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A. PLICATIOf� FOR �.� <br /> �^.E�.�°��° CONSTRU�TION <br /> cin or <br /> everett PERMIT <br /> BUILDING DEPARTMENT T� gE COMPLETED IN InK - PLEASE PRINT <br /> 259•8810 i <br /> ❑ DEMOLITION ❑ COMBINATION �l� BUILDING 1:1 MECHANICAL __ �_� PLUMUING _ L7 SIGN <br /> —� I:IIY lI1• I�Inlll . -y)- <br /> M/.II AOb11L::i /� <br /> �WNER � `� " �Ti{� �� � !�-� .. ! <br /> J�// f' Y I�IOIIS �y % <br /> GV E C�'� � C • C1�V lll' 1 I <br /> M�II �UOI�CSi � �_../��"I` (_ <br /> •qL�u�E��OROk � EP '�' <br /> .v <br /> GIIY --- !�Y �IiltNl 111:IVP1 • <br /> 4kHER�LCONIR�GtOR <br /> IANI Htl�11E55 <br /> �• . . �. .,� _ r.�i�—_—_' tm - rnivn nri�u� . <br /> re•u �umnss <br /> MFCIUNICn GONiR1LlOq _ �� <br /> 1.1�Y 211• 1'II()�11 I11.1 11`�1 • � <br /> I.IqI AbU�1L55 .. <br /> PIUMB�N9 CONiR�G��1� _ <br /> �l�s$pf WOPX� _ <br /> noumor� ❑ nu�nntioN ❑ n�rnw ❑ ui.i.�uini�u ❑ �v�,nustove;rnr�iris�nt ❑ uuno�u�; i�e�oc.�nnri <br /> ❑ NEW i <br /> 3y1W1OONO�WOPN�GO5�n11A��UUN PIUSIAB9IU ���% � _ -- <br /> / <br /> '9 5��� "��— <br /> nESC�� Ewane <br /> �usE���r.c I IIEN[f3Y CGN�IfY IIIA1 I Ii�VF PEAD ANf1 GXAAIINF.D flllti �P� <br /> PLICATIONANUKNOW711ESAh1ETOBF THUEANDGORREC! �Ll <br /> ua��ou uo�'amris�a�'�+��n[���wr�nei��u�rnimcannci PROVISIONSOPLAWS�NDONDINANCESGOVERNING71115��'PE <br /> pp WORK WII L 8E GOA7PI.EiEO WI711 WHETIIf�15PECIfIEU IiEr7E� <br /> io��_eioc�--�� � ��-`,� �• � �� IPIORNOTIN[GI7ANIM�iOFAPERMITDOESNOIPRE5U67[ 10 <br /> GIVE AUIIIONIIY TO VIOLATE UR CANCEI TH[ PROVISION5 Of <br /> � ANV 0111EH SIAIF OR IACAL L�W RE(1U1-A7INGCONSiHUCTION <br /> -----'--- OH IHI_ PEHPC)NMANCE OF CONS7RUCfION <br /> tiuit�nU�lq.Ill 6uu�nn�.lt�it a�l r,UP�uI1Vl fl a�H ul I�.vl <br /> x = . r '� �G. f � � <br /> l . , �- .:� -��'.�. _ �% <br /> _'._—."_ �i•i•i¢u�t:.t'.inlu �u�?iAl�r.lunt '�n �____ <br /> nOD1EL1�00AE55 / <br /> � y � ��� ,: S ; � <br /> ���'�l ' G �- <br /> MECHANICAL <br /> P'LU6'.BING — - TYpE OF EQUIPMENT FEE <br /> FEE NO. <br /> NO. TYPE OF FI%7URE OR ITEM ���.__p��������G UNIiS-���' -- I <br /> W�TERCLOSET�TOILETI -- IIEFNUERniIONUNITS-NPEp _ I <br /> B�TMTU9 � pO1LFRS--[1 T 11,11 P _ I <br /> UV�TORYIWASIIBPSIt�I � IiA$fIREnPC 111J1T5-OTU _ -- <br /> SHOwER — FO�CED A��5Y57E��S-0 T U M E� ', <br /> NITLHEN SINN 8 DISP — M <br /> WALL IIEA7 ERS-R 7 U <br /> DISHWASHEN --- � (��lITIIEA�EIIS -O�U M -- I <br /> UUN�RY TRAV -- EypppqqTlVE COOLE(15 i <br /> CLOTHESwPS��ER -- -- ��p7i�E5DNVLRS � <br /> URINAL yENTILATION FAN <br /> pqINKING FOUNTFIN R4NGE I IOOD <br /> F100�ORPIN -- — W�TER HBA7Ffl I <br /> BPCKFLOW P�EVENTERS —� WOUOSTOVE <br /> NOOF�RAINS-�AtNLEAOERS METAL PHEPLACE b GIIIMNEY_ <br /> SINK ISERVICE-�A�.ETC� FIf1Ef'I.AC[�NSEfii -- <br /> IIEAT PUMI` <br /> � GAS PII'MG I�, <br /> �— E%IIAUST FAN �-- -- � <br /> �� <br /> -- 5118 TOTAL <br /> '�' SUB TOTAL s .— <br /> PEPMIT <br /> PEIIMIT s <br /> T6TAl FEE <br /> �OTALFEE S RECE�PTNO <br /> P�pNCM CNNUMI7ER FEE <br /> ;�r. L � ' ` :_. <br /> �non�SE�a�Cn� i�un5e�o�cn sinesctoeck _ ��-e,C. �] i � 1 ' � ���-7� <br /> ,- �.S - �. S' �`r� ��� � �� � — <br /> 'J b _ -- . VALUATION FEF <br /> us[zoNE io�Rnu wcun sn� FEES <br /> '� n.es �n l ( - � <br /> UUILDING 5 �j�.�! <br /> NO Of�WGI��NG UN�IS <br /> �vrE OF LON51 O[CUPeNLrGROUP J pLUM01NG <br /> �� <br /> � —� <br /> Na ui Sloni[5 M�x occ to=—o MECHANICAL <br /> s�ze or oioa --� _—_ l�,_ ���, <br /> SflG' � o���en <br /> c� EC ^1 <br /> FIRE SPf71NKLERS REOUIRGU l I YES 1 �NO STATE OUILDINIi SURCHMGE <br /> STATE ENEIIGY SURCNARGE <br /> u�ni�C��io�+��c cr riar��GUELn[oor A�'PR IO�li55�RNC[0� pUtlLICWORKS <br /> � TOTAL <br /> I1� � i < � <br /> �-- .��� 1 _--��"` � � --- <br /> 1'HOPCIiI !11WWEHS Ai1G I1f:Sl`ONSIIIL[I l�N 1117EIIA7INMG AI.1 <br /> -- --'��-- PHOPGRIYLWELOf,AlIONSANDNEI.NLU[ASEIdEN15 <br />