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~i�+1PPLICATION �O� ���,�„ <br /> ««""'"" CONSTRUCT�ON � <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259•8810 TO 8E COMPLETED IN INK- PLEASE PRINT <br /> ❑ OEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> /OW�NER a vO Z/E ARJ'f�"�it7oya�sl✓,�/�,� N� �y6 cirv gOTH �fC zm p / n�u,v� H 5 -2 8S' <br /> s-/1N�E,} r o�aHEa988oTT /MA�oonB/�OADK/AY G1YEv�R� rr '>+` zS2-g090 <br /> �UGEi✓E FISHF� � °y3 N. 7 S `X ffArTlE <Az-/�'73 <br /> 6EMER�tCONtR�GtOP M�Il �00RE55 Ciry Iil` �'��,�NI I�Cl9:•. <br /> f RoNT/r�' jl ENE w� t J'O• /�UX 7�/z s� E�LE'R�TT 98�D/ <br /> Mlf.HlNif.�LCONt�lGinq MML�O�PfSY f.ItY 214 II�nN! l�lf•r.l � <br /> PWM�MrICONIR41M1 M�RADORE55 C�Ir 2il` rvnnif � u�l•r, . <br /> CL�S501 WOAk <br /> NE�N C ADDITION ❑ ALTERATION ❑ REPAIR ❑ OEMOLI110N ❑ WOOOSTOVE;FRPL.INSERT ❑ BUILDING RELUCaIR?N_ <br /> VILWTIOHOtWOPv�(OSIU16uqJ11ALSPlUSL�BOR� �� I , ����— � <br /> � � � <br /> . DESCR�BEM'ORK <br /> gvito N� �.v r�or �� <br /> � usc or euno�Na I HER[BV CERTIFV THAT I HAVE READ AND E%AMINED TNIS AR <br /> , NUUS �KG PLICA?IONANDKNOWTHESAMETOBETRUEANDCORRECTALL <br /> �ea��o SCN�P��ONO�VROPEAIY�SNOWNREIOWOn�11�GHfOU�COP�E51 ppOVISIONSOfLAWSANDORDINANCESGOVERNINGTNISTYPE <br /> � 3�'��' ���� �'^vER E tT �.itq�D OF WORK WILL BE COMPLETED WITH WNETHER SPECIFIED HERE� <br /> io�_eioc`V /J or IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUI�tE TO <br /> I yI /� GIVE AUTHORITY TO VIOIATE OR CANCEI THE PROVISIONS OF' <br /> CU��'P/Y�/ S FI^ SI Dp� TIO� ANVOTHERSTATEORLOCALLAWREGULATINGCONSTFUCTION . <br /> � OR THE PERFORMANCE OF CONS7RUCTION. <br /> SIaN�IUN�O�WNIRI1CIl}p Uil�UT��URK[�i a�,;tNi I�aqB_,t_ p p <br /> � /J/J p_ ��ol,..i,,Z� o�� <br /> : V 'rz?ft.�¢" <br /> I A <br /> v1qJEC1�UORfSS �PPI�f.�NtSCIIYBUSiNESYLiCENSE NO <br /> ..L� <br /> � <br /> PLUMSIN4 MECHANICAL <br /> NO. TtPE Of FIIfTURf OR ITEM FEE NO. T/�E OP EOUIPMENT fE! <br /> / WATE11 CLOSET 1701LET� AIC—AIHNDLO UNITS—MP. <br /> SA�MTUB REFRIGERATIONUNITS—NP EA. <br /> � UYIITONY�WASM BAS�NI BOILERS—B.T.0 iH P <br /> s��q QAS FIRED 11D.UNITS—B.T.U. <br /> . KITCNEN$INR 6 D�SP FOPCED AIR SYSTEMS—8 T U. M EA <br /> dSNW11SMER WAILHEAiERS—B.TU. M <br /> UUJNpqY TAAY UNIT NEATERS—B.T U M <br /> CLOTIIES Wl1SNEN EVAP011ATIVE COOIEAS <br /> O Up�� CLOTHESOPYERS <br /> DRINNIN6 FOUNTAIN VENTIUTION FI1N <br /> FLOOR ORAIN HANOE HOOD <br /> 011CKFLOW PREVEN7CR5 WATER HEA7ER <br /> ROOi ORAINS—AAIN�EADERS WOOD STOVE <br /> SINN ISERVIGE—B�A.ETC 1 METAL FIREPLACE 6 CNIMNE� <br /> FIREPLACE INSERT <br /> MEATPUMP <br /> 0115 MPIN(3 <br /> EXHRUSTFAN � <br /> � SU!TOT11L 1 MI�TOTAL <br /> � �EPMIT ! /ERMIT <br /> TOTAL FEE ! TOTAI FEE <br /> � •MONf SEll�L'M i�NA SEIB�CK SIOE SEIB�CN NIAN I:MECI NUMBEA FEE RECEIPT NO <br /> .S' b O G � ?_cc��Z-0' � /08�� <br /> '� use zoNc �o�•ne. y���Nf S�TL FEES ALUATION FEE <br /> � � ES IINO <br /> = BUILDING SN ' �� <br /> rvcEO�045t 'equP� vGROUP NOOi'(��uFlNNt1UN115 <br /> �N R �� I PLUMBING <br /> 5¢E or B�Da �u� ul 510RiE5 M�N OCL LO�O MECHANICAL <br /> 94�� sf 2 � a"1 <br /> .R <br /> FIHE SPRINKLERS REOUIR[D ❑�ES NO y� TATE B ILDING SURCHARGE <br /> . �/ STATEENEPGYSURCHARGE <br /> ��•o�if.�liON�CCP� �'InNSGHEGNEUBY A �OPi5511� E pUBLIC.WORK$ ' <br /> � /1/_ � TOTAL � <br /> A�`� � <br /> PROPERTYL�INELOCATONSANDrRELAIEOE SEMENT'SINGALL <br />