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H�� i�� � <br /> 1 � <br /> A LICATION FOR _� ���.�n <br /> ' �^.E•.����° CONSTRUCTION O <br /> ' ��n oF <br /> ! everett PERMIT <br /> BUILDINGDEPARTMENT TO BE COMPLETED IN INK- PLEASE PRINT <br /> I 259•8810 <br /> �' ❑ DEMOLITION �COMBINATION �BUILDING O MECHANICAL O PLUMBING ❑ SIGN <br /> � M I1�00 C55 C�h' I� PIONE <br /> . owr�En G �rCQ R�a�S ,�53.-�a �s <br /> ,G���v,4%4s�,4r�i�n/ sds ���� ��«� �t�,k z <br /> ' �RLNIIlC�OPUkS�UNER M L�OD11E55 <br /> M�it�UUnE9S G�� !i� nuOHE L6ENSE• <br /> ace�[n��con�a�p•cion/(' r,� �V � ��y(��O/11/Sr� 9�29�.�-2�'7z 3oNN�1'f}31t`� <br /> �6�N`O J�� C 1 Z PIIONE LIf.ENSE• � <br /> MEC�UNIf.LL CONIRICI00 <br /> �0 E9S I <br /> 1A�' �OO��E59 <br /> C�Iv Iil' PnONF LiCENSE. I <br /> ' >LUMB��i�1CONIP�Cl011 <br /> C1�9!O�wOnr � <br /> � ryEyy ❑ AODI/10N ❑ 4LTERnT�ON ❑ �EPAIR ❑ DEMOlI110N � �'�'OODStOVE/FRALINSERT BU�LOING RELOCAllOr1 <br /> VI1WI�lIONOf WO��O"oI���ICIIi�IGPLU9L���� �// —_y <br /> Jl�� <br /> DF9L�IBE W��n <br /> �(.�/ d /3 <br /> use or auaon�o � 'p /" I 11ER[BV CERTIPY TfUT 1 FIAVE READ AND E%AMINED TFIIS AP� <br /> tJsl` y�r-�C� _ PLICATIONANDKNOWTHESAMETOAETRUEANOCORRECT.ALL <br /> LEO�lOESCA�P��O��O�OROPE�IVIS��UWNO[1OW011�111C11fOU000PlE91 PROVISIONSOFLAWSANOOfiDWANCESGOVERNW�THISTVPE <br /> r�� OFWORKWILLBECOMPLETE[1WITHWHETHERSPECIFIEDHERE• <br /> io o� oi IN OR NOT.THE GRANTING OF A PERMIT DOES NOi PRESUME TO <br /> nNY07 ERSTIA7EOR OCALLAWREGUTA IN6CCNST,RUCTION <br /> OR iHE PERFORMANCE OF CONSTRUCTION. . <br /> SION�1Uf1EO�LONinn(IOn qnut oniiEonaEw ��tE <br /> s vs� -K����� - s= 3-S�_ <br /> •P��I. NfSC11Y8U51 5. FNSEN'O^ <br /> PROJEGf�DOAE55 <br /> � � - lS1A✓P <br /> MECHANICAL <br /> PLUMBING FEE <br /> � NO. TYPE OF FII� URE OR ITEM FEE <br /> NO. TYPE OF EOUII'MENT <br /> piC—Ai�iN�lO UNITS—H.P. <br /> ' W�TEA CLOSET It��Lhtl <br /> REFRICE�ATION UNITS—HP.EA. <br /> BAiNTUB <br /> BOILEI75—B.i.U./N P. <br /> , `L LAVATORY(WASH B�SINI � <br /> GAS FlRE��A.UNITS—B,T.U. <br /> SHOWER <br /> FORCED A�R SYSTEMS—B,T.U. M EA. <br /> � NITCHEN SINN 8 DISP _. � M <br /> -- WAILHEATERS—B.T.U. <br /> UISHW�SME� I.� <br /> UNIT NE�TERS—B.T U. <br /> � IAUNpNYTR�� � <br /> CLOTNES W/SHEfi EVAPO��TIVE COOtEf1S <br /> ' CLOiHES ORYERS <br /> UI7�N�L � � yENTIL�TION FAN <br /> ' O�INKINGFOUNi�IN RpNCEHOOD <br /> FIOOR D�pIN WMEn HEA7ER <br /> BACNFLOM�FRE�ENIE�S Y/pO05T0`/E <br /> ROOF OFl�INS—�AINLEADE�S METIIL f��EPLACE S CHIMNEY <br /> SiNK�SE�7vICE—���•EiC 1 FIREPLACE INSEfIT <br /> �. HEATPUMP <br /> ' GAS PIPING <br /> E%HnUSTFAN <br /> �. SUBTOTAL <br /> SUB TOtAL s <br /> P[fiMIT <br /> PEPMIT s — <br /> 10TAlFEE f L C TOTALFEE <br /> VInN CNECR N MBER � FEE RECEIPT NO. <br /> �nON�SEIp�f.� , �IUn5El0�CK Si0E5Et0�GN ([� �� �7 <br /> 2, zo ' � " �g�� �U �-� �� q7 � � <br /> USE LUNC l0��f1E� � Wf.�Ni SiIE <br /> F ES VALUATION FEE <br /> — I / ��/�'� �vES t]NO � S � <br /> (_, /` euuoiNc <br /> nnE or r.or+st occur•�+Cr cnour �+o or ownuna uNns - ,1 <br /> �N �-3 � PLUMBING _ �� <br /> q����� � Hr� or s�nies M�•ocNA MECf1ANICAL <br /> r� <br /> '��!GA'[� � oriien <br /> fIFE f ttINKLERS AEOWAEU U YES R,NO STATEDUILDINGSUf1CNMGE 7 � <br /> STATEENERGYSU�CH�RGE <br /> n��TTur.r.unnncr. �tv �'���1tiC��ECRED�Y nrrnronissu�Nc[or Z �) <br /> � PUPUC WORNS <br /> M,^n `, ;� . / T�TA� ' <br /> lV� 0_.�r <br /> PqOPERIY OWNERS��RE RESPUNSIOLE FOP DEtEf1MININa ALL <br /> pROPER�Y LINE LOCNIONS�ND RELA7FD EASEMENTS. <br />