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�-„rPLlCATICtN FOR ee <br /> '".E°",°'"° CO N ST R U CT I O N � <br /> ��..o, <br /> everett PERMIT <br /> BUILDING DEPARTA:ENT <br /> 259-8870 TO BE CCh1PLETED Iy INK• PLEASE PRINT <br /> hy., n � ❑ DEMOLITION ❑ COMBINATION ❑ BUILDINCi ❑ MECHANIC4L ❑ PLUMBING ❑ .�iICN <br /> �s e•�n�nou�<[ Grv n,� nr�uML <br /> � y �:v���� r!— . .c�C�" <br /> �o :c " �p ��� r� A I 1�c�5 J ��. 512��.�� e.—s�"��rye Ct�o,.�. 4B�t,3�sS-foS3 <br /> „�� y N .�. n„��..00ue n cnv � .,, — ,,,o�,� � 2 s9-35n 5 � <br /> _,��,_����.� ,�r„ <br /> y �� ,, ram+ooncss ui�� nr rnor+c utvisi. <br /> ,.i�.i�,.+i covt�: <br /> 1! C1 <br /> H �f — <br /> 'tl M 'il ���c��+m�c.�mrnn�r.rra m.�i•ooacss arv z�n v«oHc uc�vac. <br /> ��i � t'i..�.lA9�M:CCHIMCIUF MPIL�O��LSS (.�M1 li� nHGN[ LKf N`I[ • . <br /> � b <br /> Q f? tOssNE�oNn❑ ADOITION ❑ ALTERP710N ❑ REPAIR ❑ DLMOLITION ❑ WObDSTOVElFflPL.INSEFT ❑ BUILOING HELOCATION <br /> �� g - <br /> �Y n bRW�iIONJfWU���L05lp1A41l�LPLtifIL'SLe[i'IH� <br /> zy� �[scn�o woan <br /> �y � ��e vv.o �: f i o � <br /> y <br /> hI �si—nruwimnc \ p 1 HERH6Y CERTIFY THAT I FIAVE READ AND EXAIdINED THIS AR <br /> q VC,� ��e S c'� P 4+ GP — PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br /> $ CiJC iEGnioesGAiPnovcranoP[eiviSNOwme[�awo�<ir<o�rouncorts� PROVISIONSOFLAWSANDOfiDINANCESGUVERNINGTHISTYP[ <br /> Is7 LT7 OF WORK WILL BE C0�IPLETED WITH WHETHEFi SPECIFl[D H[R6 <br /> y O� io�__oi��,,__�� IN OR NOT.THE GRANTING OF A PEFMIT DOES NOT PPESUME TO <br /> GNF_ AUTHOFiITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV OTHER S i ATE OR LOCAL lAW R[GULATING CONSTRUCTION <br /> OR THE PERFONMANCE OF CONSTRUCTION. <br /> 5i?,NatilaEo�Cp4Ja;.riGnon;.L,u�OR�1[o>GLHr �':.�L <br /> — x�/� <br /> ����� ����`"� <br /> vao�m�.00n[ss <br /> � �, � '322�f C'J ��Oti _� <br /> PWMBING Q MECHANICAL <br /> NO. TYPE OF FI%TUHE OR ITEM FEE NO. TVPE OF EOUIPMEHT FEE <br /> WFTER CLOSET ITORET� A'L—<�MNDLG UwTS--M P <br /> NEFF�GEP/.TI�aNU1:IT5—MP EA. <br /> pATHTU� <br /> /� '� �AVATORYIWASMBASINI BOILERS—�TU�MP <br /> I � SHOWEN GASHPEDAC UNITS—BTU — <br /> �� KITCMENSINK6015P FCRCEDUIR5Y5TEM5—BTU. M� <br /> 1 � — OISfWASHER WFLLHEATERS—BTU M <br /> , <br /> LAUNGA�TRAV UNIT H61TLR5—�i U M <br /> � �_� ' CLOTHE5WASMER EVAPORATIVECOOLERS <br /> �I �, UHINA� CLOTHESORYER$ <br /> � � DA�NMING FGU"1TAIN VENTILATION FAN _ <br /> � fLOOfi OPAIN RANGE HOOD <br /> i '� W I1TER MEATER — <br /> BACHFL0IYPREVENTERS <br /> '�' FOOFDRAIN$—FAINLEAOERS WOODSTOVE <br /> SINK 6EAVICE—�AR.ETC� MELAL FiqEPLACE 8 CHIMNEY <br /> ' FIREPtACE INSERT <br /> HEATPUNP <br /> I „�w — GPSPIPING <br /> , — EXHAUSTFAN <br /> . ��r�� SUO TO(11L f SUB TOTA� <br /> � .�r'� PEPMIT f PERMIT <br /> TDTALFEE S TOTALiEE <br /> ' �NUNI SEIP�LM �GF tiEtBPLN S�OE SEiBACK <br /> � PLANGMECHNUMBER FEE �ECEIPTNJ. <br /> �b_ <br /> �rl vs�toec �ar���� vnc��+isn� FEES VALUATION lFEE _ <br /> ❑res n��o <br /> �- BUILDING s <br /> ttPL016U45t OCCUPANCYGNOUP NOOfON'ELUYGUNiiS �� <br /> PLUMBING <br /> SizE o�e�Dc NO oF.^,TOPiE9 Mnx o[r,tonc MECMANICAL <br /> OTHER _ <br /> f�RE SPRINKLERS REOUIRED ❑VES ❑NO STATE OUILDMG SUPCNARGE <br /> STATEENERGVSURCNARGE <br /> ,., ,,,. .�. i:.,�..� pr �'.ANSCMFCMEDBY er�>aroni55unncbnv pUBLICWORKS <br /> '��1�,�� TOTAL <br /> ----- — --�-------� �-��;urenTvoe�raE-.i;s�,h�h!-s�oNsiu�eroiaoer�r�r.uNiNcn�� <br /> _ PRpPERTY LINL�OCATIONSAN�f9ELATEO EASEMEN7S_ <br />