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APPLICATION FOk �,e,e„ <br /> ,�.E..,o,.,� tt C�NP R M TT I O N O <br /> ��n oF <br /> evere <br /> H o r� BUILDING D[PARTMENT <br /> �j� "� 259-8810 TO BE COMPLETED IN INK - PLEASE PRINT <br /> C � y til�1'-III' <br /> H ❑ DEMOLI'fION ❑ COMBINATION Kl 6TIiB�)1VG I.1 MECHANICAL I] PLUMBING ❑SIGN <br /> 9 H VJ m�n enm¢ss ni. :u� rnrn�i <br /> t,� o�vr�cn <br /> y�y H Everett School District Nn. 2�23��a163� n., IiveretC 98203 739-4350 <br /> K O .�+cm¢croamsr,rven v+u<nnmss �:nr tu� nurnu <br /> Ox O '__'___"'_'________ <br /> � � H c�renai comn�cion nun anun[sv cnv nr rnure �iu.rat . <br /> CT7 O [T] r ir�urnui ernaa.nrn�'__"_ �.�en +nnniss i.it. ru� runnt ncer�si . <br /> Hl7 -------------'--'--- <br /> O H nwe�a�rvr,r�:ntn�uos raui ennmss rin nr irmr�i ncn���. . <br /> � � 8 -------------------- <br /> n• c� <br /> H a nss or wnnK <br /> q �~-] z ❑ NEW ❑ AODIT:OI1 ❑ ALTCRA710N ❑ NFPAIN_❑ D61d01IIItiH_ ❑ 1VUOIISiOVE;FRPI.IN;;EHi fl` t1UII.UING HELOCAil01!"" <br /> t� <br /> H H •�+uinnor�o�won��eosini eu�u�i.c.r:v.iamn�� <br /> g�' sa000.ao __—_—_ -- <br /> N <br /> OGl❑7y oi�c�+mEwos� <br /> 3 [�1 t+ Move 2 par�able classcnnms�io�ne or [istul .anu�6�,�• — -- <br /> z y y use ur ocnnir�r. i IIEREDV CERiIFV THA7 I IIAVE HEAD AND E%AMINED TIIIS AP� <br /> HO � CLdSSTooInS _ PLICATI('NANDhNOWTHESAMETOBETl7UEANDCORRFCTALL <br /> :[r,uocstniruo�+nrraor[nniv�owr�ouawce+�ur.uronnr,or�Fs� PROVISIG'lSOFLAWSANDORDINANC[SGUVERNINGTHISTVPL <br /> Of�N'ORK WII.1.DECOAIPLETEU WITH\NHETHERSVECIFIEDHEHE- <br /> ioi—a�nr.._—ov .- — W OR NOT 1HE GRANTINGOF A PERM17IT DOES NO�PRESUMG TO <br /> IiIVC 11U111t1HIlY TO VIOLATL OR CANCEL Tlih PROVISIONS OF <br /> �N V OTI ILH STA1 E OR LOCAI.LAW f7EGULAT W G CONSTRUCTION <br /> — OR IHE PE17FOHI.1r1NCH OF C(1NSlRUC�ION <br /> .Il�tlAllllil.111 1't1t1111A1 I�ili 1111 411111111�1:1 11]���III I��:II. <br /> X �� �I L�� <br /> r�r+o��ci�oor�[ss ai ri��_rn�.�,�n��n.✓e,y, , m�.,�— <br /> l,owell Glemencary <br /> 5010 View Urivc liverecc <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR IT�M FEE NO. NPE OF EOUIPMENT FEE <br /> WnTER GLOSET ITOILET� a.0 -A�MHuI.0 UW TS-N N � <br /> ' � pATNTUB IIEFRIGER4TIONIINITS-MPEA <br /> LAVATORV I\YPSN BASINI OOu.ERS-fI I ll,H P <br /> '�1 SIIOWER I:AiFIp[OACIINITS�-0TU <br /> HITCMEN SINN S DISP FORCEO Mf�SYSTEh15-0 T U A1 EA <br /> f ' OISHW4SMEN WMI.uG�U6i5-9iU M <br /> LAUNDFY7RAY IINITHEAiERS -[ITII �� <br /> 's' GLOTHESWASHER LVAPORATIVEGOOI[R$ <br /> URIN4L CI OTI�ES�HY[RS <br /> ' 1 O�INNING FJIINTAIN _ ��Nill PTION FAN <br /> FLOOii�R/iN (iANG[n000 <br /> '�O pACNFLOW�PEVP:,cnS WATFRnEATGR _ . <br /> ROOFDRAINS FNNLEAOERS WOOpSTOVE <br /> 'f1 SINN ISERVIC. --OPR.El C� _ IAET�L FIR[PI.Af,E 8 CIIIhIN[V <br /> ' � FIR[PIACG INSEf1T <br /> � HE�T VUAIP <br /> GPS P�PWG <br /> 1—' E%HAl15T fnN �� <br /> � <br /> �f SUB TOTAL S SUO TOTAL <br /> PERA!IT S PENMIT <br /> 's' TCT�L FEE S TOTRI FEE <br /> ' __-_. _— - - 1•1 nN t;MECtt NUM1IpGN f EE HEGEI{'T NO. <br /> 1ppNt5[to�Cn� r+[�RSEIB�C.n S�t)15t1o+La <br /> � <br /> u•,i:orrt �or�nu vr.i..rasm ..— FEES VALUATION FEE <br /> ure, mu 5 <br /> ❑101.l]R!G <br /> t���l ql f,0!151 OLCUP�NLVGPOIIV t�0 uf I)IVII11!IGI�Hii': <br /> PWMBING <br /> Si.f O� 13iD. NO DI:tOla[5 ����� nGL l<LD MECMANICAL <br /> OT11[li <br /> RRE SPRINKlERS REOUIRED ❑VES ❑ NO STATC-OUILDMG SURCHARGL <br /> STATE@NERGYSUHCHARGE <br /> _��i ,.ni.,•�. i�� �vnqsLu[cn[DOv u•rni.niu.,unr..iuv PUOLICIYORNS <br /> TOTAL <br /> � I'fiOfEN7VlO.INCIACA710NS1NONRE'_ATED�DE�I�NTSINGALL <br />