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. . . . .. . . . . .. . . . . . � . . . . .. ...... ' .._.i-. .._.... � + i.>. <br /> HPP NSTRUCTION `' � lYe��„ � <br /> �M EwryrNn �O � <br /> un or <br /> everett PERMIT <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK• PLEASE PRINT <br /> 259•BB10 / <br /> O DEMOLITION ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIf3N <br /> M11iL��ORE55 CIfY ZIP /` PNONE ^� w / i <br />�i OWNER 7�/O � �./ !J/FJ "rj' <br /> }"}� ��csTil�o �G/SF��cda,r �vr Fvere�r !U� / <br /> /,.�.1J M�ILAOOAE55 � GItV IIP PIIONC <br /> •RC�U 1 EL 1011015�UNEP . <br /> 6ENER1IL GONfR�C10R <br /> MFILADOPES$ GI�Y t�P PNONE UCENSE• <br /> MAIL�D�RE55 CIIY 2�P PIIONE I�CENSE• � <br /> MEGIUNIUL GON H�GTOfl I <br /> PLUMB�N6 CONTP�GIOA <br /> MMl�D�8E55 CIfY 21P P1�ONE UCENSE• 1 <br /> GL�SS Oi WOpK <br /> ❑ NEW ❑ AODITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDIN6 fiELOCl1TION `. <br /> /�O ' <br /> V�LU�110NOfWORriCOST f �IE�ULSPLU4L�fl0 ♦ I�q�\ ` � <br /> - _�- ' � , �. <br /> OE9CA�BE wOAK <br /> use or aw�oin I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED iHIS AP• <br /> _ � F PLICATInNANDKNOWTHESAMET09ETRUEANDCORRECT.ALL '. <br /> iEo��p[S�pIPT10NO�PAOPERTYISNOWNBELOW�AAIT�G11fOURGOPIE51 PROVISI01.30FLAWSANDORDINANCES(iOVERNINOTHISTYPE i <br /> OFWORKWILLBECOMPLETEDWITHWHET4FRSPECIFIEDHERE• j• <br /> io�_eioc�—or INORNOT.THEGRANTINGOFAPERMITDO[SNOTPRESUMETO E <br /> OIVE AUTHOAITV TO VIOIATE OR CANCEL THE PROVISIONS OF �. <br /> ANV OTHER STATE OR LOCAL LAW RE�ULATING CONSTRIlCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION, . <br /> SION�TU F CONIP�CTOR OR RI2E0�GENT [IATE � <br /> x � 5-3 ��� � <br /> �pp��, . ITYBUSIN SSIICFN5EN0 <br /> PROJEGT�OORESS /� <br /> �� �r-Id � <br /> ��;; <br /> MECHANICAI <br /> PIUMBIN6 ' FE[ �� <br /> FEE NO. TVPE CF EOUIPMENT •�, <br /> NO. T'�P[OF FIXTURE OR ITEM A/C—MHNOLO UNIT$—H.P. <br /> � ; <br /> W�1FR CLOSET ITOILET� � <br /> REFRIOERATION UNIT9—H P.EA. <br /> BATHTUB <br /> BOILEPS—B.T.U.iH P. <br /> U�AT01iY IMMSM BASINI <br /> GAS FIRED A C.UNITS—B.T.U. <br /> SMOWER • <br /> FORCED AIR SYSTEMS—B.T.U. M . <br /> KITCHEN S�NN 8 OISP � <br /> WALLMEATERS—B.T.U. M <br /> DISHW�SMER M <br /> UNIT HEATERS—B.T.U. <br /> UUNDRYTPAV � , <br /> EVAPOPATIVE COOLERS � <br /> CLOTHES W�SMEP CLOTMES ORYERS � <br /> n <br /> UAINAL VENTILATION FAN I � <br /> ORINKING FOUNTnIN RANGE HOOD ' <br /> FLOOH ORAIN <br /> WATERHEATER <br /> BACNROW PNEVENTEAS yypOD STOVE �� <br /> ROOF ORAINS—RAINIEADERS M�7p�FIREPLACE!CHIMNEY i <br /> SINK ISEfiVICE—BAR.ETC 1 FIREPLP.CE INSERT 1 <br /> NEAT PUMP <br /> OAS PIPINO � <br /> E%HAUSTFAN <br /> lUSTOTAL <br /> SUlTOTAL = <br /> P[NYIT <br /> PERMIT � <br /> TOTAIFEE <br /> TOTAL fEE f RECEIPT NO. <br /> PLAN CHECN NUMBER FEE <br /> 1PONISEIB�CIc-- REMSEtB�CN S�OESEfB�CK <br /> USE 20NE <br /> �oun¢� V�C�NTSIIE FEES VAWATION PEE <br /> OYES orvo BUILDING 5 <br /> rvPEO�CONST OCGUPANLYGHOIIP NOAFOWElLINOUNITS <br /> PLUMBING <br /> s�te ov aina NO Of S70RIE5 M�x.oCc.toro MECHANICAL <br /> � OTHER <br /> FIRE SPRINKLEHS REOUIFEO ❑YES ❑ NO STATE BUILOING SURCHARGE <br /> STATE ENEf1GY SUflCHARGE F <br /> �NFIiGRIIONeCC B� PL���SCIIECI(EDBY �PPR FOOISSU�NCEBY pUBLICWORK9 � <br /> i <br /> TOTAL <br /> PROPERN OWNERS ARE RESPONSIBLE FCA DETERMININO ALL <br /> PROPERTY LINE LOCATIONS AND RELATED EASEMENT3. <br />