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� � <br /> �,PPLICATION FO1. ���,�„ <br /> '"'E"`°'"" CONSTRUCTION e <br /> cm oF <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259•8810 TO BE COMPLETED IN INK- PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION O BUILDING ❑ MECHANICAL ��LUMBING ❑ SIGN <br /> pW ER / MnR�DDRE55 Gitt ZiP PrONE <br /> � L. � fen Uc�ts �' �iJc Mc ,L � vt�r �G /'�v,-c 6S� �i.�rw.�t �`�— �7/,'_ <br /> L' C TY 2 P PNONC <br /> qp�HliECi OF SIGNEB MAIL RDDRE55 � <br /> GEN[RALGONTRAGIOR �d�iL>OORE55 C�TY ZiP o��ONE �iCENS,� <br /> MECH�NIGICONTRnCtOfl MHLApDNE55 CitY ZIP °��CNE IICENSE• � <br /> PWMBINGCONiR1Ci0 ` MMLAD�RE55 CiTV IIP PM'JNE IiCR15E� <br /> �r.�s �� MS,a9 i� z Az,-c ✓� Cn. < %�9c� S�b�l'zs7 �JkTsP- i�ri� ,u <br /> CL 55 F WOPN <br /> �NEW ❑ ADDITION ❑ ALTERATION ❑ AEPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSER7 ❑ BUI�DING AELOCATION <br /> YAL WTION O�WOR51C051 0�Ma1ERIA��US LRBORI <br /> .S� C .. <br /> D[$GRiBE WORN � /� <br /> c (1 <br /> G LL / OC f// <br /> useq�a �� ��c .J I HEREBY CERTIFY THAT I HAVE REPO AND EXAMINED THIS AP• <br /> �� ,�)�iE'�"��"jin�"�� ��E%I� Z�`�� PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br /> LEGALOESCRIPt10NOFOROPERTY�SMOWNBELOWOH�TT�CMFOURGOPIE51 pROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br /> �o�—e�oc�c._or IN OR NOT.THE GfiANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY 7THER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. . <br /> SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT OFT[ <br /> c�— <br /> X � l�-J.�/ �� � c9--�9�' <br /> - - �"���% --- <br /> PRO�ECT�DORESS /7�� OC� //��� r APPLICANTSCIIYBUSINESSl1 SENO <br /> / �`! `/ <br /> / <br /> PLUMBING / MECHANICAL <br /> NO. TYPE OP flXTURE OR�TEM FEE NO. TYVE OF EOUIPMENT �E <br /> � '�( W�TER CLOSET�TOILETI !� �- A/C—A/MN�LG UNITS—H.P. <br /> /,C- i REFRIGERIITION UNITS—NP.EA. <br /> S BATMTUB <br /> 65 ��"l! BOILERS—BTU/HP. <br /> UVATORV(N'ASM B�SINI <br /> GAS FIRED A�C.UNITS—B.T.U. <br /> SHOWER <br /> KITCHEN SINK 6 DISP. ,-�- �1 FOFCED AIR SVSTEMS—B.T.U. M EA. <br /> WALLHEATERS—B.T.U. M <br /> OISHW�SMER M <br /> LAUNDRV TPAV UNIT MEATERS—P.T.U. <br /> CLOTMESN�ASMER ,' �� (� ) EVAPOHATiVECOOlERS <br /> CLOTHES DRYERS <br /> UR�NAL <br /> �RINKING FOUNTAIN VENTILATION FAN <br /> 2, FLOOR�RAIN (; � ( 1 RANGEMOOD <br /> BACKFLOWPFEVENTERS i.�_ WATEPHEATER '� �� � <br /> ROOF DFAINS—RAINLEA�ERS�. WOOD STOVE <br /> SINK�SENV�GE—BAR.ETC.1 METAL FIREPLACE d GHIMNEV <br /> FIREPUCE INSERT <br /> � C ! L�_,� HEATPUMP <br /> m ti � <br /> . � GAS PIPING <br /> EXNAUSi'FAN <br /> SUS TOT�L f �,=�,„`-� i� �� SUs TOTAL '�1 <br /> s P[RWT '�� '` ; <br /> PERMIT � — 1 V ('� �1 <br /> TOTALFEE f ..� V'`"l TOTALfE! — <br /> �RpNi SE10RCn AE4N SETB�CK SIDE SETBACN <br /> " nAN CMECK NUMBER fEE RECEIP7 NO. <br /> �ISCIONE LOi/RE� yqC�NT5ITE FEES VALUATION �E <br /> ❑YES ONO S <br /> BUILDING <br /> ttv[pFGONST OGCUPANCYGROUG NOAFDWFLLINGUNITS /- <br /> PLUMBING <br /> /�'S�� C��( i <br /> SVEO�BIDG NOOFSTORiES Mna.00clOPO MECHANICAL �� � `��l <br /> OTMER <br /> �IRE SPRINKLERS REOU�RED ❑ �ES G NO STATE BUILDING SURCHAFGE <br /> S7ATEENERGYSURCHARGE <br /> nVVi iiAliON<CC 0� PLANS CNEC1tED BY PPPN fOR ISSUOYCk BY pUBUC WORKS <br /> I <br /> I <br /> � / :-; � Y � � <br /> � TOTAL �'�/ ` <br /> � z� .� <br /> PROPERN OWNERS ARE RESPONSIBLE FOR DETERMINING ALL I <br /> PROPERTY LINE LOCATIONS AND RELATED EA�EMENTS. <br />