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�'O��vv��c� aQ <br /> , �PPLICATION FO.. ���,�„ <br /> `".`'.,°'"° CONSTRUCTION 0 <br /> �,�o� <br /> everett PERMIT <br /> BUILDING DEPARTML"NT <br /> 259-8810 TO BE COM.'I.ETED IN INK • PLEASE PRINT <br /> ❑ DEMOUTION ❑ COMBINATION 17 BUILDING �MECHANICAL Ci PLUMBING ❑ SIGN <br /> o� in .un •nn�nss �.nr i� rimra <br /> �'I,�r� /�. ��Y�e.l,l at�l���c�v__����--q���.�55— �-=�-f I <br /> �naimc�o��ms�,r��.n nu�� �nn�n.,•, �n. :m �vor�i <br /> ��in�.u•iiownecion v.nannia;� �.m re� ruorvt ur.ursi. <br /> ,n¢cr.,•,�,icnNin�c�nq nuu .nna�5•, r.n, r - ru0ra iicu�5r. <br /> ���Q�C��.���-a-�—�"_�—�r�-� 355-7��3o vW�l� <br /> v�uMnwnn in�.[iau nun nuuu.:. , iv :r rnn�a ucu�st. <br /> ti•ssrn wn�� �. <br /> ❑ NEW ❑ �DOI110N ❑ ALTflRAlION ❑ RtPA1R ❑ :�EMl11.I11U1J ❑ WOODS70VE/PFPL.INSERT ❑ BUILDING REIOCA(ION � <br /> Wll/�hl1NOfAVl)RniC(151111 LUilf�iqSl'111511flO14 <br /> �lSCHipI N'ON� <br /> � / . <br /> wt � euno�r+c: G� � HERGAY CERTIPY THAT I HAVE READ AND EXAMINED THIS AP� <br /> PLiCATION AND KNOW THE SAME TO BE TRUE ANDCORRECT.ALL <br /> i�.wincscn�minanrv�+or�.mr�sr�owr+ei�rnvon���.a�rn�inrnr�is� P170VISIONSOFLAWSANDORUINANCESGOVERNINGTHISiVP[ '�� <br /> OF WORK WILL BE COMPL�TE[1 WITN WMiETNERSPECIFIED HEFE• <br /> i�i_B�ocn--or IN OR NOT.iHE GNANTING OF A PERRqT DOES NOT PRESUME TG <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE F'ROVISIONS OF <br /> ANY OTHER STATC-OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFOHMANCE OF CONSTRUCT�ON. . <br /> sir,Hniw��o� r.nr�nan�:�avon.umonizmnoer+r nnrt <br /> X <br /> PROJECI�p�NE55 . •�`I`IIf�NT5C.I1Y01151NL5S1ifl1HL 110 � <br /> g � q <br /> rLUM01N6 ' MECHANICAL <br /> NO. TYPE OF FlI(TURE OR ITEM FEE NO. TYPE OF EOUtVMENT �� <br /> WIITEA CLOSET�TOILET� A/C—AiMNULG UNITS—M P ,I <br /> B�TMTUB REFRIGEPATIONUNITS—HP E�. <br /> IAV�TOFY IWASM B�SIN� �OIlERS—0.T U,H P <br /> SMOWER fiASFINEf)A(: UNI15—BTU <br /> KITCNEN SINN 6 UISP ( FORCED AIR SYSTEMS—8 i U/00 M EA. <br /> OISHWASMER WNLI MEATERS—B T U M <br /> LAUNORY TPAY UNIT MEATERS—B.T U M <br /> CLOTMES WASNER flVAPORATIVECOOLEPS <br /> URIN�L CLOTMESORVERS <br /> OA�NKING FOUNTAIN VENTIIATION f 1N � <br /> FLOOR OAAIN R�NGE IIOOD <br /> BACKFLOW PAEVENTERS WFTER HEATER � <br /> ROOK ORAINS—RAINLEADERS WO00 STOVE <br /> SINK ISERV�CE—BAR.E1C I METAL FIFEPLACE S CHIMNLY <br /> FIREPIACE INSERT <br /> NEAT['UA1P <br /> � GAS PIPING <br /> E%IIAUST FAN <br /> SUeTOT�I f SUBTOTAL <br /> PERMIT f PERMR <br /> TOTALFEE f TOT�LFEE <br /> iNpNlSfiBaf.n i�EANSIIB�CK 51[lCSCfB�Cn <br /> — PtAN CMEGR NUMBER FEE RECEIPT NO. <br /> usrron[ iot.nt. v.i.unsnc FEES YALUATION FEE <br /> '�irts nnu S <br /> OUILD�NG <br /> rvat or m��sr �r,cuau�cv cFnuv r�o or rnvri ur+c ur�ns <br /> PI.UMBING <br /> SKC Of Bi OG ND Of StOla[5 IAax OCC. 1 O�� MECNANICAL <br /> OTREH <br /> PIRE SPRINNLERS(7EOUIRFp ❑YES ❑ NO giA1E f3UILDING SURCHARGE <br /> STATEENERGYSURCN�RGE <br /> apvie:eii0•���:c �ir r�i�w5[nICnLOF�v �rrnini�u"su�NG�Ov p1113LIGWOHKS <br /> TOTA� <br /> PROPERTV L�INE I.00ATIONS AND RELATED E SBMENTISING ALL <br /> i <br /> i <br />