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� � �P�ICATION FOAJ �/�� � � <br /> ���,�� <br /> � '^.Ew'°'"" CONSTRUCTION e <br /> atv or <br /> everett PERMIT <br /> BUILDING CcPARTMENT TQ gE COMPLETED IN INK- PLEASE PRINT <br /> 259•8810 � <br /> � ❑ DEMOLITION ❑ COMBINA710N ❑ BUILDING fd'MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNEA E��e ����L�ODNC55 CIfY � � z�F A8�� P��ONE <br /> : �L (L �Sa3 L;rn ��r�a Pn2-t�e,�.3d�o l/�� -5 c. �sd�5� �./k„e�c. 4�53-90�U <br /> �PCNiiELtOBOlSIGNER MULPDOnC55 f <br /> ST��-^��S STc�xzl��'09��e�5 6363 r..�c«l�v� P�+- �Jous�� z /4X�O5 -�r ��s'7 � 7�3�789-7� <br /> � eer+ea��cor+ra�aon Mui.non�ss �� � o �TG2s GL� 37+ <br /> Co.,� Gti�,�,(r�' D.ir�e.sa�A i/�oa -s� �sv ��c�e �� s'"�/ �3-90�30 <br /> �IL "E� .• � z r r or�e (nii S/�'il <br /> MECNeH�C�LCONIN�C1Ofl MAtl�00�E55 <br /> ��+��- Qlan� � 22029 -'7`J`�- A�E S �C,Jd- �.la y'8�3z 37S=o�F88 .TT i <br /> PLUMB�NGCOMMC:OR MML ApD�[SS C� 11 P ONE L CEHSE <br /> � <br /> I <br /> CL�SS OPN <br /> . NEW ❑ �DDITION ❑ ALTERATION ❑ REP�IR ❑ OEMOU110N ❑ WGUDSiOVE/FRPI.INSERT ❑ BUI�DING �ELOC�110N I <br /> IFD u^2`/ /�,J CO�oru�¢nu�.sriusinnoni <br /> �OESCRi E WOPfl _� — I� <br /> �rJ i i�.l v 3�1`7 F� �'e,J 5 �r,i� P��c.� ..�si cL�Fl;a.-� 2� ✓�� 5 <br /> use o�ao�nc . I HEREBV CERTIFY THAT I HAVE FEAD AND ExAMINED THIS AP� I <br /> h/��,(��[„ PLICATION AND KNOW iHE SAME TO BE TRUE AND CORFECT.ALL <br /> IEGAL0E5LRIPiIONO��ROV[qfY15MOWN0ELOWO��A�TA���fO11RLOFiES PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> OF WORh WILL BECOMPLETED WITH WHETHEF SPECIFIED HERE• <br /> �oi—e�ocrc.._—or IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF C STRUCTION. <br /> $IGN>IUR�i' '! 4C1�.{i�U1M 12ED AGCNI pAiE f/� �(� ��j� <br /> / <br /> / <br /> / L'f�t <br /> hP .�N�SGI�v0U5M65L�GlNSE O <br /> PROJECT.100AE55 <br /> IOZZD - �� �JE 5 � ��r . <br /> ' PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> � WATER CLOSET�TOILET� A/C—�/MNOLC UNITS—N P <br /> . BATMTUB REFRIGEPATIONUNIT$—NP.EA. <br /> � U�ATORV IH'ASM BASINI <br /> BOILERS—B.TU/MF � � <br /> SHO WER GAS FIRED�.C.UNITS—BS.U. <br /> ' KITCHEN SINK d OISP FOFCEO A�R SYSTEMS—BS.U. M EA. <br /> OISHWASMER WAILHEAiEl15—BT.U. M <br /> . LAUNDRVTRAY UNITMEATERS—B.T.U. M <br /> CLOTMES wASHER EVAPORATIVE COOlERS � <br /> UfiINAI CLOTHES bRVEfiS <br /> � ORINRING FOUNTAIN � VBNTILATION FAN <br /> FLOOR ORAIN RANGE HOOD <br /> BACKFLOW PREVENTERS �� <br /> ROOF�PAINS�—RAINLEADERS wOOD STOVE <br /> . SINK�SERVICE—BAR.ETC� METAL FIREPLACE 8 CHIMNEV N <br /> . FIREPIACE INSERT <br /> j HEAT PUMP � <br /> G�S PIPING <br /> ' E%HAUSTFAN JI <br /> ' .W <br /> ' ' SUBTOTAI f SUBTOTAL <br /> PERMIT t PEflM1T �II <br /> TOTALFEE 1 TOTALFEE � <br /> � ' P�ANCMECKNUMBER FEE NECEIPTNO. I <br /> , IRONf SEip�CK �iEAF SE1BACn 510[SEiOACK <br /> � USEIONE �or�ae� v.cnHrsrte FEES VALUATION FEE <br /> OYES ONO 5 <br /> eui�oir+c <br /> i <br /> iYPEOFCON51 OGCUPANCYGROUP 900�OWFLLINGUNIiS <br /> . PLUMBING i <br /> SIZE OF pl�G NO Of SIOPIE9 M�%OLG LOAD MECHANICAL <br /> � <br /> i OTHEF <br /> � � <br /> j <br /> FIRE SPRINKI ERS RE�UIRED ❑ YES ❑ NO STATE DUILDING SURCHARGE <br /> � <br /> • STATEENEPGYSURCHARGE ' <br /> AVPLICA�ION�CL pv PLAH561[CMEDBY pPPR FORISSUANGEOY PUBLICWORK$ <br /> TOTAL <br /> ' PFOPERTY OWNERS AAE RESPONSIBLE FOR DETERMINING AlL <br /> . PROPERTI IINE LOCATIONS AND RELATED EASEMENTS. <br />