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:� �'O�a �PpLICATION FO�",� <br /> y ""`"'°""' �`'CONSTRUCTION "«`n <br /> f3 everett PERMIT e <br /> � BUILDINQ DEPARTMENT <br /> 956-eB10 TO BE COMPLETED IN INK• PLEASE PRINT <br /> �� ❑ DEMOLITION ❑ COMBINATIOt� �BUILDING �MECHANICAL J�PLUMBINO O 81G� <br /> OKhEN M�il�UDNESn CitV IIV P110NE <br /> '.3 M„��../ ��ti c ,F ru c�ie� G'o. Th �. 70/l-?S/�S�,&//�„�t✓o�rur G 7/-9/5�$ <br /> � ♦ CMITEf.IORDlSWNfR MML�ODPE55 CIIY ZIV PHOMC � <br /> � �- <br /> � 6ENEML GONTRKtOR M�:L�bORE55 CrtY tIP PHONE �ICFN!(• <br /> �e�v �� i�sv-L <br /> ;� MEGn�NiULCO}����GTOi MMI�DDRE53 CiiV LIP PXONE 4CEHSE• <br /> � �"���tnc fvrnQ� C°c� i�r� �'� T1e�sG21 Sha�.r.re�i L.1a �so E'/�cT7-��6C{4 <br /> � >WMKM�sCONiR�G�OR MA1.�OD ESS CIIY LIP VNOME UCENS( • <br /> � f��,uf- S'e„� / �6�� (',�srha /?d fiJ (=�f1�(u �uGETS l �f/o� <br /> q «,55 O�R — <br /> gl NEW ❑ ADDITION ❑ ALTER�TIO�I ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE;FRPL.INSERT ❑ BUIL�ING RELOCATIG�� <br /> ,1 V�W�IiCNOfWOH�dOSfOfM�TERI�L5PW5t�lONI <br /> � lr�S" D O (7 <br /> � oescase nK <br /> � � <br /> use or eanoiHa / I HEREBY CERTIFY THAT I HAVE READ AND ExAMINED TMIS AF <br /> �S//J9LC �um�� �S/�� pLICATIONANOKNOWTHESAMETOBETRUEANDCORRECT.F�. <br /> .EW�DESCRiP NO�PAOPEAT�bnOWNBEIOWOHAIT�CMiOURCOGiE51 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTVF�. <br /> � OF WORK WILL BE COMPIETED WITH WHETHER SPECIFIED HERi <br /> � ,c+�e�oc�—or INORNOT.THEGRANfINGOFAPERMITDOESNOTPRESUMET" <br /> , � / _� GIVE AUTHORITV TO VIOLATE OR CANCEL THE �'ROVISIONS�i� <br /> � `O f'Cll ANYOTHER STATE OR LOCAL LAW REGULATING CONSTRUCTIO' <br /> OR TME PERFOFMANCE OF CONSTRUCTIQN. <br /> SIONATUPE/%' ` NiF�R A OR12E C�If��� o,re s//—��1 <br /> X � <br /> �,. PROJECi�DDNf� ,/ �,�� �/�Q � AiPUC�NT1pTYlUSIMESSUCtN5EN0 r <br /> 1 <br /> �LUM�INC MECNANICAL <br /> NO. T1'K Oi Fp(TURE OR ITEM FE[ NO. T'I'!Of EOUI/MENT F[[ <br /> WATER CLOSET ITOIIET� A/C—A/MHDlO UNITS—M P. <br /> U�� NEFRIOER�t10N UNITB—fl P.EA. <br /> UVAT011Y(W�SMMSIN� � SO�LER!—l.T.U.M�. <br /> ppyy�q MS FIIIEO A C.UNIT8—S.T.II. <br /> KIfp1EN SIkK 1�DISr. — FORCE6 AIR SVSTEM!—B.T.U. M FA. � <br /> DISHWASMER � WAILMEATER3—O.T.U. M <br /> UUNDIIrTNN�1Y UNITMEATERS—B.T.U. M <br /> CLOTME6WASNER ' EV�POR�TIVECOOlER3 <br /> UI11N�L CLOTHES ORYERS <br /> � MIINRINGFOUNTAIN VENTIUTIONFAN <br /> � fLppp p1111IN F�NOE MOOD �✓O H �q <br /> M1CKFlOW PREVENTERS W�TEN MEATER � J <br /> ROOF OR�INS—RAINLEADERS WOOD STOVE <br /> SiNK�6ENVICE—B�A.ETC� METAI FIREPUCE 6 CHIMNEV <br /> FIREPUCE INSERT <br /> MEATPUMP <br /> O�S APINO <br /> ERNIIUST FAN <br /> W�TOTAI t � �U�TOTAL <br /> K11MIT � /[IIMIT <br /> � TOTAIR[ t � NTALitL <br /> �40NTSETl�CR RE�R6ET��C6 S�OEbET ��NI:MEC NUMtlER FEE AECEIPTNO. <br /> o� 20 � io��`�"'"r a a i s�- a d �t,.� aoq�� <br /> .stm �oren¢• ����HTsan FEES VALUATION FEE <br /> � i ves an� (oS3'9� <br /> 'VPEOf[ONSI OCCII NGYGPOUP NOOFOVALLIN�UNITS BUIIDING S � <br /> �� _� RUMBING <br /> SdF Of BLDO NO OF S70RIE9 MM OCQ L0�0 <br /> MECHANICAL <br /> OTHER � <br /> FiRE SPRINKLERS REOUIRED ❑ YES STATE B IIDING SURCMRRGE <br /> STATEENERGYSUPCHARGE <br /> aon�,�L110N�LC Bv PL�NSCNECKEOBY �PPR fOA195U�NGEBY <br /> PUBUCWORKS <br /> 1n�1.A �� TOTAL <br /> ��,�,�, � <br /> PROPERNOWNERS Ap�_RESPONSIBLE FOFi DETERMININ0111L <br /> %iOPEHTY LINE LOCATiONS AND REUTEU EASEMENT& <br /> �r�m:�^,r�vnri,.t..n.c^- . .;..,.� �..�... . -r.. . :,,�:-. � . . . ... . . .. .. _ . - . � ' , e . ., <br />