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APPLICATiON f0h_ <br />TAT EA+IprEen <br />of <br />. <br />CONSTRUCTIONCITY <br />everett <br />PERMIT <br />BUILDING DEPA13IMENT <br />TO BE COMPLETED IN INK - PLEASE PRINT <br />259.8810 <br />DEMOLITION IT COMBINATION I I BUILDING I I MECHANICAL <br />Z13Lf 9rf-2_^ <br />MAO WTIn[55 -- CITY <br />GI NERAL CONIAACIOB <br />MI huNICH CONIRACInn MITI AODRI:55 CITY <br />HE.1 <br />evaeR <br />ggOY d <br />PLUMBING (I SIGN <br />PunrR -_—.— <br />Punrn nc[N51 . <br />PIKINE LICTNSI <br />PIIIMflM.CONIN/A [,IJM MAII TITANESS CITY f(,n^O^ PHONE IICLr151 <br />n d11 �r P9 jvveI )I- AVtsF 4.%.3 s/! 3SS�-�olY <br />❑ NEW ❑ ADDITION W' ALTERATION ❑ REPAIR ❑ DEMOLINUN ❑ WOODSIOVc"RPL. INSERT ❑ BUILDING RELOCAIION- <br />YAI UANON Of Wnm (COST OF LIAI[nl ALS PII151 ABOni <br />O[SCRITIL WORK <br />usT OF nuI, LING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AI' <br />' CORRECT ALL <br />PROJECT ADOPT 55 I --- ---- - -- — <br />i AI , <br />PLICATION AND KNOW r ZS,MLTO.ETRUE AND <br />PROVISIONS OF LAWS AN.. JRDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br />IN OH NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AIIIHOHI1Y TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANYOIHLRSTATEORL.00AI LAWHEGULAIINGCONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION <br />,,jNAILINI: UI LON114 AMOTOR Oil AUTHORIZE 1) AId NI (IATL <br />1 <br />APPI If.ANT!i CIIY BBSINESS 11CLIJSE NO <br />I <br />J_PLUMBING'LLMECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />PvC - AMG UNITS - H P <br />WATER CLOSET (TOILET) <br />REFRIGERATIATI ON UNITS - H P EA <br />BATHTUB - <br />BOILERS -- B T U ,H P <br />LAVATORY (WASH RASINI <br />_ <br />- <br />(iASI'IDED A C -(NITS - 61 11 <br />SHOWER <br />FORCED AIR SYSTEMS - B T U M EA <br />KITCHEN SINK f DISP <br />( <br />WAII. HEATERS -BTU M <br />DISHWASHER <br />UNIT HEATERS - B T U M <br />LAUNDRY TRAY <br />r <br />-- <br />-- <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />_� <br />Cl OTI IES DRYE,IS <br />URINP L <br />-- <br />VENTILATION FAN — <br />DRINKING FOUNTAIN <br />F .,GE IIOOD _ <br />FLOOR DRAIN <br />WATER HEATER <br />BACKFLOW PREVENTERS <br />WOOD STOVF <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE d CHIMNEY <br />SINK SERVICE -BAR ETC I <br />----- <br />FIREPLACE INSERT <br />_ <br />_ <br />-- <br />IIFATIIIJMP <br />GAS PIPING <br />-- <br />------ <br />EYIIAOST I'AN _ <br />SUO TOTAL <br />sue TOTAL f <br />� <br />_- <br />PERMIT <br />PERMIT f <br />TOTALFEIE <br />A <br />- <br />1 <br />TOTALFEE f <br />I <br />1 N HECK NUMBER FEE RECEIPT <br />NO <br />_ __ <br />InUNt SE IBALA <br />_ <br />NUR 5l I0ACA <br />SOE SETBACK <br />FEES VALUATION <br />FEE <br />use ZONE <br />LOTAREA <br />VACANT SIZE <br />LIVES ONO <br />BUILDING S <br />1 <br />TYPE OF CONS( <br />OCCUPANCY GROUP <br />Nn OF OWELIING UNITS <br />PLUMBING <br />_- <br />SIZE OF BI VG <br />NO OF STORIES <br />MAY OCC LOAD <br />MECHANICAL <br />DTHLR <br />FIRE SPRINKLERS REQUIRED O YES D NO <br />STATE BUILDING SURCHARGE <br />STATE ENEEGY SURCHARGE <br />APPI OCA710111 ALL OY <br />PI ANSCRECKED BY <br />APPn FORISSUAHCE OY <br />PUBLIC WORKS _ <br />TOTAL <br />111 <br />DETERMINING ALL <br />PROPERTY <br />ED EASEMENTS, <br />AND RELATED <br />LINE LOCATIONS <br />