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�,-�PPL.ICATION F�.�' �,�,�„ <br /> '"'E""'"" CONSTRUCTION 0 <br /> C�t'/OF <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259•BB10 TO BE COMPLETED IN INK- PLEASE PRINT <br /> ❑ DEMOLITION O COMBINATION �BUILDING ❑ MECNANICAL ❑ PLUMBIN� ❑S�ON <br /> OWNCR M�q�DDRE55 / CIiV ZIF PNUN! <br /> 7�/r�i-� /1�.�,.»� 1,�i7' .�SL:��:�'Fi- f'„P�i'�/ o�'allr �5�- yv��'C� <br /> �RCNR`E�/]ORUlSiO R M�q�ODRE55 CIiV III� p110NC <br /> (.tl�[11/�L CONil1 G� M�il nf1U11E59 G�1♦ ����� n�rpN[�� ���L��SC• <br /> � y�.o.�s� ,�iv�� �,,,Sf _5�� i�9�' A�� �J�' �l'�1'��ca-i�� �a�; e,a �'cy <br /> 1 MEf.N�NR.�ICOWH�f,TOq M11L�OORE95 Clv 21P pNONC UC[NSE• <br /> i <br /> 4 PWMlMpCONfR�GIOR MqL�O�HE]! CI�Y 2��• P��UNL IiCENS!• <br /> 3 <br /> / <br /> ; r,��550�wonn <br /> � <br /> �NEW ❑ ADDIfION •❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUIlDIN6 REIOCATION <br /> V IU��IONOiWOA✓�LOS�O�MAILNIALSP�119L�BOPo <br /> i 7 noc�, o0 <br /> ' oEscaieewoc+ <br /> � 'O � ' <br /> i USE O�BWLOwG , 1 HEfi[BY CERTIFY THAT I HAVE i7EAD AND EXAMINED THIS AF• <br /> i <br /> � PIICATION AND KNOW THE SAME TO BE TRUE ANDCORi7ECT.ALL <br /> 1E04DE5CRIPt1040�OR0>ENlY�SNOWNBELOWON11t�CHfOVRyOPiE51 pqOVISIOWSOFLAWSANDORDINANCESGOVERNINOTHISTYPE <br /> ^y.F,P � OF WOfiK WILL BE COMPLETED WITH WHETHEH SPECIFIED HERE• <br /> io,�—eioc�"��5 or A� A IN OR NOT.THE GRANTINOOF A PEFMIT DOES NOT PRESUME TO <br /> 6F �'�A�S /=S / S� ANVO HER�STIATEORLOCALLAWREOULATINCCONSTRUCt10N <br /> OR THE PERFORMANCE OF CONSTRUCTION. �i <br /> 910NATURE O(CONIR��TpR pR�UTNOR12E0�GENt D�tE p f�—�/ <br /> 7 % <br /> /V/ / `�(, � �oPLiC FflCIfVBUS�HE 9UGt�JE� L� <br /> PROJECT�p0AE4! <br /> � <br /> t PIUMlINO MECNANICAL <br /> NO. TYPE OI°fl1(TURE OR ITEM fE! NO. TYPE OF EOUIPMENT F!! <br /> j WIITEPCLOSET�TI�ILET� A/C—A/HNDLOUNITS—MP. <br /> i BATNTUB PEFPIGEHATION UNITS—MP.EA. <br /> UVATONV IWASN Bd51Nl BOILEAS—B.TL/N P. <br /> I SNOwER GASFIREDA.C.VNITS—B.T.U. <br /> 1(ITCM'EN SINN F UISP FORCEO�IR SYSTEMS—B.T.U. M EA. <br /> OISNW�SHEp �V�LLNEATERS—B.T.U. M <br /> UUNONY iR�V UN�7 MEATERS—B.T.0 M <br /> CLOTMES WRSMER EVAPORATIVE COOlERS <br /> ,�R�N�� CLOTMESOPYERS <br /> ORINNRIG FOUNTAIN VENTILAiION FAN <br /> FLOOR DRRIN RANGE HOOD <br /> BACKFLOW PREVENiEAS W�TER MEATER <br /> FOOF DR�INS—AAiNIEADERS N�OOD$TOVE <br /> SIN1(�SERVICE—BAR.ETC� METAI FIREPLACE 8 CMIMNEV <br /> FIPEPUCE INSENT <br /> HEAT PUMP <br /> CiAS PIPINO <br /> EXHAUSTFAN <br /> 4Ue TOT�L f !U!T0TI1L <br /> PERMIT t P[RMIT <br /> TOT�IFEE f iOTALFEf <br /> 'u'.rn5E1P�C. uUnSEtB�Cn Si�ESEtB�GN %./NCMECKNUMBER FEE NECEIPTNO. <br /> us� tur�[ �����nE• vecu+r srte FEES VALU�TION FEE <br /> ❑res nr+o <br /> BUILDiNG S <br /> �r�'tO�LO4S1 UCCOI`ANGYGPOUP NOOfO'NfLIINOUNIIS <br /> ' PLUMBING <br /> SiiC o�8��0 NO Ur StOniES Mnc OLC Lo�O MECHANICAL <br /> OTNER <br /> (IRE S.:+iflKLEqS REOUIR[D O VES ❑NO ST�TE BUILDING SURCNARGE <br /> STATEENERGVSURCHARGE <br /> a�-�rneu�orvccr. n. ni�r�scHeeKEoar errnronissueHceer pUBLICWORKS <br /> TOTAI <br /> NROPERTY OWNERS ARE RESPONSIBLE fOfi DETERMININO ALL <br /> FROPERTV LINE LOCATInNS AND REI ATED EASEMENTS. <br />