEATPUMP <br /> OI1$Olf'INQ <br /> � Ex11�USi fAN <br /> � fU!TOTl1l 1 � ' �U�TOT�L � <br /> � PlflMIT ��... � . <br /> PEPMIi f O <br /> i TOTIIL f!E ! iOTAL iEf <br /> I , �PqNi!lte�G� III��SF�R�CM SIOESEIB�CM — <br /> PI�N CHECIc NUMBER fEE PECEIPT NO <br /> usetoNe ��u�"°E" y�C�Ni9rtt FEE9 VALUATION FEE <br /> � nvra �wo BUILDINO s <br /> � lYPE O�LONl1 �N I.UP�HCYG�OUP NO Of UWFllIN0UN119 d � <br /> � 1'LUMB�NQ <br /> t — <br /> i e�etor e�no i�'� '�� ���1���! M�� ncc �o•n MECH�NICAL 3� <br /> i <br /> � pTHFR <br /> i � <br /> � FIRE SPAINNLEHS F7EUUIf16U U YES U NO STATE BUILDINO SU�C�iA�OE <br /> i <br /> , 4TI1TE ENF.��OY SU�iCHnf70E <br /> � �Vo��f.�liOH4.f, Rv �'I�rl]C��FCK[ORv �I'P11fO��99UWLFPr pUBLICWOfiKS � <br /> I TOTAL � <br /> PROPE�tV LINE LOCAl10NS ANO�EL��EO EA3EMENT'g�NO ALL <br /> ..�. .... . . . . . . _ . . .. . , . . <br />