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('.,'"y� ' <br /> f.�'PLICATION FOh- ' ���,�„ <br /> `"'E"`°'"° CONSTRUCTION O <br /> G�Y N <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPIETED IN INK• PLEASE PRINT <br /> ❑DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL O PLUMBING ❑ SIGN <br /> p�H�p/ M41I ADDAL55 CItY )Ip MION[ <br /> '`'ab� A (,��sJ;� S_i27 �.�:� v�+-� t=v�.t�- �.�.1�55.. �1�`Lo3 -3ss-ras? <br /> I�NGNIICCtORpf510Nfu uL�O�aLa$ diV i i' O [ <br /> .'2 Sy-�3.5 os <br /> OENEA�IGONiR�PO� Mell��ONFSS G�*�' Sln i4�ONF URbS!• <br /> MECN/.NiUL GONi1UClOq M11L�ODRt59 Cltv II� PI�ONC LIG(NSl • <br /> %IIMPmpCON/n�Glp1 MML�OOAE55 Gltt liv WIONE UU HSE • <br /> LU5501 WOPa <br /> ❑ NE�N ❑ ADDIiION ❑ ALTEi7ATION ❑ REPR.Iq ❑ O[MOL1110N ❑ WUODSTOVE/�qf`L.INSEfiT ❑ BUiLDING RELOGp110N_ <br /> V�lWT10HOfWpnv�60510iM�ILRI�LGPll15VBOP� ' <br /> DFSCMPC WOAk <br /> l�Gl-v�o �i ��"(�o >. <br /> ustoremion.c 1 HEREBV CERTIFY THAT I NAVE READ AND EXAMWED iHIS AP� <br /> Re � c � ALICATIONANDKNOWTHESAMETOBE-TRUFANDCORRECT.ALL <br /> 1C640E5CA��11pNOfPPO�EFiY15NOWNOlLOWO��iI�CNfOUACOViCS pROVIS�OtJ50FLAWSANDORDINANCESGOVERNINGTHISTVPE <br /> OF WORK WII.L BE GOMPLETE�WITN WHFTHEf7 SPECIFIEO HERE- <br /> w�—eioc�—or IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME i0 <br /> GIVE AUTHORITY 10 VIOLAI[ OR CANCEL THE PROVISIONS OF <br /> ANV Ol HER STATL OR IOCAL LAW I7EGULATING CONSiRUCTION <br /> OR THE FERFORMANCE OF CONSTRUCTION. <br /> sicunrui�r.o� cor�mnaon on r.umon�zco Acn+� ne�� <br /> x �' �S � G <br /> OAOJCGi�ODRlS9 �PPI.If.AN{SpIYeU51Nf5� .HO <br /> � '�220 C°o ( b <br /> PLUMlIN6 MECHANICAL <br /> NO. TNPE OF Ff%TURE OR ITEM FFE NO. TYPE OF EOUIVMENT FEE <br /> � WATEF ClOSET�T01lET� AiC—�/HNOLG UNITS—M P <br /> B�THTUB REFRIGEPATIONUNITS—Nf' EA <br /> LAVATOR�(WASN B�SINI BOILER$—0.T U/N P <br /> SNOWER GAS FIRED A C UNITS—B 1 U <br /> kITCHEN SINK e DISP. FORCEO AiR SYSTEMS—B T.U. M E�. <br /> � DISHw�S��ER WALIHEATEAS—BTU. M <br /> LAUNOi1Y TA�Y UNIT HEATERS—0 T U M ' <br /> CLOTMES WASHEA EVAPOR�TIVE COOlE�15 <br /> � UN�NAL CLOTHES�AYEfiS <br /> � DRINKING FOUNTpIN VENTILATION fAN _ <br /> FLOOR OAAIN PnNGE HOOD <br /> BACNFLOW PfiEVENTERS W�TER NEATER. <br /> ROOF DNniNS—RIIINLEAOERS WO00 STOVE <br /> SINK�SERVICE—BRN.ETC.) METAL fIREPLACE 8 CHIMNEV ' <br /> FIPEPLPCEINSERT <br /> HEATPUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> sus rou� s sue ror�� <br /> ►ERMIT ! PERMIT I <br /> TOT�IFEE f TOT�LFEE <br /> fpONl SEIB�CN AUR SEIB�LR S�oE SE*9�CK �AN CMECN NUMBEB �PEE RECE�PT NO. <br /> l / S ' <br /> E� <br /> us6 zor+e �or�nce y�C>Ni SItL F�ES VALUATION �E <br /> ��S ores nr+o <br /> BUILD�NG S <br /> 'VPEO�LON41 OCCIIP�NLYGROUP NOOfDWELLINOUNIi3 I <br /> PLUMBING <br /> 4RE O�9lDO NO Of SfOmEB M�x OGG 10�0 MECHANICAL <br /> OTHER <br /> FIRE SPRINKLERS AEOUIpED O YES ❑ NO STATE BUILOING SURCNARGE <br /> STATEENERGVSURCHARGE <br /> umuuuor�eccnr r��r�SCNEtKmer �rrnronis;uer�ceer pUBLICWORKS <br /> ty, M • <br /> � TOTAI <br /> — PROPCPiV OWNERS ARE RESPONSIBLE FOR DETERMINING ALL <br /> PROPERTY LINE LOCATIONS AND RELATED EASEMENTS. <br />