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���Y. . <br /> A'�' PLICATION FOR��' ���,�„ <br /> ; � «`«°""" CONSTRUCTION 0 <br /> everett PERMIT <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK- PLEASE PRINT <br /> 269-8810 <br /> i O DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL O PLUMBING ❑SIGN <br /> 1 OWMER M�II�UDRESS /Oi/ �-�'�Tr cin z(v PHONE 7� <br /> ��TG�t � I ui�u,� �a�-6�i, n✓c �vCr���r' ,�S2o/ 33%-�6�, ,�7 s-93G <br /> MGNITECIOROEB�ONEA MAII�UDRESS CIiY IIP PNONE <br /> OENERI1lCONIN�QOR M�ILAppRES3 CItY !iP v1�ONE J Q�l <br /> lf-��'t.roF Cc�u • r� �vo-z � Nn �'I�Ysvu�.� �'�-�7 r'�`�-9398 <br /> MECNIINIC�LLONTR�CTOq M�IL�OONESS CItY ZP P ONE LKENSE <br /> KUMlIMOGONIMCipI M�Il�0�AE53 GtY IIP M10NE LICENSE• <br /> CLIISSOF WOPIt <br /> ❑ NEW ❑ ADOITION �' ALTERATION ❑ FEPAIR ❑ OEMOIITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDINO RELOCAt10N <br /> vuu�oN or wona�wsr or u��enu�s vws ueam <br /> r e�^ <br /> 0l7CMlE RK ^ <br /> �. ` � QC S � �� � r <br /> ueEorsw�oina I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> � �J�^ �J PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br /> LEQ�lDE7C11�►T�OMOfPROPERTY�SNOWNBEIOWORAfT�GNFOUNCOP�E51 pROVI510NSOFLAWSANDORDINANCESCiOVERNINGTHISTYPE <br /> OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br /> ioi—s�ocK_or IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> � ANV OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. . <br /> 910N11TURE OF CON �CTOp OR AUTNORIZED A NT ��TE <br /> X � <br /> fMIOJECT110DNE0! � �PPLIINTSCRYBUSINE59L�CEN9EN0 <br /> 1 <br /> � �V��NQ MECHANICAL <br /> ►q. TYR Of fl1RU11[OII ITEM FEE NO. TYVE OF[OUIPMfNT �[ <br /> WATER CLOlET(TOItET) NC—NMNOI(i UNIT$—H.P. <br /> � ���e REfl116EMT�ONUNIT3—H.P.EA. <br /> � � UWITORV�Wl13MMSIN) BOILERS—B.T.U.M.P. <br /> t �p OASFIREDA.C.UNITS—B.T.U. <br /> I NITGIEN SINK L DISV. FORCED AIR SYS7EMS—B.T.U. M FA <br /> OISMMII9NEN WAIIHEAiER3—B.T.U. M <br /> I uuNOAr ttur UNIT MEATERS—B.T.U. M <br /> CIOTHES WASHER EVAPORATIVE COOLERS <br /> 1 �� CLOTHE9DHVEP3 <br /> ppINKINO FOUNTAIN VENTIUTION FAN <br /> � fLOpR ORAIN ' RANaE HOOD <br /> � g�1C1(FLpWppEVEMTERS WATEHMEAiER ` <br /> � � pppFpRAINS—RIIINLEADERS WOODSTOVE <br /> � SINK�SERVICE—BAN.ETC 1 MEfAL FIBEPUCE S CHIMNEY <br /> FIREPLACEINSERT <br /> � MEATPUMP <br /> � 6�S%PINO <br /> E%NAUSTFAN <br /> I <br /> W�TOTAL f !U�TOTAL <br /> ! K�MIT f KRWT <br /> 'i TOTALFEE S TOTALFE[ <br /> iRONT SETlnC1c RE�R SETB�CN 91DE SETB�CN PUR CH CN NUMBER FEE ��O RECE��'1�. <br /> �� 1���-I � ��- 9��2.3 <br /> VSE LONE IOTARE� VIC�N S fE FEES VAlUAT10N �E <br /> OYE O S <br /> BUILDING <br /> ,� rYPEOFC �4T. OLCUPINCYrzGFOUV NO.OFOWEllIN6UNlt4 <br /> M /� ' � �_ PLUMBING <br /> SiZE Oi 9lDO NO OF SfOPiES M�%ACC IOAD MECHANICAL <br /> �' / N'�f, <br /> OTNER <br /> FIRE SPRINKLERS REOUIRE� ❑YES NO STATE BUILO�NO SUFCMARGE <br /> STATEENERGYSURCHARGE <br />