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� � � <br />Q � Z <br />C �-+ <br />9 H fn <br />4 <br />y �-�+ <br />�`yz <br />Ox0 <br />'il H �i1 <br />V7 M <br />�O� <br />� H <br />��g <br />n. o <br />9H� <br />� <br />1-� H <br />gy <br />H <br />C] C7 y <br />��+ <br />HQ(��i.' <br />�I i� � <br />_ �_I <br />�� 1 <br />� �. <br />`�`F`.`��`�"' C INSTRUCTION c C <br />o ,:, <br />everett PERMIT PERMITNQ;-��u�`� <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDIN3 ❑ MECHANICAL � PLUN!BING ❑ SIGN <br />C�'NC� 1.141L ApD9C5S OLY t � M�:�r�F <br />Ginqer t:orgaard 5911 Colby Ave. �erett 98203 <br />r.^q1iCCTV°CESIC.ryC4 MPILADDAE+$ CITY i�� 1'HOflE <br />�� <br />n <br />4RR �UDPE55 C�TY IIP MONE JCLNSE • <br />�.Cr+Cu.l COM1Tqr.C' 0� � <br />M[G�UNIUL CONIlUCTOR NA�L A��R65 GTY ZIP R�ONF VCENSC • � <br />MMt�DORC55 UTv zir R�ONE LICC�E� � <br />rtuuemc corvrnn[.ua <br />Owner <br />❑ NEW O ADDITtON <br />'N W �TION O� W D4K <br />{ <br />�[scainc wa�n <br />Plumbing <br />❑ ELECTRICITY <br />�no�ouo usc or emi <br />Duplex <br />ior _, oicc� _ <br />❑ GAS <br />5411 Colby Ave. <br />PLUMBING <br />NO. TYPE OF FI%TU <br />WnTEA CLOSET ITOIIETI <br />6AT��TUO <br />IAVATORY (l•.'A511 BASIN� <br />SHOwER <br />NITCHEN SINK 6 DISP. <br />DISHWASHEF <br />�FUNDRYTRAY <br />GLOTHES WASNER <br />I � <br />I'='�� TVPF01 <br />\ � <br />� SIZE �i <br />Df�INKING FOUNTpIN <br />F�OOR �FAIN <br />OPCNfLOW PREVENTEHS <br />�OOF ORAINS -� RAINLEADE <br />SINK IS[(iVICE - �AP, ETC � <br />O AL7ERATION ❑ REPAIR <br />O WOODSTOVE <br />SU9TOTAL 3 <br />PENMIT � <br />TOTAL FEE f <br />E LGTAflEA <br />LONST uGWPANCYOROUP <br />ai nn NO O� STORIES <br />S.H. <br />or � �LaN; <br />VPCANi SitC <br />❑r[s ❑wo <br />NO O� DWELLINGUN�iS <br />pv <br />L' DEMOUTIDN <br />❑ DiHEp <br />O BUILDING RELOCATION <br />I HEREBV CERTIFY THAT 1 HAVE READ AND EXAMIN[D THIS <br />APPLICATION AND KNOW THE SAME TO �� TRUE AND <br />CORRECT. ALL PROVISIONS OP LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WH[THER SPECIFIED HEREIN Or� NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE l�UTHORITY TO <br />VIOLATE OR GANCEL THE PROVISIONS OF ANV OTHER <br />STATE OR LOCAL LAW (�F.GULATING CONSTRUCTION OR <br />THE PEP.FO(.'AMANCE OF CON3TRUCTION <br />SIGNPTURy ��a.ONTRALTOR �11P�'�'I:IiCOLGC/R.OPONNC�'� [I41E <br />X /v �' � ll���i '�% ,r <br />��� <br />' � TYPE OF EOUIPMENr <br />q �- A'MNDLG UNIT`u - 11 P <br />REFPiGERATION UIJiTS - H P EA <br />BOI�EPS - OS U /H P <br />GASFIREDAC UNIT<-BTL <br />FORCED AIP SYSTEMS - B T U. M EA <br />WALLHCATE�IS-BiU M <br />UNITHEATERS-BTU M <br />CVAPORATIVE CODIERS <br />CLOTHLS DiiCERS <br />VENT4qTIONFAN <br />[iANG[ HGOD <br />WAT[RHC.ATER � <br />WOODSTOVE <br />ME7AL FrREPLACE 6CMIMNEV <br />FIREPLPCE INSENT <br />HEAT PUMP <br />GAS P6'ING <br />E](HAL'ST PAN <br />v�nN cNecK <br />FEES <br />SUBTOTAL <br />PERMIT S _ I <br />TO Al � .� �IiL`L�i.i'.l <br />PFE � RECEIPTNO <br />UOiit7�i63� <br />ey.iiTiM' erinN� FEE <br />BUILDING <br />PWMIiING <br />MECHANICAI <br />INVESTIGATION FEE <br />STAT[ BUIIDING SURCHARG <br />gTAT[ ENERGV SUF7CHARGE <br />Di71VEWAY PERMIT <br />TOTAL <br />Sec. �1�1 <br />wi�ere raoi��mv vnuonleo �u+li+is sr�nee� rNis is voun vearnir <br />� <br />C''7 <br />CD <br />c-- <br />N <br />e <br />