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,. , �c�.11 I��l a�� <br /> ,-.PPLICATION FO�.- �,� � �� ���.�„ <br /> ,".`"''"" CONSTRUCTION <br /> cm or <br /> everett PERMIT �pf � �/�� `�ZI <br /> BUILDING DEPARTMENi 1(�I�b� V��'t(,�(�- <br /> 259-8810 TO BE COMPLETED IN INK- PLEASE PRINi U <br /> ❑DEMOlIT10N O COMBINATION �S BUILDING ❑MECHANICAL ❑ PLUMBINO ❑SION <br /> �pww n M•n�ooa�ss� ) 7 �-cin� �J. /r�mp oHnut <br /> ���J��']j� � f� L///�t/fT rU�!Kl/ k�n. ��02a/ 2Sz-3yzz <br /> �PCMrt f.�uBUlS�Ubfn //�[�A[SS Gtr jlr In10NL <br /> Ofq(IUlC1�NIR�f1p0 M�ILIOUIIfSS C�M1 /ll� �I�ONI LIClNSC � <br /> � allJ/l1E/�. <br /> r�ta�ur,n crnmur.�nn MUL qIDRl59 cnv ne nurnrt ��c[Hs[. <br /> P1U411111qLnqI1OG1[1B M�Il�p011FS4 Cil♦ !T PIIUNf lN]HISC• <br /> cusv rn won. �� <br /> ❑ NEW � �ODIfION ❑ AUERRTION ❑ AEPAIR ❑ DEMOLIIION ❑ WOODS70VE/FPPL.INSERT ❑ BUIlDINO REIOCATION <br /> V�lU�lll��ll W�IIU 4U!J OI I.iAll�iul'.1'111.91 MVJ�4� <br /> . {J� ���� rL <br /> u�scn� r� <br /> ,�L"�,. � � _ 2 <br /> USf O�OV�IU�N7 <br /> n,',�n�„n� I I1EH[BV CERTIFV T11AT I HAVE READ AND EXAMINED TIIIS AP• <br /> ��CV/C PLICA710N AND KNOW THE 3AME TO BF.TRUE ANDCOFRECT.ALL <br /> «nuncsc�mnrninrnna�tmrrenuwHnnowoeen�n�inuncum�u pqQVI510NSOFlAWSANDOR�INANCESGOVERNINOTHISTYPE <br /> r (f OF WORK WILL BE COMPLETED WITH WIiEi11ER SPECIFIED NERE• <br /> io�_moc��or IN OR NOT.THE GRANTINO OF A PERMIT DOES NOT PRESUME TO <br /> �� FF Gril cZ V- O I� �� _3 ANVO HERSTIATEORLGCAILOAWREGULATINGCONSTRUCTION <br /> OR TNE PERFORMANCE OF CONSTRUCTION. <br /> 910N�lUPE Of CONIR�CIOR OR�Vi110R4ED�6[Nf p41E <br /> �1�i n�s . �.�✓'�.j o:j.;..� 9- � - & <br /> vROlfGleppRE9! ���IIL�NlSCItV UyINE59UCE.N9lfN0 / / <br /> � '� � �.r n� �J. �� 1C'lGc <br /> PIUMetN6 MECHANICAL � <br /> NO. TYPE OF f1lITUNE OR ITEM FEE NO, IYPE OF EOUIPMENT FEE <br /> W�TEA CLOSET ITOILET� A/C—AiHNOlO UNITS—N P <br /> B�TMTUB �7EF1116ER�TIONUNIT3—NP EA. <br /> UVIITORY�WASH B�SIN� BOILERS-�B.T U rH P <br /> SNO WER OAS FIRED 11 G UNIT9—B TL <br /> NITCHEN SINK/�ISP FORCEO�i�SYSTEMS—B T U. M EA. <br /> OISNWASNER WALLNEATENS—BTU. M <br /> LAUNORY iHAV UNI f MEATER9—B.T U M <br /> CIOTNE4 W�ShER EV�FOR�TIVE COOlER3 <br /> UI11N�L CLOTHES ORYEA3 <br /> O�INNINU fOUATRIN VENTILAt10N FAN <br /> FLOOR ORUN RANOE HOOD <br /> B�CNFLOW PREVENTE�S W�TER HEATER <br /> NOOF OR�INS—R�INL[�DERS WOOD STOVE <br /> SINN�SEAVICE—0M.E�C� METAL FIREM.ACE�CHIMNEY <br /> FIREiMALE INSERT <br /> NEATPUMP <br /> ORS PIPINO <br /> E%HIIUST FAN <br /> SUs iOt11L / tU!fOTAL <br /> VERMIi 1 KIIMIT <br /> tOGIF![ 1 �OT�LfEL <br /> �urm��si in.c. n��n�e�g�ca sm[sne�cK PLAN CME N NUMBER FEE •� NECEIVi NO. <br /> 70 ",� ( �i��«S� ot�� 4�7� <br /> °'�fON1 1p1""'" v�r.•.,,anc FEES VALUATION FEE <br /> 1'� ' , �ITfS �NJ <br /> 1' r <br /> ���[u sr ncruru�crcnoun r�oarowi�.uNouwts <br /> BUILDING <br /> �� �� � � "9'� PI.UMBIN6 <br /> s�ttn� nion Nn�n sinnrtv ue. occ in�o <br /> I�S� � I N� � � MECNANICAL <br /> �/�� Of11ER <br /> nnr:s�>nwn�ens nrowhr o U YES A NO SU1E BUILDING SURCHIIRGE <br /> STATE ENERGvSURCNARGE <br /> urn� cqrr���'�: 0. ��i/rp,cuff.nf00v �PPn �O��55UnNCfBv <br /> 1 PUBLIC WORN9 <br /> � `yv TOTAL <br /> PROPERTV OWNERSARE RESi'ON9IBLE fOR UEIERMININO ALL <br /> PFOPERTYLINELOCATIONSRND RELATEDEASEMENT3. <br /> . . � .. _ •�� . .. <br />