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APPLICATION FC�R ���.�„ <br /> '"""'°"'° CONSTRUCTION O <br /> �,ry o� <br /> everett PERMIT <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK • PLEASE PRINT <br /> ZJ9-8B1O <br /> I7 DEMOUTION ❑ COMBINATION I1 BUILD�NG Il MECHANICAL I1 PLUMBING ❑ SIGN <br /> - ------- ..__...--------------- - -- -- <br /> rnmifn �.un rnnin�.; rin :u� runrn � <br /> � �� r�•� , . J . , ' .. .' .� . ' . .1 �i <br /> . � . <br /> �_____..__ .._-_.___.______-.__..__ _ <br /> `\qflllf1ll�n�lll�l Sllitll�l M�II AI�11111 ti:i �Ilv il�• 1'IIfINt <br /> ' J Y, � I • �_ .. � � �./ �� _ ��. � ��� .( �. �� <br /> GI�(��1 L041n l:lPf1` M�II ItI�N155 , h� !0' ' �9 OI 1 I IC.UIF! • <br /> �t i � . . I !i� .J. l� : ..,I ( / lI � � 7�� 1 � � •.� .�:� �idrC .Itia.NN <br /> u�a�ea¢.i cnr�in.ranq <br /> i.u�i .nnarss c.nv r�r r�mNc i�crosr��5��� <br /> r�uunin�lcNnn�c�nn u�n ennqtss i.nr tir rr�nr�t ut[Hsi.. <br /> a.ssor wna� �-( <br /> ❑ NEW ❑ ADOITION �W ALTERAiION ❑ f�EPAIR ❑ DEMOlI710N ❑ WOODSIOVE/FRPL.INShRT ❑ OUIIDIWG RELOLATION <br /> W I u�1iON ar wO�.�fo5�nr bul[niel S�Y u5��nnn, <br /> /l� \(\ <br /> OI SCN�BF WON� ' <br /> r_ l� I1L..��� 1 „1J� �. , � ,• i <br /> � <br /> 1151 O�B �I OIt1G � � <br /> ,y � ( �I ( � HCREBY CERTIFV THAT I HAVE FEAD AND EXAMINED THIS AP• <br /> p � /� �� •• I� • � ' � PLICATIONANDKNOWTHESAMETOBETRU[ANDCORRECT.AL� <br /> itr.+� orstannoeorrnortn�r„rnwr�miowo�un+aiiouncorn.� pROVI510N50fI.AWSANDORDINANCESGOVERNINGTHISTYPE <br /> I , �}, f� .:�+ % � ,� '� !. OF WORK WILI�E CCMPLEiED WITH WHETHERSPECIFIED HERE <br /> ioilLeioe�—or IN OR NOT f HE GRANTING OF A PERMIT DOES MOT PRESUME TO <br /> GIV[ AUIHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> � �����/ , �' � r ,� '�� ANVOTH[RSTATEORLOCALLAWREGUTATINGCONSTRUCTION <br /> Ofl THE P[RPORMANCE OF CONSTRUCTION. <br /> . MGII�11111L 111 fll lllIN�CIOI�OR RIIIIIOIb1LI)AGLNI 04i� <br /> X . ' � <br /> r r <br /> r� � i, � . . < <�-� .1 '�S . <br /> GROlEC110ARE55 ♦1'IY�LI.HftiG1YHUlIN1.5511[Ib51 q0 �j <br /> , �,i�� i�)��C �� . - " '. ..� r� � 1 -I l0 I <br /> rLUMlIN6 ' MECHANICAL <br /> NO. TYPE OF FIIITURE OR ITEM FEE NO. T'Pf OF EQUIPMENT �E _ <br /> WATEP CLOSET ITOILET) AiC-AiMNOLG UNIT$-M P <br /> BATMTUB PEFRIGERATIONUNITS-MP EA. <br /> LAVATORY�WASH B�SINI BOILERS-B.T U M P <br /> SHOWER fiASfIREOAC 11Nli5-BTU. <br /> NITCHEN SINK a OISP FORC[�nIR SYSTEMS--B T U M EA <br /> OISMW�SMER WAI.L 11EATEf1S-B 7 U M <br /> UVNDRY TRAV IINIi 11EA1 EFS -0.T U M <br /> CIOTHES W�SIIER FVPVOf1ATIVE COO:E(iS <br /> URIN�� CI OTMES D(iYEP$ <br /> DRINKING FOUNTAIN V[NTILATION FAN <br /> FLOOA DR�IN RANGE 110nD <br /> BACKFLOW%7EVENTERS WATER 11EATER <br /> ROOF DRAINS-RAINLEADERS WOOfI STOVE <br /> SINK�SERVICE-BAR.ETC� METAL(IREPLACE S CHIMNEY <br /> FI(iEPIACE INSERT <br /> - HEAT PUM�` <br /> (iA5 PIPW. <br /> E%I�IAl15T FFN <br /> SU!TOTAL f SUB TOTAL <br /> VERMIT f PERMIT <br /> TOT�I FEE ! T0T11L FEE <br /> PIANCME'KNUMl1ER FEE �,j R�CEIPTNO. <br /> ���OrilSflB�C�� nt�nSEfB�Cn SD[SG1a�Cn ���I`'1 � U � <br /> � ���— <br /> use roNe �ot nnu ���nrrt sn[ FEES _ VALUATION �E <br /> ur1i9 L1Nu <br /> — BUILDING <br /> �VGCOtf,ON51 OCUIPaNCYf.R ID 1100(OWIIIINGU111i5 <br /> � � � �' -� /�� r9FFicr� � NLUMQING <br /> �' r <br /> SRC oP BIDG NO Of�* �ES R�<t OCL �O°0 MECHANICAL <br /> i�sF 2 2� <br /> H 9 vG q �ha�r �' :-'.�-,✓ o o,�,E�, <br /> FIHE SPRINH�ERS REOl11RE0 I] YES�NO STATE�UILDING SURG�ARGE . <br /> STnTE ENEI7Gv SURCHARGE _ <br /> ePPiirRLON�(.0 IVr r•�ar�SCu[Cht011v �Pi�1 rnnissu�r¢.� Ov PU(iLIGWONKS <br /> ��� � G •G• roTn� <br /> �--- FROPEHTV OWNERS AHE PESPONSIDLE FOR DEIERMINING ALL <br /> ,l � - _ �`.' � p�3pp[q�yLINELOCPTIONSANORELA'iEDEASEMENTS. <br /> C�f/«�� �� <br /> �.������G �7��.7i�.A:�76�1 / 6��'� . I <br />