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n <br />D�x <br />AHG <br />t' �C <br />Hx� <br />�C c� <br />H �f <br />� M �i1 <br />VJ H <br />x <br />��d <br />��g <br />�1]Y �] <br />t"y� <br />Ny <br />gh� <br />�J � Ci1 <br />HOCy/� <br />�.PPLICATION FO1. <br />'°'`°°'°'"" CONSTRUCTION <br />❑iY Of <br />everett PERMIT <br />BUILDING DEFARTMENT TO BE COMPLETED IN INK • PLEASE PRINT <br />259-8810 � <br />❑ DEMOLITION ❑ COMDINATION 0' BUILDING ❑ MECHANICAL <br />�W��E� M�IL��OP65 _ Citt � LV <br />i� ��/ � l��u,u i t i 3v2 ��-r�, �; ,,��. Sti� l, `! f'�y0 <br />❑ PLUMB�NG <br />PHOHE <br />�y (-_/71%� <br />evcretl <br />� <br />❑ SIGN <br />�IUMPiN�iCOViP�C10H MAILADDR[55 Cii� ZiP PnJNE IiCENSt• <br />Cla5S0� ��OF� <br />Q NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLI110N ❑ WOODSTOVE/FRPL.INSERT O BUILDING RELOCAIION <br />':elUnii040� 1YOfln iCOST O[ Mni[RPlS �LUS l 10Bi <br />"�J ��IS �%/ — <br />D[SCRi0L1vORK ) -- �\ �) <br />1 <br />t��7�./(' .� F0.5�ii���^ /��i ��PS[ S�ri�� il�.�O Au�O d� 1�ieii�. .q�tti 16��.. .�.% Q���PYj <br />� <br />usc r� ecnoirvc <br />��,,,� �,,�.>Ys <br />LLGAlDESCAiP110NOFPR P[RTYISM�WN <br />.oi_eiocw--or — <br />(j c J�ri �r� l�n� i�cn � <br />� t J <br />�� �O� �/ /)�/� filtf. <br />G� c.� i i 7 <br />PLUMBING <br />f� <br />iill ��>� �� `i ili LJ( �_ <br />0 V/v � (l�' �- �� <br />WnTER G�OSET �TOiLEi� <br />BATMTUB <br />L4VATORY�WASM BASIN� <br />SMOwER <br />KITCHEN $INK 8 DISP <br />OISHWASHER <br />LAUNDRVTRAY <br />CIOTHES WASHER <br />URINAL <br />DRINNING FOUNTAIN <br />FLOOR DRAIN <br />BACNfLOW PREVENTEFS <br />ROOF OAAIN$ —RAINLEAOERS <br />SINN �SERVICE — BAR. ETCJ <br />{N()A15f18�CF�_ NER <br />�� Ln <br />. .. LONC lOt <br />� /. <br />rVPEOFWY51 �r � OC <br />�1.��� � � <br />�L� p <br />FIRE <br />SUBTOTAL <br />pERM1T <br />TOTALFEE <br />F SE iBA[N <br />.?bT � <br />ARE� <br />� ��ti � T—� <br />CUPANCYGPOUP <br />� "' ! <br />Of SiORiES <br />� <br />r�� <br />I HEREBY CERTIFY THAT 1 HA'/E READ�AND EXAMINED THIS AP� <br />PLICATIONANDKNOW iHESPMETOBETRUEANDCORRECT.AIL <br />PROVISIONS OF LAWSAND ORDINANCES GOVERNING THISTYPE <br />OF WORKVlILlBECOMPLETED WIT4 WHETHER SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OF A PEPMII DOES NOT PRESUME TO . <br />GIVE AUTHORITY TO VIOLATE 4R CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW FEGUL.ITING CONSTRUCTION <br />OR THE PERFORMANCE OF COIJSTRUCTION. . I <br />SIGNAIURC� OF c(1NiR>QGROR AUTNORilEO AGENi ❑ATE <br />/� <br />X �,��'� -�/,-��� I <br />�PFLILANTSCIfY8U51NE5SUCFN5EN0 / � <br />MECHANICAL <br />FEE NO. TVPE OF EOUIPMENT <br />� ` — AiC—AiMNOLGUNITS—HP. <br />�^. REPR�GERATIONUNITS—MP.EA. <br />� ^ BOILEPS—BSUrHP. <br />GAS FIFE� A C. UNITS — B T.U. <br />FORLE�AIRSYSTEMS—BTLL M <br />��- WAIL HEATEflS — B T.U. M <br />UNITHEATERS—�T.U. M <br />i — 4VAFOiinTNECOOLERS <br />:_� CLOTHE�DRYEFS <br />�,J VENTILATION FAN <br />RANGENOOD <br />�� WhTEPNEnTER <br />wOCOSTOVE <br />METAI FIREPWCE 8 CMIMNEY <br />FIREPLACE INSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN _ <br />S �/. .. _ $UB TOTAL ' <br />f _ _ PEPMIT <br />s . TOTALFEE <br />______._.. IPLANCMECNNUMBER IPEc IRECEIPTNO. <br />� � 1 `� �� I ( <br />PNi SR[ <br />:5 �NO <br />Of pWFLLING UNI15 <br />erva.ronissuar+ce <br />�:�. <br />� i /' l��t' � �' <br />BUILDING 5 ,-.�, ( �-)� ) / <br />PLl1MBING �' �� <br />MECHANICAL <br />� ^. <br />OTHEP I <br />STATE BUILDING SUPCHARGE � <br />STATEENERGYSUFCMANGE <br />PUBLIC WOPKS <br />r,;��=; <br />TOTAI <br />PqOPERN OWNERS AHE RESPONSIBLE FOP DETERMINING ALL <br />PROPERTV LINE LOCATIONS AND RELATED EASEMENTS. <br />n <br />