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, <br /> ,I ��rPLICATlON FORI� everett <br /> I ,�•E•.�o�N^ Cp N ST R U CT I O N � <br /> �iTY OF <br /> everett PERMtT <br /> BUILDING UEPARTMENT TO BE COMPLETED IN INK• PLEASE PRINT <br /> 259•8i310 ❑ SIGN <br /> � ❑ COMBINATION l9 BUILDING ❑ MECHANICAL. ❑ PLUM8ING <br /> ❑ DEMOLITION ���Y r.,. ��Nni+e <br /> MAIL ApDRES: � <br /> ow�eA 9505 -19Lh. Rve. S.E.h`106 Everett LUN 9%2U8 338-014A <br /> Uleststar National �,��Y ;��� rnoi+� <br /> �—� inni�aoor�tss <br /> An�MIiECiOR0E5iGNER 98208 338-0144 UIESTSL*125CZ <br /> UJeststar National 9505 - 19th. Avc�- S.F. ' 10G _ verett ,,,,n„F ucE�se• <br /> rnai�>non[s5 <br /> a�v nr <br /> GErvER�lCO <br /> I:IIY <br /> Lir r��o�+e uceHSE• <br /> MECNMUUL GONIPAG10q <br /> MAIL FOORESb <br /> Giv liV PtlUNE LILLdSE• <br /> MPRAU��C55 <br /> PLUMBIH�G <br /> GLASSOf WO — <br /> Q] NEW C AODITION ❑ ALTERATION ❑ REP�IR ❑ OEMOLI110N ❑ `NOUDST(.VE/FqPL INSERT ❑ BUILDIN� RELOCATION <br /> �� WWPiIONU�N'O�HIGOS�OiuPIERI LSN�USLABN��uQ <br /> �8�DL7Q�� �D <br /> o�1sncaio[wor�K <br /> us'c u`u'u�u)� ,� 1 HERE�Y CERTIPY TfIAT I I-IAVE READ AND EXAMINED THIS AP� <br /> Ii esidential PLI(:�TIUN�ND KNOW TI1E SAME TO BE TRUE AND CORRECT.ALL <br /> LEGALOESCRiP1iONO�PNOPEf1tY15��OW�����UWOHAl1AC11101��CJ�'�f:51 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> OF WnR�'.WILL BE C0�1PLETED WITH WIIETHER SPECIfIED HERE• <br /> �pr 5 o�oc�—.--oF�'� IN OR NOT, THF GRANTING OF A PERMITDOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE Ofi IOCAL LAW REGULATING CGNSTRUCTION <br /> OR THE P[RFORMANCE OF CONSTRUCTION. <br /> SIGNnIUR[OP�ONIRACLGRORA11T110�IZEDAGENT �>�rE <br /> X � p-8-88 <br /> nr�+ucaNr• � irouswtssur,ervseuo <br /> PROJECiADDNE55 <br /> 7510 Juniper, Everett <br /> MECHANICAL <br /> PLUMBING 'IYPE OF EOUIPMENT FEE _ <br /> FEE NO. <br /> NO. TYPE OF FIY.TURE OR ITEM '� O A�C_q�HpIDLG UNIT$—M P <br /> �j WATERCLOSET�TOILET) qEFRIGERATIONUNITS—HPEA. <br /> 1 BATHTUB OOIlEPS—0 T U�H P <br /> 3 �yqTpqy�WASHBASINI GASFI(iGDI�GUNITS—BTL. <br /> 1 SHGWER FpRCED AIR S'lSTEM115—B T.U. M EA. <br /> ], KITCMENSINKd�ISP. WpLIHE�TERS—�TU. -r M — <br /> 1 �IShIWASHEH UNITMEATEIiS—BTU M <br /> LAUNDFYTRAY O EVAPORATIVcCOOlERS <br /> 1 CLOTHES WASHER � <br /> CLOTMES OPYERS S. <br /> URINAL yENTILATION F�N <br /> ORINKING FOl1NTA1N I (iANGE HCO� <br /> , FLOOP ORAIN WqTEP HEATER <br /> BACNFLOW P��VENTERS WOOD STOVE <br /> ROOF OfiA�NS—AA�NLEADEFS MET�L FiNEPLACE 8 CHIMNEV <br /> $INK�SE�7VICE—DAR.ETC.1 FIfiEPLACE WSERT <br /> �I IiEAT PUMP — <br /> GAS PIPING -- <br /> E%MAUSTFAN <br /> SUBTOTAL <br /> SUBTOTAL S PENMIT <br /> PERMIT S 70TnLFEE C� <br /> �OTAL FEE f RECEIPT NO. � <br /> PLAN LME N NUMBER fEE ('�� ����� <br /> f� SiOE SE10FfN �'7 �� <br /> 1 [PONiS iBAI;� �VE��SEIBACN ' f ��y /�) Q � <br /> L C7D t�""�'� ! ( ��� FEE <br /> � VALUATIC�N <br /> ! USEZONE LOiPREP �---r VnCPNi51iL FEES �� P �O <br /> � 7 ZOO i�LS °NO 5� G <br /> �r`..._.� oui�o�Nc <br /> tvV[OF CON51 OCfAPANCY GROl1P NO O�OwFLIiNu UNrtS 5 S P <br /> ! �� • , R ' Q I PWMOING <br /> /v � <br /> Id�% OCC LOND <br /> � SiZEO�B.OG NJOiSrORiES MECNANICAI. <br /> ' 1232 S�' / f AfiRT � N� oTi,eFa�c��'j-1�aC147 y3 SF� <br /> � + �.�s.� sr G�-�. <br /> FIRE SPRINKLERS REQUIR[D ❑ YES �NO �-- STATE BUILO�NG SU�7CMARGE <br /> STATECNERGYSURCMARGE <br /> 1 �— � <br /> I u�rnroni55uenCEU� pUBLIC�vORKS <br /> � AY��ICAIION?CC BY PL�NSCNECNEDBY � c <br /> ! ��-��` /Ki TOTAL J <br /> ; _�� � �i.rv <br /> i PROPERTV OWNERS AI7E F7ESPONSIBLE FOR DETERMINING ALL <br /> 1 PROPERTY IINE LOCAilONSAND RELATED EASEMENTS. <br /> I <br />