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ppFLICATIOh FOR CONSTRUCTi..N PERMIT everett <br /> �M ewro,..� <br /> TO BE COMPLETED IN INK=PLEASE PRINT � <br /> cirr oF <br /> everett HEATING SYSTEM I�GAS O ELECTRIC 0 _�_ <br /> BUILDING DEPARTMENT — <br /> 259•8810 * <br /> ECNANICAL �PLUMBING := SIGN <br /> � DEMOLITION ;_i CQMBINATION ::7 BUITMDING P pMONE <br /> ���{{{yyyyy'''y��,�'�'�'��1 1 �,� (�E�r{� II � �- - ?� 3 0 �� 3 <br /> �n�I,IIV� �OI�"� �l l `I ��I� L�+ �}�1 L. I � ` ZIPf P110NE � <br /> � 1M4�DDRE93 �� <br /> �� TEtNNT _. <br /> � ANCMITFGTOi1�E516NEA MAM1ADDPE55 <br /> GTV IIP PNOf1E <br /> � <br /> C ZIV PMONE LIGME/ <br /> � CITI <br /> OEHEIIKCOHTR�CTOR MA0.I�DDPE89 <br /> �iTM tio . �. P�,�a�,E ��i�,��� N�1���t'.o� <br /> Ky � , ��� 1� . � � 1� c, �ll�� 1��-f. 1�,�ra�+1 1�2�12� i-���I <br /> o�I.'o .:ITV ZIP YNONE IIC�HBE1 <br /> �O H�I IUYBPlOtplTRI�CTOR WtADORE69 <br /> pJ H <br /> �pZ' ��SS OF wOpK <br /> / <br /> O y d NEW =. ADDITION .J ALTERATION _. REPAIR DEMOta+iOCr v6nsor+er+o�vMa+EO��FRPL INSERT G BUILDINO RELOCATION <br /> ��" b5 0� <br /> ']:°� �a,.MCTVR�CEOfNW�K ' �I <br /> M y� OESCA.�� 87��REFOOT E�NVOlVEO I !�/' , <br /> Z i- C ' i �/ �W I�(. / <br /> C � vnovoseouseoFeu� a I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> ���y .-. . i ' APPLICATION AND KNOW THE SAME l'0 BE TRUE AND CORRECT.ALL <br /> H <br /> �— v �� �^�n PROVISIONS OF LAWS AND ORDINRNCES GOVERNIN6 THIS NPE OF <br /> ��p LfO�LDE4C�PTKK�OFPROPEAN15H0 BELOWORATTACNFWA���E51 yJORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN <br /> � LOr B��K _�F —_ NOT. THE GRANTINO OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY II <br /> JTHER STATE OR LOCAL UW REQUUTINQ CONSTRUCTION OR THE I <br /> y p [�i� '� pERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORRED BY THE <br /> ' TI/\I�t�" �t1XD �D\� O�,'U�I �APPLICAOTFONISISRMADE A DPERCOMPLYh WIT�HKTHE STATE <br /> SqNAT V ECOfOCONIR G OR OR�V M����TZ�D AE • <br /> �' <br /> �I <br /> X � � � I n� ', <br /> o� N�/��I /� � / J �PIL�CAN'lGTYBU9wE551SCEN EM .AMDlV61Eb8N�ME <br /> Y ; � <br /> ' LUMBINO MECHANICAL FEE � <br /> FEE N0. TYPE OF EOUIPMENT <br /> i��� ryp, TYPE OF FIXTURE OR ITEM q,,�_q;HNDLG UNITS—H.P. <br /> WATER CIOSET ITOILETI FORCED AIF S"STEMS—B T.U. M E.A. <br /> BATHTUB UNIT HEATERS—B.T.U. M <br /> LAVATORY�WASH BASIN) CLOTHES DRYERS <br /> 1 � � K TCHEN SINK 8 DISP � VENTILATION PAN <br /> � �� RANGEHOOD <br /> i DISHWASHEFl � WATEA NEATER � <br /> IAUNDRY TRAV yrppD STOVE ', <br /> CLOTHES WASHER METAL FIREPLACE 8 CHIMNEY . <br /> i I_= URINAL FIREPLACEINSEFT II <br /> DHINNING FOUNTAIN HEAT PUMP <br /> FlOOR DRAIN Gqg pIPING <br /> BACKFLUW PREVENTERS EXHAUSTFAN <br /> �Y`�' ROOF DRAINS—RAiNLEA0ER5 <br /> SINK(SERVICE—BAR,ETC.1 <br /> i <br /> i <br /> T <br /> ' ' ' SUB TOTAL S SUB TOTAL 5 �—.\ <br /> � PEPMIT S �� <br /> � PEFiMIT S 7pTAl FEE S � <br /> �1��_t TOTAL FEE S ___'_, " —' — <br /> FOR OFFICL USE ONLY: Recaivrwo <br /> iRONTSETBACN NEARSETBACK <br /> &DE6ETBACN PlN1CMEGNHUMBEA FEE <br /> USE ZOME lOT AREA VACANT S�TE <br /> FEES VALUATION FEE <br /> BU4DING <br /> ttv[Oi[ONtS�uOw�Bif nvf Oi COxS�e[ID�� ��aK� M0°Px6i��`��t p�UMOiN� <br /> SREOfBLDO� NO.OfSTORIEe BASEMENT MECMANIC�I ��J1— <br /> OGCUPANCVIOAD <br /> fIRE SPRNRLEpS REO'D MEIONT UMRRqN ADDITIONAL PUN CHECK <br /> OTMER <br /> i <br /> PEASON FOR 5>RiNNlEAS $TATE BUIIDING SUACMARGE <br /> INTeKEBY FlANS�PP��EDBY CITYOFEVERETT PUBIICWORKS <br /> LOCALSALES S-�—I �„ <br /> TAX CODEIS 3105 TOTAL <br />