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�,: 1, • .. <br /> �``��'PLICATION f0�`�' ���,�„ ; <br /> � '"'E"'°`"" CONSTRUCTION O <br /> CIN OF <br /> everett PERMIT <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK- PLEASE PRINT <br /> 259•8810 <br /> ❑ DEMOLITION ❑ COMBINATION �BUILDING L7 MECHANICAL ❑ PLUMBING ❑ SIGN � <br /> OWNER MML�ODRESS CITV Zil' PNONE � <br /> �AVJD 511���_� M^'�oSES��I��A �1� �V�RETr �1J0� �'�`l— �,8�3 <br /> 11RCHIIEGIOROkS�ONER �T� ZP PIIONE <br /> �S� . �(V�To�,l 17'�l:t�-1 �`L��'�"1 �.)_ �N�il �/57,�� , r���'-fC'S3 _ <br /> OENEN�I.GONiN�GiOA M�IL AD�tiC55 CIfV IIP �IIONE LICENSE <br /> I(I� ('n�1��AIJV )7��.�H SR`=.�i 5.�. Sid(JI( �'f��:�51� _ .��53-/0�'i3 Il�NDJ�-1/,,y�` <br /> MEGN�NIGLCONIP�GION M�I1�00�155 QIS IIP PIIONC UCCNS • <br /> PLUMB�NOCONIR�GfOR MARBD�PE55 CIIY LIP OiIONE UCENSC• <br /> CL�SS Of WORR <br /> NEW ❑ ADDI710N ❑ ALTEPATION ❑ RF��AIR ❑ DEMOLIIION ❑ W0075TOVE/fRPL.INSERi ❑ OUILOIN(3 RELUCAIION_ <br /> WLWTIO WOR',GOSIOFM�lER1^L5�'LUSL�'Bon� �� ��� <br /> �ri�� I/J�` --�— <br /> UE9CR E OPN <br /> 1��W 1)N�'Jrtf�U�2� <br /> USEOFBUiIDING ��/1 I HEREBY CERTIFV Tl1AT I HAVE READ AND EXAMINED THIS AP• <br /> ���C.,�F F/�M�� ��FL.�.Jr( v PLICATIONANDKNON'THESAMETOBETRUEANDC�RRECT.AIL <br /> LEO�LOESCA�P��ONO��ROVEPTYISMOWNBELOWON511�CHfOUAC01'IFSi pROVISIONSOFLAWSANDORDINANCEBGOVERNINGTHISTYPE <br /> �p l� '�� ��pli - � UFWORKWILLBECOMPLETEDWITHWHETHERSPECIFIEDHERE <br /> �or�e�oc�_—oF� iN OR NOT.TI',E GRAN7ING OF A PERMIT DOES NOT PRESU�AE TO <br /> Cl�?' C�� C_VER�� � GIVE AUTHORITY TO V�OLATE OR CANCEL THE PROVISIbNS OF <br /> ANY OTHE'i STATE OR LOCA�LAW REGULATING CONSTRUCTION <br /> � OR THE PERFORMANCE OF CONSTRUCTION. /'� <br /> o r ;,l �r� � � ^ � S�GNATU�E OF eONIRACIO�Oti AUT IOft1ZED AOENf DAiE )�If{I�y, <br /> i ��V <br /> �51�11 Y V( 1�51f X a�� .�" <br /> PROJECT�ODNE58� �PPLICANiS CI1Y BUSINE SS I.iClNSE NO <br /> 9�� c own� A� , .�� . <br /> PLUMBIN6 MECHANICAL <br /> NO. T/P!OF Fl%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET) A/C—A/HNOLG UNITS—��P. � <br /> BAiMTUB REFRIGEPATION UNITS—H P.EA. <br /> UVATORV(WASM BASINI BOILERS—B.T.U.MP <br /> �' �D�R GAS FIRED A.C.UNITS—B.T.U. <br /> KITCHEN SINK S OISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> D15/1WI15HER WALLHEATERS—O.T.U. M <br /> LAL'NORV TRAY UNIT HEATERS—B.T.U. M <br /> CIOTHES wl15MER EVAPORATIVE COOLERS <br /> � URINAL CLOTHES ORVERS <br /> � DRINNINGFOUNTAIN VENTIIATIONFAN <br /> FLOOR URAIN RANGE HOOD <br /> BACNFLOW PF�EVENTERS WATEF HEATER �. <br /> ROOF DRAINS—HAINLEADERS W 000 STOVE <br /> SINK(SERVICE—BAR.ETCJ METAL FIREPLACE 6 CHIMNEV <br /> FIREPLACEINSERT <br /> HEATPUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SU!TOT11L E SUB TOTAL <br /> PERMIT 3 PERMIT <br /> TOTALFEE f TOTIILFEE <br /> PLAN CMECN UMBER FEE AECEIPT NO. <br /> FRONISEIBAC0. �E�RSEi&�GK SIOESETB�GN y�g� (G7�3 <br /> ?y �} tO_ �Sl�` o2GV�Z°� <br /> U9E20NE IOi�REA V UIlIS'iL FEES �A�UAT��N FEE <br /> �� 1 ES�OuO S ("� <br /> �� � BUILDING 15 <br /> ivPEOFLONSf OCCUP�NLYGPOUP NO.OFi�h[LLWDUNIfS <br /> �.M Q—'I> I PLUMBING <br /> 54E OF B100 , NO OF S�ORIES 1+�%.OLG LOAO MECHANICAL <br /> 373�10 S 1� �- 2 N A � <br /> �az� SF �„�►n• OT IER a , c�5 —y s <br /> FIRE SPHINKLERS FEOUIRED ❑ YES �NO � STATE OUILOING SURCFIARGE <br /> STATE ENEfiGV SURCNARGE <br /> �PPIILAfIOH�CC OY �L�NSCMECNEDOY ��CR fOBILSUANCEUY �r�BLICWORK$ <br /> 'AA h/� � ��� TOTAL <br /> Y�1 �P� /�i[/ <br /> PROPERN OWNERS ARE RESPONSIBIE FOF DETERAIINING ALL <br /> PROPERTY LINE LC�GATIONS ANU RELATED EASEMENTS. <br />