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,-.PPLICATION FOi� evcretl <br />`"°`'..°'"" CONSTf�UCTION O <br />CIiY OF <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259-B810 'f0 BE COMPLETED IN INK- PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINATION 0 BUILDING ❑ MECHANICAL � PLUMBING ❑ SIGN <br />!�'i',, <br />a�,� <br />�<I!Mnq ooa 55 ❑n� ��r' pHONE <br />: ,�n���r�/-� /o�/,--�'��, �'��� ��'��� -- <br />�.V�CRPLCON 4ClOR MML.�[]ORESS G*V ZO' n�iONC IiCCN9F.• <br />t1 c�- �frc-,�.,�-'�� ����5 �c�7-i �98��°�c'�.ro, 9�� 9�i —���-z`io�, (�h C 17/�/�� <br />vi.rruwrn orviWer.ina Jmainooatss crtv zm w�o��. ucu�a• <br />�'IUMBIN �CUNiR>GfOR Mu� PDUNE55 �l�tY LIV P110NC LICENiL � <br />�TNEW ❑ ADDITION ❑ ALTEf7ATION ❑ F7EPAIR ❑ DEMOLITIUN ❑ �VOODSIOVE/FRPLINSERT ❑ BUILOING i�ELOCAT10N_ <br />.A1 U4i�ON Of WU�• �CO51 O! IdA1C�NL5 �LUS LFI30R� , <br />��'-�-�- � 39 � � 3 �= I� <br />:if SCRdiI IV:)RN � _/ 1. <br />� c.o o �' tn�d�.��'sz�, _ � <br />�ai� U.ocuowc�% I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� I <br />�I`—e-��S�-���'�' PLICATIONANDKNOWTHESAMETOBETRU@ANDCORRECT.ALL � <br />u,ni.n�scamuo��o�raoi�eatrsr nntowoW T>c��rou�c -irs� pROVISION50FLAWSANDORDINANCESGOVERNINGTHISTYPF <br />35-3 (F � .�- � � � OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE <br />,o�—a�oc�or �` INORNOT.THEGRANTINGOFAPERMITDOESNUTPRESUMETO <br />�J ^ GIVE AUTHOFITY TO VIOLAT[ OR CANCEL THE PROVISIONS OF <br />�JI-ZL�� �C���t.�n �JlL�.(� � ANVOTHERSTATEORLOCALLAWREGU�ATINGCONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. / r� �I <br />�IL�..i�.,--rQ-�O-�l.��_-7L/1 C-fH�w.�-L� =_icNnj(laeorcorvrnncrcaonaur��on�ri-oa�cNt nnTt � /j� <br />� nu^.ilP ADDFE55 n <br />N 1 I% S .� : o� /y �� <br />PLUMBING <br />TYPE OF FI%7l <br />WATER CLOSET �TOI�ETI <br />BATMTUB <br />LAVATORY �WFSN BA51W <br />SHOWER <br />KITCHEN SINK d DISP <br />DISHWASHLR <br />LAIINOFV TMV <br />CLOTHES WASiiCR <br />URINA� <br />FLOOR pNAIW <br />BACKfI.Ow P�7EVENTEqS <br />FOOF l7RAIN5 — RAINLEADERS <br />SINK �SERVICE — DAP. ETC ) <br />� ��Uqi SEip4l'w... _ <br />Zo <br />11 E IIJN <br />�Z <br />�Yn[ Oi CO45i <br />��� <br />=�:E01 OIOG <br />9�D S� <br />xl�� /CC�.�21 �it1 <br />qrr=ui"nvrti Gtv eU5iNE55 LicLNSE No <br />MECHANICAL <br />ITEM FEE NO. n'PE OF EOUIPMENT <br />A/C — AiMNOLG UNITS — H P <br />REFRIGER�TIONUNITS—IiP EA <br />BOILEPS — B.i U �M P <br />GAS FIREO A C. UNITS — B T U. <br />FORCED niR SYSTEMS — B T U. M EA. <br />WALLHE�TERS—UTU. M <br />UNITHEATE��$—�SL M <br />EVnPOFATIVG COOLERS <br />CLOTHESDPVC:R$ <br />VENTILATION FAN <br />RANGENOP� <br />Wpi[R HEATER <br />WOOOSTOVE <br />METAL FIPEPLACE S CHIMNEY <br />FNEPLACE INSEf7T <br />HEATPUMP <br />GAS PIPING <br />EXHAUSTFAN <br />$UBTOTAI i <br />PERNIT S <br />TOTAIfEE f <br />a SE1BnCK 'vIDE SEie�L <br />Z U -� , <br />AREA ypCPHi51LE <br />�jQ �'ES �NO <br />:UPANCVGFOUP NOOFDWFL <br />�3 � <br />Of S10AiE5 M4% OCL L( <br />� �� <br />.. _..nJvacCBv a�nNSGMECKCDBY <br />�-,�_ � � r(i <br />or <br />FEE <br />suercra� s y ('j� <br />PERMIT f � <br />TOTALFEE S <br />PI.AN:;HQCR NUAIOEH FEE � AECEIPT NO. <br />� � � -1 �� , � . _cn —x'. � <br />1 r�! ' C% J`�.� <br />� ! : <br />FEES VALUATION FEE <br />BU�LOING S .��j,S jS � � � � <br />PLUMBINi <br />MECNANICAL <br />OTHEF <br />STATE DUILDING SURCMARG <br />STATEENERG�SURCHARGE <br />PUBLIC WOPKS <br />TOTAL <br />i � � <br />�I �: ., <br />PROPF.RTV OWNERS ARE PESPONSIBLE FOR DETFRMINING ALL <br />FROPERTV IINE LOCATIONS AND AELATED EASEMENTS. <br />