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a �.`PPLICATION �Ol.'� �K,�„ <br /> ' '�`""'"" CONSTRUCTION 0. <br /> ; ��n o. <br /> � everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259•eStO TO BE COMPLE7ED IN INK- PLEASE PRINT <br /> ❑ DEMOLITION O COMBINATION �BUILOING ❑ MECHANICAL ❑ PLUMBING ❑SIfiN <br /> OWNIR <br /> Mui nonni ss cm zin rr�oe[ <br /> Gia��� /iL'�TS r�ST ��0�'� G,�Ee �'c/�P�F� 9��� ' <br /> ARCNIILC�UAIIIS� N[N Mule[1011155 CIIV II� PIIONE <br /> GkNy��LCOH�R�L1011 M�II H111RLG$ C�Iv l�l' �'P � UGENSC� <br /> H�YE� C�Nsreuc fioN �Sa S i�'v�y ��v� .Cv�rl 9�03 �,�ECc��3iycZ <br /> MECNI�N�GL CGNIN�L1Uq M�II �01J�1CSS CItY ZIP PIIONE LIL'ENSE• <br /> FLUMBINr:�UNIR�C�0�1 M�II �DO��I.SS 1:11Y )II• PI�ONE ��CEMSE• <br /> L1�55O�WOPK <br /> ❑ NEW ❑ ADUITION ❑ ALTERATION � �EPAIP ❑ DEMOLI110N ❑ �YOOD510VE/PflPL.INSERT ❑ BUIL�ING REIOCATION i <br /> v�w�riar+or won.icos�o� ��e�[m�is rius i�nou� I <br /> � I <br /> OESCRiqE WOPK / D <br /> r vE�G G � �G � S�`�,�•C AS �Ee %�E �'ylA.e9�F4ec P �(r.'!3rlE5,' <br /> usc r suno�Nc I HER[BY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> A�� P�� s� ' <br /> PLICATION AND KNOW THE SAME TO BETRUEANOCORRECT.ALL <br /> lE4�lUE5CA�PliONOfOROPERfY15HOWNflCIOWOR�II�CNlOU�CO�ILtN PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> ��� 0 OF WORK bVILI BE GOMPLETED WITH WHETHER SPECIFIED HERE- <br /> i io��2Yeioc dav or � — � IN OF NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PPOVISIONS OF <br /> ANY OTHER STATE OF LpCAL LAW REGUTATING CONSTRUCTION <br /> OR THE PEFFORMANCE OF CONSTRUCTION. . <br /> � SIGN4IUAE Of GONiqFC10R OA AU7110RI 0�GENT I14iE <br /> t v <br /> � � -y_� <br /> •rnuc�Hrsf.nvaus�N SsuCu�S[No <br /> PROJEGi�ODAESS Q /� / <br /> ,jUO'.� LKCt��L /ilJ� Gf/ � <br /> rLUM01NG MECHANICAL <br /> NO. TY�E OF flI[TURE OR ITEM fEE NO. TYPE OF EOUIPMENT �E <br /> W�TER CLOSET ITOILEII MC—AIHNDL6 UNITS—M P <br /> : �TMne RE'A�GERATIONUNITS—NPEA <br /> t LOILERS—8.T U�N P � I <br /> UVATORY�W�SH B�SIN� <br /> �Q�q 6�5 FIRED A G UNITS—B T.U. <br /> j KITCHEN SINN 6 DISP FORCEO nIR SYSTEMS—B T.U. M EA. <br /> DISMWASMER WALLHEATEf75—B.T.U. M <br /> UUNORV TRAY UNIT HEATERS—B T V M <br /> GIOTMES WASMER EVAVONATrvE COOLERS <br /> UAINAL CIOTHESDRYERS <br /> DN�NKING FOUNTAIN VENTILATION FAN <br /> FIOOH ORAIN RANGE HOOD <br /> 9ACKFLOW PREVENTENS W�7ER HEPTEF <br /> POOF DR�INS—RAINIfJ�[1ER5 WOOD STOVE <br /> SiNK�SERVILE—BAR.ETL� METAL FIREPIACE 6 CMIMNEV <br /> FIREPUCE INSERT <br /> MEAT PIIMP <br /> G�5 MPiNG , <br /> E%M�USTFAN I <br /> tU!TOTAL f SU!TOTAL <br /> PERMIT f KRMIT <br /> TOTAIfEE f TOTALFEE <br /> - {KAN CMECN NUMBE� FEE NELEIPi NO. <br /> �ADNiSE*B�Cn A[�R SEiB�CK S�DE SE18�LM <br /> use zor+e l01�RU ��c�r�i 5nE FEES VALUATION �E <br /> ❑v6 OHO S <br /> 0U'LDING <br /> hPEOf[pNSt OLCUPAHCYGOOUP NOOfDWFL4NGUNIiS <br /> PLUMBING <br /> SiiE Of BLDa NO Gr 510AiE5 M�[OLC 10�0 MECHANICAL <br /> OTMER - <br /> FIRE SPRINKLERS AEOUIRGD ❑�ES ❑ NO _ STATE BUILDING SURCNARGE <br /> STATEENERGYSURCHARGe <br /> •vvucmioi+�cGe� nirHSC�rtcKEu9+ A�'��� fORISiUANGf��� VUBLICW�7PK5 <br /> TOTAL <br /> i <br /> — PROPF.RTV OWNERS ARE AESPONSIBLE FOR DEiL'itMINING ALL <br /> PROPERTY LINE LOGAIIONS ANO RELATED EASEMENTS. <br />