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(.;�..t� .. <br /> �►PPLI��ATION fOi:`� <br /> � '°'E"'"°'"° CONSTRUCTION `e, <br /> cm or <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259•8810 TO BE COMPLETED IN INK- PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMB�NATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING O SIGN <br /> �p N!C(7 !� �Y�/I��i ncss G�G�'�� ��Od� � ri�.�7 O �S� <br /> �RC rt�C10ROk5iGNE� �AllA00RE5S f,�TY IIV p��p��� <br /> 6ENERALGONtflA�ip11 :A�}�OU�[55 � C��v !I�' 1'I�D11f lICWSf• <br /> r " <br /> s /-; � <br /> � ur.eienu�ner.ini u�r no�ness cnr ru� runr�� uerNc� • <br /> PLUM6iN�WNIP4C�OR M�ILAODRC^v5 CifY l0' P�ION6 �IGlNSE• <br /> CUSS Of WOPM�+ i <br /> ❑ NEW �(-7�ADDITION ❑ ALTERATION ❑ fiLPA1R G DEMOLIIION ❑ 1VOODSTOVE/f(1PL.INS[I1T ❑ DUILDMG (iELOC411ON � <br /> WW�TIONOFWORNIGO. PIERIGLSPL SUBORI - - , <br /> ✓ ����'� �S7'89 i <br /> DESCRi WORn �/1 <br /> " �(/ ' � ! �� <br /> USEOfBWLOiNf �` <br /> � r ( I HEREBY CERTIFY THAT I fIAV[ qEAD AND EXAMINED TfIIS AP� <br /> L PLICATIONANOKNOWTHESAMETOBETRUEANDCONRECT.ALL i <br /> LEO�lDESCPIF110NO�PAOPEAiY15110WNBELOWOBFI1RCHfOURCO�I[51 ppQVISIONSOFLAWSANDORDINANCESGOVERNINGTHIS�fYPE <br /> ^ � OF WORK WILL BE COA7PLETED WITH WHETHER SPECIFIED HERE• <br /> iot�eiocw�Sor IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> � ' GIVE AUTFIORITY TO VIOLATE Ofi CANCEL THE PROVISIONS OF <br /> � �.Q � ANYOTHERS TEORLOCALIAWREGULATINGCONSTRUCTION <br /> OR THE P8R ORMANCE OF CON N. <br /> sicuni e r �ornencrenon mo izeonceN nn - <br /> _ X � � /�� <br /> PROJELTADONE55 nCPL .PNI'SLI�VOUSINESSLIf,(NS[NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUHE OR ITEM FEE NO. TVPE OF EOUIPMEN7 FEE <br /> WATER ClOSET�TO�LETI A/C-AMNOIG UNITS-H P. <br /> BATMTUB AEFRIGERnTION UNITS-H P.EA. <br /> LAVATOHY(WASH BASINI BOILERS-B.T.U./H.P <br /> SHOWER GAS FIREO A�C.UNITS-B T.U. <br /> KITCHEN$INN 6 DISP. FORCED AIR SYS7EMS-B.T.U. M EA. <br /> OISHWASHER WALLHEATERS-B.T.U. M <br /> UUNORI'TR�V UNITHEATEFS-B.T.U. M <br /> CLOTHES WASMER EVAPONATIVE COOLERS <br /> IJRINAL CIOTHES DRYERS <br /> ORINNING FOUNTAIN VENTILATION FAN <br /> � FLOOF DRAIN RANGE HOOD <br /> BACKFLOW PFEVENTERS WATER HEATER . <br /> FOOF DRAINS-RAINLEA�ERS W OOD STOVE <br /> SINK�SERVICE-BAR.ETC.� METAI FIREPLACE 8 CHIMNEY <br /> FIREPLACEINSERT <br /> HEATPUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SUBTOTAL f SUBTOTAL <br /> VERMIT f PERMIT <br /> TOTALFEE f TOTALFEE <br /> iPONTSEIB�CK f1E�R5Etp�GR S�DESEIB�CN �LANCHE NNUMBER FEE � RECEIPTNO. <br /> zo � � � _�- ��av-�5 a a� �o�e � <br /> useione LOiRRER y�CANTSRI FEES VALUATION FEE <br /> ��1 ❑YES T.}f�0 � <br /> BUILDING S S7Q��,�, <br /> TYPFOFCO�NS7I- OLCUPRNCYGROUP NO.OfpWEILINGONIi$ <br /> .Jy -N N"I — PLUMBING <br /> SREOiBLDO NOOGSiONES MAtOCCLOAD <br /> �-� r MECHANICAL <br /> OTl1ER <br /> FIRE SPRINKLERS R[OUIRED ❑YES STATE B ILDING SURCl1ARGE <br /> STATEENEPG�SURCHARGE <br /> �VPLI�q11011 CCPV PL�NSLN[GNEDBY �PPR.fOpi550�NCE0v pUBLICWOPK$ <br /> � � \ � TOTAI <br /> G�J <br /> PROPERTV OWNERS ARE F7ESPONSIBLE FOR DETERh11NING ALL <br /> PROPERTY LING LOCATIONS AND PELATED EASEMENTS. <br />