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xr� <br />� r� <br />ay <br />��H <br />ay�n <br />y�3 <br />k n <br />axo <br />� (n H <br />C�7 O � <br />O Hd <br />H/��g <br />y� V (� <br />9H� <br />r x <br />Hy <br />g `� <br />�d� <br />��� <br />H O fy/� <br />�.�PLICATION �=0� <br />'"'E""°`°°° CONSTRUCTION <br />�,n oF <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259-8810 TO BE COMPLE7ED IN INK - PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINATION �BUILDING ❑ MECHANICAL <br />..,,,..:o ianuaoor+[ss arv m <br />M4LL <br />❑ PLUM8ING <br />r�C <br />everetl <br />.�i <br />GEN[FPLCpN1�ACiOn �EPIL>Dp�E55 O�� !i�' �'��ONE UCEN56• <br />�/ — <br />ME�.11AN:f.>L CONiRA(.L()q 1AAIL ApOFE$$ �.I�V LIV' f�110Nf LICENSY • <br />N!f� <br />PLU110�4.CONiPAGiOR MAhAO�R[55 CdlS 4P PIIObF LICENSE• <br />CLASSOI WORK <br />❑ NEW ❑ ADDITION �. ALTERATION � REPAIR <br />VnLJAL N Of WOBrt iCU51 Of �.aiCBinL- PLOS � 90A� <br />Y �sz� � �,-, <br />� _ <br />'��'� <br />CGAL DESCAIPIiG'1 OG PRO�ERiY <br />__)A ...,.. ,.. ' <br />r�z M�oRo�t4 <br />PLUMBING <br />NO. � TYPE OF FI%T1 <br />WATER CLOSET ITOILET� <br />�,AVATORY IWASM BPSINI <br />'o � SMOWER <br />1, ' KITCMEN SINN 8 O15P <br />OISHWnSHEF <br />LAl1NORV iRAV <br />''� �+■ GIOYHE$ WASHER <br />�'^ �► UFINAL <br />ORINKING FOUNTFIN <br />�DEMOLIiION ❑ IYOODSTOVLiFRPL.INSERT ❑ BUILDING RELOCATION_ <br />ptJ'i P'rG'}- O/J- i�wS�YJ�ItIR:TIN ' <br />I NEREBY CERTIFY THAT I HAVF READ AND EXAI�INED THIS AP� <br />PLICl.TION AND KNOW TH: S,Srv1E TO BE TRUE ANDCORRECT. ALL <br />�w�io.�owonRnno�rouacoo�es� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br />�� NF{�� OFK'ORK,'NILLBECOAIPLESEDWITHWHETHERSPECIFIEDHERE <br />IN OF NUT. THE GRANTI�IG OF A PERMIT C10E5 NOT f`7[SUME TO <br />GIVE PUTNORITY TO VIOLATE OH CANCEL THE PROVISIONS OF <br />ANY OTHEF STATE OR LOCAL LAW REGUL ATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />s�,��<ruaEorcor:rr�acrcuor�aurNon��zEo.cEr+r narE <br />_ X �� � � � - <br />de!`l�i A��T�„ (;if'r OV:ir�L:'.Y { i�:E NtiC • <br />��P��i'f_ <br />MECHANICAL <br />IRE JR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br />.LC — A: MNDIG UNITS — M P <br />nF.F�iiGEPATIONUNITS—nP EA <br />�OIIEFS—BTU.NP <br />Gt.S FiqEO A C. UNIiS — B TL <br />FORCED AIR SvSTEM$ — B T U. A1 FA. <br />\VAILME/.TERS—BTU M <br />UNiT �i[TTERi — � T U M <br />EVAPORnTWECOOLERS <br />CLOTMESORYERS <br />VENTILATION FAN <br />PANGEHOOD <br />T P ATEF <br />9ACNfLOW 1'REVENTERS WA E ME <br />� �� � <br />RpOF OfiAiNS — RAINLEADERS WOO� STOVE <br />SINH ISERVIGE — OAP ETf. � METAL FIqEPLACE S CHiMNEY <br />Pv � FIPE�U+GE INSEiiT _ <br />ay I HEhT PUhIP <br />GAS PIPING <br />"' <br />� .eR <br />+n� <br />'�.`�r-' <br />•fipNl�EiOFCY. <br />—�� ' <br />us[ torv <br />� — � <br />rtoC Of C.ONSr <br />� %✓ <br />.:�.� ov u�oc <br />52o sy <br />.d"I✓:4110NACC 9V <br />�� ���� <br />SUBTOTAL f <br />PERMIT t <br />TOTAI FEE S <br />REAF SEI�NjAC^N <br />LOiPRC w , <br />or.curor�cr cnour <br />���� <br />NO O� StORiES <br />� <br />Gu� / <br />vncnrvr sm <br />'B� <br />mnx occ iono <br />N,¢ . <br />o: <br />SU6TOTAL <br />GERMIT f <br />�— TOTALFEE S� <br />PLnNCh,. NUM�ER FEE RECEIPTNO. <br />����oz�(� I l� �S I IGs61 <br />ccv�c — vel11u710N FEE <br />BUILDING $ <br />PLUMOING <br />MECHANICAL <br />�� <br />STATE BUILDING SURCHARGE <br />STATEENERGYSURCNARGE <br />ruoucwoaKs <br />TOTAL <br />PROPF.RTV OWNERS ARE RESPONSIBLE FOR DETEflMINING ALL <br />PROPERTY LINE LOCATIONS AND RELATED EASEMENTS. <br />s <br />