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r� <br /> APPLICATI�1 FOR CONSTRUC�ON PERMIT <br /> �.,e�e�� <br /> ,. � .�.�, e <br /> everett <br /> BUILDING DEPARTMENT <br /> 259�8810 TO BE COMPLETED IN INK-PLEASE PRINT <br /> DEMOLITION COMBINATION �r BUILDING MECHANICAL PLUMBING SIGA <br /> ..w.l� w.knn;�,.�a ---r.�ir t� nw�at <br /> Dlran_�L sru'i_z�1y�.�.'l�sh__Irr�Q�'� R�Q Sr.,,.,,,.r D Wo 9r29z G 5�l- 04'94 <br /> �n,.si u �ooaess crtr rw vra�ue <br /> 1 <br /> �ra—B�stc��l5dn�2�.?O "�hrr� �o�+ c�V F_v f+� Lr/or�{ 9Y.za3 <br /> . .�.Ec*onccsnvEn u ���ooncss nrv zw vHonE <br /> � ;�' SttYIlV <br /> ..•,r nu cw�ai.c*cw u�s�:m«Ess cm zw nqra iKE�. <br /> � � T i <br /> . ,�.wCu Lq+ra�riOn w �oont=s cm ire v�JN[ l�Cf.vsE. <br /> �.���OM6LON'R610N Y4�OdE65 Cliv EW PNWE lqEM5E1 <br /> � <br /> ..�[C!hpMt <br /> hEW AD�ITION YALTERATION REPAIR DEMOLITION WOODSTOVE/FR7L:NSERT BUILDINGAELOCATIC��+ <br /> �•,nH�M✓ROVFNENI 09 MiCHqF FEMCO[l CKY C!nf�Ci Pf HSON eNV�NON[NO <br /> ..A.�,���,�,.. s.sro 1?�u.JJ�— /sa n�/ <br /> �. ,,:N�er rrovnm •.�sW�nE aor�c[mvavco e ew'a u� i � Kt roM � )�f�fA<f <br /> �� .k__aJ I' �.c wa/�' h� res,�r<<e�l ,� �re�n l �h��,rop�p/�s) <br /> a Ncwi <br /> �sFousFa�euaonw � I NEREDV GERTIFY THAT I HAVE R@AD AND E%AMINED TM15 <br /> !,t p C / C H FPPLICATION AND KNOW TNE SAME 10�E TRUE ANO CORRECi.PLL <br /> �.i�.ucexn�nruiavnoPcn*r�SNormx�avone*u[.wvouncOresi PROVi510N5OfLAWSAN�ORDINANCESGOVERNINGTHISTYPEOF <br /> u <br /> tiVORR WILL BF GOMPLETED WITH WH[THER SPECIFlEO HEREIN OR <br /> . etoce o� NOT.THE GRANTING OF A PERMIi OCES NOT PHESUML TO GNE <br /> AUTHORITY TO V10LA1E OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OF LOGAL LAW REGULATING f,ON5iRI1C1ION Oq THE <br /> — PERFORMANC[OF(pNSTFUCiION.TMAT I AIA AUIHOFIZ[0 BY TNE <br /> OWNER OF TNIS�'RUPERiY TO PENFORlE T�i[WO{iK FOR WHIGH <br /> APPLICATIpN IS MADE AND I LOMPLY WIiH l��E STA7E <br /> CONTRACTORS LF W t B 2]PC W AND 295.00 WHG. <br /> S�f.q�NPEC�GGPnv�pnryl�UrwU9plD�Q�rI �'n'1 <br /> X, <br /> , - - --- .�"''"'= -- -.�' :�3� YG . - <br /> ,s - <br /> ��'��� � ' +Q. .nvn. ,..r_ eiswr.s� r�utior.m Msn�s-rnier <br /> FLUMBING MECHANICAL <br /> N0. iYVE OF FI%TURE Ofl ITEM FEE NO. TYPE Oi EOUIPMENT FEE <br /> NATLR CLOSET ITOILETI �� �HNDI G UNITS-1/P <br /> BATHTU9 FUHCEDAIRSVSiEMS—BTII M GA <br /> lAVA70RVIWASHBASRJ� IJNRHLAIERS-9TL. M <br /> SHOWER CLOTIIES DPVENS _ <br /> K�TGHEIJ SINK b D�SP VENTILATION FAN <br /> DISNWASHER RANGE HOOD . <br /> LFUNDPYiRpV WAT[liNEATEF _ <br /> CIOiH[S WASH[R WOODSTOVE . <br /> ��R���q� METAL FlREPLACE 6 CHIMNEY <br /> DRINNMG FOUNTAM FIREPLACE INSERT . <br /> FLOOR DRAIN HEAT PUMP __ <br /> BACN�LOW PREVENTENS GAS PIPING . <br /> ROOF DFAIN�RAINLEADER$ E%NAUST FAN _ <br /> SINY SEFVICE—BAfi.ETC� <br /> �-- <br /> SUB TOTAL 5 SU9 TOTAL S <br /> PPRMIT S —� PERMIT 5 _ <br /> TOiRIFEE S TOTALFFF b <br /> u ..'yiB�LN aURS[rB�M `M.SIiPt.v I�t ORGYN�JMOfH f{[ . ��I[lioiWJ <br /> � •e� [v.Mall r' r 7s 3- �� <br /> �}:n �—�-.,�0�---�_[U— <br /> vnuvr;nt FEES WWATION FEE <br /> `-- � , t 10,000 --- ves � rao ewioiric 5P✓" _ 1S_ '�et <br /> - � . . . — „�,.:. - . . ._ --- -- -'-- <br /> � �: � .<. �,,,._ . . _�; ..-. _.. <br /> . . � � — �.f 1� / Pi.NAPMG _ <br /> �r / - � " " `� F� f M�� MECNIJ11C�1 <br /> N1'A �,: .— ves �-- <br /> .�• , . . snne�rc�lnyioor, �•ruaa�nn���nnrr� OTHER _ <br /> �Z � � VE$ .�AJO _.. . _ _ S1�TE BUIIDINf3611RCN�ROE _ _ _ _ ___._y TSj/_ <br /> ._, . .r . . .r.ir.. � —__— <br /> 9Pif I bf RfY SURCNqqOE <br /> _ ' _. ___ _' —_._._ _ . ___ _ _ _. --__ . _ _.. —'—'—_ <br /> �� . ^ ,^ �. . . . "'."�°�:�'., � CITYOFEVERFTT v�.�r...wonrcs <br /> � \ IOCALSAL[S <br /> ���) TAI(COOE IS 3105 *or�� 9 �S7J <br />