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� ',;�PPLICATION FO1� ���,�„ <br /> � G`f"'"" CONSTRUCTION <br /> ; everett PERMIT e <br /> !� BUILDING DEPARTMENT TO BE COMPLETED IN INK• PLEASE PRINT <br /> 259•8810 <br /> � <br /> � ❑ DEMOLITION ❑ COMBINATION �BUILDING O MECHANICAL �PLUMBING ❑ SIGN <br /> owHe�JG. �l/•'Ir'^` �L�onAEss � cirv � � vno�� 7'`�0 <br /> � <br /> %Vb � � ^ <br /> 3 AFJMIfELTORUE510NEA 1.'�LLM10RE55 LiTv 210 P ONE <br /> � <br /> � �f..� , M /�,..� /� ��/� <br /> �E�J�/��{/ p At,Dks J/��ES��{/� R I=� �� t'/ O�� ' P:/_,V/�v IICENSE� <br /> MkCN�NiCeL CONfR�LTOq M�II�DORESS Ci�� � E P MIONE I�CENSE <br /> + � � I � ( ( ► � 1 r SON SN,B�� l4/Cl <br /> Y PLUMlINOCONfR�C10H MML�ODAE55 CiiY 0P PMONE LICENSE• <br /> CL�950F WOAK <br /> ❑ NEW ❑ ADDITION � ALiERAT10N ❑ AEPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br /> � WLU�LONOFWORKICOS OIM�IERII�SPWSL�BORi • ' <br /> � ' Fo,,No a� $ REDO oA��• D�IMR�+I'�tn `�Z56o'�'���F <br /> ��1 DESCPiBE WORN <br /> t ' <br /> � USEOFBUitDING I HEREBY CERTIFY THAT I HAVE READ AND :XAlv11NED THIS AP• <br /> + ' PLICATIONAfJDKNUWTHESAMETOBETRUEANDCORRECT.ALL <br /> lEO�LDE3CRIPTIONG%PpOPENTYIS�IOWNBELOWOP�1t�CNiOtIPCOPiE51 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> � OFWORKWILLBECOMPLETEDWITHWHETHERSPECIFIEDHERE• � <br /> .i �o�—eioc�.—or INORNOT.THEGRANTINGOFAPERMITDOESNOTPRESUMETO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF � <br /> ; ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION : <br /> OR THE PEFFORMANCE OF CONSTRUCTION. . <br /> �I $IONATURE Of CONTPRCiOR OA AUTHORIIEO AGENT DATE <br /> ; ll/jo.� <br /> �ovt — X <br /> : PROIECT�DDp`S9 �FPLIC�N SCIIYBUSiNE55l�CEN9EN0 � SH3 �E /4l CL � <br /> i <br /> PLUMHIN6 MECHANICAL <br /> NO. TYPE OF FIIITUNE OR ITEM FEE NO. TYPE OF EOUIPMENT FE! <br /> W�TERCLOSET�TOILET) � A/C–A/NNOL6UNIT5–M.P. <br /> BATMTUB REFPIGERIITION UNITS–M P.EA. <br /> LAVATORV I�MASH BASIN� BOILERS–B.T.U.iH P. <br /> SHOWER 6AS FIRED A�C.UNITS–B.T.U. <br /> � � KITCMEN SINK 6 OISP. FORCED AIR SVSTEMS–B.T.U. M EA. <br /> i <br /> OISMWASHER WAILHEATERS–B.T.U. M <br /> i LAUNDRY TRAV UNIT HEATERS–B.T.U. M <br /> I CLOTHESWASMER EVAPORATIVECOOLERS <br /> � UNINAL CLOTMESDRVEP..'. <br /> ORINKINO FOUNTAIN VENTILATION FAN <br /> FLOOR DRA�N NANGE MO00 <br /> ; BACKFLOW PNEVENTERS WATER MEATER <br /> ROOF DRI11N5–R�INLEADERS N�OOD STOVE <br /> SINK�SERViCE–BAR.ETCJ METAL FIREPLACE 6 CHIMNEV <br /> FIHEPLACEtNSERT <br /> MEATPUMP <br /> � 6AS PIPINO <br /> E%HAUSTFAN <br /> :i <br /> � SUSTOTA� f SUSTOTAL <br /> j PERMIT 3 P[NMIT <br /> � TOTALf[E f TOTALFE[ <br /> ' fRONf5Ef8ACK RE�FSETB�CK &DESETB/�CN PLnNCH NNUMBER FEE RECEIPTNO. <br /> ; 8�1 �)9130 35� G 375 <br /> f USELONE LOi�RE� y���N�TE FEES VALUATION FEE <br /> ovES O <br /> ttVEOFCONSTI ' OCGt!P�NCVGFOUP NOOFDWELLINOUNIfS BUILDING 52���� <br /> � �'�`f R�3 / PLUMBING GS <br /> ! 51¢E Of Bl NO OF SiORIES M�%OCQ LOAU MECMANICAL <br /> ; �B�F'ouN�N / N/J <br /> � OTHER <br /> � FIRE SPRINKLERS REOUIRED ❑ YES NO STATE BUILDING SURCHARGE <br /> j <br /> � STATEENERGYSURCHARGE <br /> I <br /> 1VPUUT10N�CC BY PLANSCMECNEDBY �PPH FORISSu�NCEBY <br /> j � � PUBLIC WORNS <br /> I L /� <br /> i l� �G.i• TOTAL <br /> PROPERTV OWNERS ARE RESPONSIB�E FOR DETERMINING ALL <br /> PROPERTY LINE LOCATIONSAND RELATED EASEMENTS <br /> 1 r. - <br />