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IME�+rprwn . -PPLICATION FO�_ ���.Q„ <br /> ����F CONSTRUCT�ON e <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259�8745 TO BE COMPLETED IN INK- PLEASE PRINT <br /> ❑ DEMOLITION ❑COMBINATION ❑ BUILDING ll MECHANICAL ❑ PLUMBING �SIfiN <br /> owr�tn ;�(� , M,n ennn�ss �] cnr rm runw[ <br /> �%L L(1 � � Qv-�_�`� �� /�< �2.1��iK�'�Z . C�1C=a��77 <br /> •PCIIIICCIOIiP1�ti�iN111 M�i1 4111111155 I:IIY IIP PIIIINI <br /> GkNFR1lCONiN�GiO� M�Il +nnntss �1�IY bP PI�ONC UC[NSE• <br /> Tu�. ��Sf�.ra,�� ��''�� AG�7t}AST Scxlrrz�. .�/-e.����� rz� c� �icb. <br /> MCCN4NIf,4 CONi11�Li01� A�II Appi1C55 ar. zir r�mr¢ uccr+st. <br /> r�uuBiHGcontn�ctnn nun.eonn�ss cnr ¢iP m�orv[ uCEr�s[. <br /> �GI• UF WORn <br /> NEW ❑ ADDITION ❑ ALTFRATION ❑ REPAIfl ❑ O[MOLIIION ❑ WOODSTOVE/FRPL.INSERT ❑ OUILfdNG RELOCATION <br /> vuu�yoH nr wonx�cosr nr u.icnuis rius�.00ai <br /> �7LCJ � <br /> OESCRiBE wOnn •� • <br /> �n(srAu- 5�z-�- s�� a-r,._ r-�t s-r�� ��v� s nz��-r�._ <br /> useooewio r+c � IiEREBV CERTIFY THAT I HAVE READ ANO EXAMINED THIS AP• <br /> .�i^��-� c.c_.. -( PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br /> lC6�LDESCHIP110'IOFPROPIRLY�S owHociowon�iuu�rnuncorics PROV!SIONSOFLAWSANDORDINANCESGOVERNINGTHISTVPE <br /> OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br /> im_o�oc�_or IIJ OR NOT.THE GRANIING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTIIORITV TO VIOLATE OF CANCEL THE PROVI510NS O� <br /> ANY 0T11ER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR TFiE PERFORMANCE OF CONSTRUCTION. <br /> SIGN�IURL UI l;U I�MCi )�Ii110 ED�OkNf ❑AtE <br /> X � S-/3-$' <br /> PROJELT�D�NE55 � 5 ❑T HI151 <br /> .��dZ I�v�.k:.c.�L • <br /> RUM�INO __ _ MECHANICAL _ <br /> NO. IYVE OF FI7fTURE _ FEE NO. � TYPE OF EOUIPMENT FEE <br /> WATER CLOSET TOLLEn _ __ AIR CON� UNIIS-N P.E� _ <br /> BATMTUB . _ RfiFPIGCF�TIDN UNIiS-H P.EA <br /> UVATORVIW�SNB�SINI __ _ _ _ __ �nRERS_H_P LA _ __ <br /> SHOWEI7 _ liAS FlRED A C UNI75-TONNAGE EA _ _ __ <br /> NIiCNEN SINK d DISP. ___ FOFGEO 41H SYSTEMS-B T.0 M EA _ <br /> DISHW�SHER WALLNEATERS=BT.U. M <br /> �AUNDRV TRAV UNR N[ATBRS-9 T U M <br /> CLOTMES W�SMER EVAPORATIVECOOLEHS _ <br /> WATER HEATER CLOTME'DRYERS <br /> URM�L VENTILATION FAN ._ <br /> DHINKIN6 FOUNTAIN RANGE HOOf. <br /> ROOR OFAIN AIR HANDLING Ui:P_ C F M. __ <br /> VACUUM BREAKERS STUV_ <br /> ROOF ORAINS-R�INLEAOEFS METAL�'IREPLACE 8 Cl/IMNEV _ <br /> SIKK�SFRVICE-BAR,ETG) WOOOSTOVE/FIREPLACF INSER7 <br /> — -- SUB TOT�� __ ___ __—-- SUB TOT4L __ '__ '— <br /> � PEPMIT __ ___" _ _ PENMIT '_'_f _ <br /> TOTAL FEE f ______ _ __1_ _TOTAL_FEE ___f <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> iRONfSFTB�Ge nE�ns[io�en smesne�crc vunc.utcnnun�o�n m�nortcKrte <br /> r�e I ner.eivr Ho <br /> USEZONE LOTARC• y�L�Ni511E FEES V�IUATION �EE <br /> ❑YES OHO <br /> TVPE Of CONST OCCUP�NCV GROU^ NO Of OW[IIING IlNrtS <br /> PUItOItIG f <br /> SKE Oi 8LD0 NO O(STOPIES MAN OCC IOAD <br /> fLUMEfIYG <br /> M[C1IPNICAL <br /> FIRE SPRINK�ERS PEOUIRED ❑VES ❑ NO 0T11EF <br /> PENALTY <br /> �F•LIGTIONACC OV 1'UNSLNELNEOBV APPn fONI55UINC5�g{y, ----- j <br /> �-v'�^���� TOTAL <br /> i <br /> ���/) _— _--_.— — I <br /> / � p- � <br /> rj'i(�j'C+ I <br />