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rn� Ewrprwn <br />Cltt OF <br />everett <br />BUILDING DEPARTM[NT <br />259•8810 <br />..PPLICATION FO.. <br />C�NSTRUCTION <br />PERMIT <br />TO BE COMPLE7ED it! : iK - PLEASE PRINT <br />everetl <br />e <br />❑ DtMOL�TION ❑ COMBINATION ll BUILDI�G CB MECHANICAL (� PLUMB�NG ❑ SIGN <br />rnvr�cn t e�nu �noi�u�,:; __----- [nr .__-___:n� � r�norrt <br />f i � �� � �I 1 • � "_ I i � '__�_ �___'� "'.� � ' � ' i ., � . <br />ar�Uui[c�cnui.i,r�u� Ir.��n.nnu�ss ri�r :�r wmm <br />___..____" _ _..__...__-�___-__."__". __."_"_"_- _'____-_"" <br />bl NLN�I CJIAMCIDR LI�II �OPIII i1 Il1Y bl' 1'110N1 I ICl11SL • <br />�.nuuwc•i cnrnr�.rrnn eun >uma.ss — cnv —'-zm rnrnu i¢tu;i . <br />� � � 1 � � �r i 1 ' I 1 � ' � I � ' � ! 1 � 'f ' • � � � I . <br />r, I ' � � � 1. 'i :' _-! � . . � .� . ' 1 I__ �___ _____— ___ <br />riur.muu,cnrnn.cmi� � ruu�nn�us-s-.. rur .� rnnm cr.trui. <br />. ! ti � ' , ' , ,f. I <br />❑JyNEW ❑ �LDIIIOW C� AIiERAIIUN I_� Nf.PA1R ❑ DLMl�I IUGH ❑ WOf1U5TOVE_FHPL.INSERT ❑ BUILDING HELOCAIION_ II <br />v•: UnL04 UI wOnr i(;o51 qi 1.'.stl qin� 5 Pi u51 .BOni <br />I <br />0[SCPIpf WOBH , J <br />i' ' � : I 1 <br />� `� � 1 <br />usi ov nun n�rm <br />� <br />i <br />i�r.0 nrscnirrimo� vnnrr <br />iu�—mur.�_o�_ <br />1 � (� ( � 1 / <br />� � ' � � L ! � � � 1 <br />n �sunNm m:i aw rn� •�ua� <br />PRO.iEG1�DOR[55 <br />1 I )� � <br />PLUMBING <br />OR ITEM <br />WATER CLUSET ITOILET� <br />BAT11TU0 <br />I.AVATORY I�YA511 UASINI <br />SNOwER <br />KITCII[N $INK S OISP <br />DISI IwAS11ER <br />LAUNDRVTRAY <br />CIOTHES W/ SMER <br />URINAL <br />ORINKING fOUNTMN <br />FLOOR [7RAIN <br />BACNFLOW PPEVEMTlRS <br />ROOFORAIMS -�A�NLEADE <br />SINN �SERVICE - B/.0. ETC ) <br />� SUO TOTAL <br />PEPMIT <br />TOTAL FEE <br />�I1ONf5EIfl�f.� �AERR SLIOACK <br />AR[• <br />NO O( S10RiE9 <br />APVIIC4IIONPI(.IIY II'Ifry$ <br />r) f I.- -_- �_"� �� �•.��"_"-'_ �� �.—_�, <br />i ro m �'nrn �a <br />1 IIERf BY CERTIFY THA1 I HAVE READ AND ExAMINED TIIIS AR <br />NLICAI ION AND KNOW 7f IE SAME TO BE TRUE AND CORRECT. ALl <br />PROVI51(lN5Of IAWSANDORDINANCESGOVERNINGTHISTVPE <br />(N� ;.'Olil<1NII.1.13ECOAIPLETEP WITH WIIETIIEf75PEGIFIC-U HER6 <br />IN OH NUI. IHE (�HANTWG OP A PEHM�T DOES NOT PRLSUM[ TO <br />GNL AU11fUHIlY TO VIOLATE OR CANCFL THE PROVISIONS OF <br />ANV OTIIEH STAI[ OH LOCAL LAW REGULA7INGCONSTFUCTION <br />OR TI IE PER`OHh7ANCE OF CONSTRUCTION. . <br />•.i��Nn�u�q ip i�nn�✓n I,n��n�/.Iiliiulu:ll�a�.141 linll <br />X / . ; � � .'% /,�, ��;�I <br />�.i�ri irenc, �.n. mu.un :�, �.� � ru� r�n <br />MECHANICAL <br />F¢E NO. TYPE OF EOUIPMENT <br />ArG - A:MNUI.G UN175 - H P <br />H[fRIGER/ iION UIJIT$ - H P EN <br />— —_ fi011EliS-UT11,11P <br />_-- tiA5F111EDAC lIN1T5-O�U <br />FOPCE��IRSY5TEM5-OTU MEA <br />-- ) WPILI�GnTERti-�I7TL1 -, !�. M <br />IINITH[ATCNS�-O7'U M <br />[VAPORATIVf: COOI E�5 <br />— CI.OTNGSORVF.RS <br />VGNTII AiION FAN <br />— — — IIANGE 11(10p <br />� WATGHIIEATER _ <br />woon sTov[ <br />MET�L FIREPLACE 8 CIIIMNEY <br />FIREPLACEINS[RT <br />I�EAT PLf.IP <br />� GPSPIPWC <br />E%��A�iST fAN <br />f�S <br />SIDI SEIO�CN <br />WCPirt SIIL <br />11�L5 lINO <br />pp 1100fOWFlL14G11N <br />�.IAc OCC tOAD <br />fl NO <br />ov nrrn ror�is;uqu.i <br />SIIB T07R1 <br />'-' �'�- PEPMI� <br />TOTALFEE <br />PI AN CIItGH HUMOIR � FEE <br />tlUILDING <br />PWMIiING <br />MECHANICAL <br />OTHER <br />5TAi[ Ul11LOING SURCIIARG <br />5TATHENERGYSURCHARGE <br />PUHLIf. WOHNS <br />TOTAI <br />NEGEINT NO. <br />VALUATION FEE <br />5 <br />Pf70PEHTY OWNERS ARE PESPONSIfiLE FOR DETERMI�:it::i ^i L <br />PIiOPEHIY ll.'J[ I.00A110N5 AND IiE1.ATE� EASEMEPII'a. <br />