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`"'E"�°`"" CONSTRUCTIUN�� <br /> �,n� ��«<n <br /> everett PERMIT e <br /> BUILQING DEPARTMENT <br /> 259•8810 TO BE COMPLETED IN INK• PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL O PLUMBING ❑ SIGN <br /> ��hP,� �-����. wQJ�o��t���o��-,��N� Ec��.c�7 w� h�L�,E ara-ryr� <br /> •RCNilf.tOROFS�GNER M�ILADORESS CIiV 21n PHON! <br /> .kN H.�CON�R�CIOB Mql AO�RE{5� C�� 11� oupN! L�CENSE• <br /> � <br /> in c � I'1'Icticv/u � lf I �+,ra�trtz� AS• �'�rri�e .1J. /�✓f� ��,•r�•a . 3; 7. ,��// <br /> MEf.NW�fqCONIN�pOq MML��ONE55 CI1Y 21P p110Nf lIC1:NF! • <br /> L 'f IVa:'c /1 l l:�`11'C <br /> �WMP�N4CON�N�GIOR MqI�DONE55 CIIV ZIV PIIONF IICENSE • <br /> CL�55Of WpRv <br /> ❑ NEW � ADDITION ❑ AL7ERATION ❑ PEPAIR ❑ DEMOLIiION ❑ WOODSTOVE/FRPL.INSERT ❑ 9UILDING AEIOCAiION <br /> v�iu� �nHorwon.}C0510fMA�CRiQ5PW5t�BOR� <br /> �ct�a� tn/a bal�it . iY1C�/.�c.- �iu,��amti a SS�ai o , , , ti. �;. <br /> orsca�o�wnnK i' <br /> � - r' � �� i`�--; , , I �.t- <br /> Uti[0�BL'�IU�NG <br /> . I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS A�� <br /> PLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT.ALL <br /> IEGqDFSCA�P��ONO��AOPERfY15NOWNB OWOH�iTACHiOUACOPIE51 PROVISIONSOFLqWSANDORDINANCESGOVERNINGTHISTVPE <br /> io�—�e�oc�ov / , 1-,�< <- �� OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br /> IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATURE CONiRACfORORFU7MORIZEOAGENi f14IE �/��/B� <br /> X � <br /> PPOJEC��ODRE55 �PP��f.AN i5 CItY BUSINESS UCLNSE HO <br /> / aa� Gkgn��o �� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR I7EM FEE NO. TYVE OF EOUIPMENT FEE <br /> WATF.�CLOSET�TOILETI A/C—A/HNDIG UNITS—H P <br /> �y BATHTUB -- REFRIGERATIONUNITS—HPEA. <br /> UVATOqY�WASHBAS�N� — BOILERS—B.T.U�NP. <br /> SHO WER GAS flRED AA.UNITS—B.T.U. <br /> NITCHEN SINK A OISP FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWI15HEii WRILNEATERS—BS.U. M <br /> UUNDRYTRAV UNITHEATEFS—BS.0 M <br /> CLOTHE$WASHER EVAPORATIVE COOlERS <br /> URIN�L CLO7HE5 DRYEIiS <br /> DRINKING FOUNTAIN VENTILATION FAN — <br /> FLOOR ORpIN RnNGE HOOD <br /> BACKFLOW FREVEN7ER5 W�TER HEATEH <br /> NOOF ORAINS—RIIINLEAOERS WO00 STOVE <br /> SINK�SERVICE—BAR.ETC� METAL FIREPLACE 6 CNIMNEV <br /> FIREPLACEINSERT <br /> HEATPUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUSTOTAL f SUBTOTAL <br /> FERMIT t _ PEpMIT -� <br /> TOTAIfE! f TOTIILFEE — <br /> '��UHiSEfB�f,K RE�ASEfB�CK SIDESEiBACK ��NCMECNNUMBER FEE NECEIPTNO. <br /> usemr+e ior�ne� vec��rtsre FEES VALUATION FEE <br /> ❑YES ONO <br /> OUILDiNG S <br /> tvP[O�CONSf pCCUP�NCY GPOUP NO OF DWFttINO UNItS <br /> PLUMBING <br /> s�rz or ei oa No or sroaies M�x occ.�wo <br /> MECHANICAL <br /> OTHER <br /> FIRE SPRINNLEFS RE�UIRED ❑ YES ❑ NO STATE BUILOING SURCHARGE <br /> STATEENERGVSURCHARGE <br /> e�`11�f.AbON�CG B� PlANSCNECkEDBY aPPp FOf1155WNGEBY <br /> � PUBLIC WORKS <br /> I��� � � TOTAL <br /> PROPERN OWNERS ARE RESPONSIBLE FOR DETERMININO ALL <br /> PROPEHTY I.INE LOCATIONS AND RELATED EASEMENTS. <br />