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f+PP�ICATION FO1. �,� <br /> cr«'°'"" CONSTRUCTION 0 <br /> everett PERMIT <br /> eUiLDIN6 DEPARTMENT <br /> 259•8810 TO BE COMPLE7ED IN INK• PL[ASE PRINT <br /> O DEMOlIT10N O COMBINATION xl BUILDING ❑ MECHANICAL G PLUMBING ❑ SIGN <br /> OW�If.R MML�UIL .55 fV 21V PHONf. <br /> 3 h P�i�u� l 6 �- �6 B�n.F� l 5��9' �4���y 9�5� aSi-�l�(� <br /> �RCHIflC�ORDFSiUNER M�R�OOPC54 ��ry �� " <br /> ��N,IR�IfnNin�CIOP M�il�flf1Rf11 C V i�l• n��ONE /��/e�y�GtNPf• <br /> � /f y/� Q/y/�`)�/ \�� (/ L�i7R G <br /> MEC" � •/1CONIR�C n� MA�I��D���/� S� Li1V / rf�z�/ O SFJ'l��T L I �CING� <br /> pLt1MlnI.CONIF610A M�IL�DOUE$A CITY LIP �•�ON( I�CENSf • <br /> ��(((t����5!O�WOPv <br /> yy ❑ ��DITION ❑ ALiERATION ❑ REPAIF ❑ DEMOLI110N ❑ WOODStOVE/F9PL.IN�ERT ❑ BUILOIN6 RELOC���ON_ <br /> v�W���ON O�wOnv��051 qr �!atl�+��vW 5 L�POR� <br /> 3o�oa <br /> OF3CP�lE WDA• � � �y � <br /> � .�.{� <br /> uscor euawnc ./L �� � � I HERE3Y CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AF� <br /> :S� R,�4,rf�0�'� PLICATIONANDKNOWTMESAMETOBETRUEANDCORRECi.nLL <br /> «r,s o�scn�orioNn�ononcn�viv�owNn iawnn��recHrouncor� � PROVISIONSOFl.AWSANDORDINANCESGOVERNINGTHISTVFE <br /> �( '� �J ;s LI OF WORK WILL BECOMPLETED WITH WHETHER SPECIFIEO HERE• <br /> i i���Aix�—or IN OR NOT.THE GRANTING OF A PERh71i DOES NOT PRESUME TO <br /> �. GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV OTHER STATE OR LOCAL LAW REGULAiING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. . <br /> iI�REOFGONiR�CTOROR�VPIOR �AGEN� /t�/�/�� <br /> X <br /> VROJECI�OUAE55 �VFLIC HTSCIfVBU5ME55L�CENSENO <br /> � i <br /> PIUMSING MECHANICAL _ i <br /> NO. TYPE OF FIIfTURE OR 1TEM FEE NO. T'FE OF EOUIPMENT FEE <br /> WIITER CIOSET ITOILET� t..0—AiHN�LO UNITS—HP. <br /> B�TMTUB REFRIGER�TION UNITS—H P.EA. <br /> �/1V�TORY 1 WASH BASIN� OOILERS—B.T.0 M P. <br /> SHD�q OpS FIRED A�C.UNITS—B.T.U. <br /> ' NITCHEN$INK F DISP FOHCED AIR SYSTEMS—B.T.U. M EA. <br /> O�SMW�SNEN WALLMEATEAS—B.T.U. M <br /> UUNDRV TR�Y UNIT FIEATERS—P.T.U. M <br /> CLOTNES N�ASNER EVAPORRTIVE COOLERS <br /> UAiNAL CLOTHESDRYERS <br /> OA�NKIN6 FOUNTAIN VENTILATION FAN <br /> FLOON ORR1N RANGE HODD I <br /> BACNFLOW PREVENiERS WATEHHEATER <br /> ROOF bR�INS—RAwIFnDEPS WOOD STOVE <br /> SINK�SERVICE—BAP,ETC 1 METAL FIHEPLACE A CH�MNEY <br /> FIPEPlACE1NSEHT <br /> HE�T PUMP <br /> GPS PIPIN6 <br /> EXH�USTFAN <br /> SUSTOt�L f EUliOTAL <br /> VERMIT � ���T — <br /> TOT�LFEE 1 TOTAIiEE <br /> P1.pr.t;HE .M NUMBER FEE RECEIPT NO <br /> �upr�tSF�BiU �� nCenSCIB�GK Si0[5[lO�CK I[1 �2j �2�� •� <br /> � � �� � s' `�7 14?r3b x�l �� <br /> uscm.ic io�anu vr.nHrsne FEES VALUIITION FEE <br /> �—? ''!.5?.r> sF J�+Es nHo eui�oiN� s'�OOC� ��' S <br /> IrPca���sl nr.�W�pN�rcnOur NooFowttllncuN�15 <br /> �/ —� �Q �3 / PLUMBING � <br /> s�tt or[io0 nn ��r sioni[s MA%OLC lOAO MECMANICAL z � <br /> 98K sF / �� <br /> OTHER <br /> FIRE SPRINKLERS REOUIRCD ❑ YES�NO STATE BUILDING SUACNARGE 3 S <br /> STATE ENERG�SURCNARGE �5 � <br /> AI"'CtiCtllO'1<f.CH� �'IdN5111lGN[OBY APPRfOR155U�NGEB� L' �) <br /> rusuc wonKs �_ <br /> '—'� /� /� TOTAL c '� <br /> PROPERTYOWNERSARE RESPOIJ519�.E FOR DE1ERIdINING ALL <br /> PROPERTV LINE LOCATIONS AND RELAT[D EASEAILNTS. <br />