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, .pPLICA1�lON F0►_.' everett <br /> '"'E°"°""° CONSTRUCTION O �. <br /> cin oc <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259•8810 TO BE COMPLETED IN INK- PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION [a'6UILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> unn eoo�ss cirv z�v r��or+e <br /> �;'��v���,,�«•� 3�- ��%�a lA�� �u� �-l�l� a ll��,z �t s�� ��s3-�s�ca <br /> eHL11rtLCiOR0E5iGNEN MMtRO�fiCSS Gtt ZiP P�IONE <br /> GEN[R�L CONiHeCIOR ti�a�l AO��iE55 CIIY LIP PPONE LILENSE• <br /> C'c..uA C��ns�,.���.. �G 3�,� �`i5� 1 ��(�,�,�-c �g,c3aR `d83 �S`Il �.�..��9ec7rziSkZ,� <br /> MJ�EC/�H�niG:CIOHi�PAA.ipq I L�aILa0DPE55 LIIV' 21P PHONE LICENSE• <br /> I1, IC�J1d' �I�tc-Y�q Vlic� <br /> PLU f{INf,LGNIB4Gt B MPIt ADONESS C�tt Z�P pHpHE LICkNSE� <br /> �/ � <br /> GUS'OF WOPK ,�/ <br /> ❑ NEW ❑ ADDITION LSO ALTERATION ❑ REF�IR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSEHT ❑ BUILDING RELOCATION <br /> V�W�IION OF WORN iLQSI Of IAaIERUIS FW5 L6�OR1 <br /> �13 �c�� . — <br /> oescnmc wonK 1 1 1 : <br /> iN�l-a(l clvc cs<�li„ 1�' 11tS ih5�l0.1io� J1�C. ( <br /> �usrovouu u�c ( I tiEREBY CERTIFY THAT 1 HAVE READ AND EXAMI�'ED THIS AP• <br /> `��T �-t. l PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br /> LCWLOESCRIPI�ONOiPROPENIYISHOWNOEIOWOR�iTAC1�FUlIRCOP1E51 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> OF WORK WILL BECOMPLEiED WITH WHETl1ERSPECIFIED HERE- <br /> �oi—e�oc�—or IN OR NOT.THE GRANTING OFA PERMITDOES NOT PRESUME 70 <br /> GIVE AUTIIORITY TO VIOLATE OR CANCEL THE PRC'JISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW qEGULATING CONSTRUCTION <br /> OR TIiE PERFORMANCE OF CONSTRUCTION. . <br /> �SlfitlAl11eG01"CONiflACTOR AUTIIORI2E AGENT DATE <br /> '\X ' a�L�� 1� �3 �d� <br /> PROJECiADORE55 ��V��` � , �A APP4CPNi5CiTY�U51NE5iLiLLNSENO ; <br /> �� G .r1- U���G ,� <br /> ���� LUc'-✓ �Ou,1 �� ��0.✓e.Nc <br /> PLUMBING SAECHANICAL <br /> NO. TYPE OF FI%TURE ON ITEM FEE NO. TYPE OF EOUIPMEN7 FEE <br /> WATER CLOSET�TOILEi� A/C-A/HNOLG UNITS-M.P. <br /> BATHTUB FEFRIGERATION UNITS-H P.EA. �� <br /> CAVATORY�WASH BASIN� BOILERS-B.T U./H P. <br /> SHOWER GAS FIRED A�C.UNITS-BS.U. <br /> KITCHEN SINK 6 OISP. FOPCED AIR SYSTEMS-B.T.0 M EA. <br /> OISHWASHER WAL4 HEATEt75-B.T.U. <br /> LAUN�RY TFnY UNIT HEATEFiS-B.T.U. _ <br /> CLOTHES WASHE EVAPORATIVE COOLERS _� <br /> URINAL CLOTHESORYC-RS <br /> DRINKIN F N N VENTILATION A <br /> FLOO O fiANGEN O <br /> BACK PFEVENTERS WATERHE <br /> HOOF�RAINS-RAINLEA RS WOOD STOV � <br /> SINK ISERVICE-BAR,ETC.) METAL FIREPIACE 6 CHIMNEV <br /> FIREPLACEINSERT <br /> HEATPUMP <br /> GAS PIPING � <br /> E%HAl15T FAN <br /> SUB TOTAL S 51' TOTAL <br /> PEflM1T f PERMIT <br /> TOTAI FEE f TOTAL FEE <br /> 1nDrR5ElonCn f1EaRSETUnCK SIOESETBAGK PLANCMECKNUM�ER FEE flECEIPTNO. <br /> �� I �iiG �S 9 3 S�_ :� <br /> uscroNe LOTAPEn yAGANT5ITE FEES VALUATItlN FEE <br /> OYE5�:0 Q <br /> fVPEOFCONST OCCUPANCYGf10UP NOOFOWELIINGUNITS OUILDING 5�3 J <br /> � �� �- 2 �- PLUMBIhG <br /> Si2e or e�oc r+0 ov sroeies MR%OCG.L04D MECHANICAL <br /> N A i N.9 <br /> OTHER <br /> FIRE SPRINKLERS REOUIRED ❑ YES f1[NO STATE BUILDING Sl1fiCHAHGE s i <br /> STATE ENEflGY SURCHAFiGE � <br /> 4PPIif,AilDtlaCCOY f�l4NSCMELNE00Y APPRFONISSUANGEBV <br /> PUBLIC WORKS � <br /> �� �� [„ �, TOTAL � ✓� <br /> i <br /> � �. �� PROPERTYOWNERSARERESPONSIBLEFORDETERMINIIJGALL � : <br /> PROP[RTY LINE LOCATIONS ANQ RELA'iED EAS[MEN7S. <br /> �Z�2uiP� �i ?� ����: ' <br />