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,ME�,o,»� �-.PPLICATION FO� _ ���,�„ <br /> ������ CONSTRUCTION 0 <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259-BBtO l'O BE COMPLETED IN IM1K - PLEASE PRINT <br /> ❑ OEMOUTION I7 COMB�NATION I I BUILDING I 1 MECHANICAI. I i PLUMBING ❑ SIGN <br /> � - ----- — - - -------- - -.. _._— — --------- ----- --------- <br /> nwa�q t r.un .unuis�, i.iv nr iv�nnt. <br /> ��ZS�c...+ �����--- 'l�.CZ__.Ls�.ai«n.1— �—._t.�'1'�(�_LL"L_�-��_��C.'�/ <br /> �ul.uttr�� NU1'�,rt✓Uu e4n .Pn��ISS -_—__'._'—'__ •n,' ' - _"_-___,__" fq�nrU - <br /> � . .J �{{�.�.•. ��(�j� <br /> ol bi n• tJ M/.cinn �e4� nPlinl;5 Uh ;il• ��unNl /'`�Y'iCh1ST�'�'�/p <br /> � �.-1 ) J T <br /> .11�• r/ � _Li�� i—_._!1. /L�'/I.....__�`'__ .�L_� � _ . .��!!:�/__�' �� "_ S—�5���7— <br /> r.�l i wq�:y rnrnu itnq .uq ann�1L•;r:�� Cur�� tu� �•nnn[ UCI�.t1 <br /> _ r�-�.: _ __ - - -- ---- - ----- --------- <br /> r�ulAcnUir�viln�rtO/n rA�p .Plell•.:, ���. liP Punrrt i�ftuSl . <br /> �a��f - C�SzN.f-�--r.�-N �' i_ ;�r !� J .Si11� 1 .� _.____-___ , <br /> u�ssnr won� <br /> ❑ NEW ❑ nDUITION ��ALIENAIIUN ❑ HCPAIN ❑ U6Mn1111i1I1 ❑ WJOOSIOVElFPPl.IN5ER1 ❑ dUILOING HELOCATION <br /> ___'_____-___'_'__'._-"._'-'_ _ __ _ <br /> vq u�LON Or wnRr.fOSI n� l�nl�iq 5 vl uti i�Unn� <br /> �.. - f H.n t � /'�_i.��,., � -i__-LL:'C�C� C .. <br /> pf 5<NiBL 1/VqRh / <br /> �� �> ���,� ,� � �.� .� l�� �� t 5�,.�.. .� --- - - <br /> us�o`r emi nwc I H6NLdY CERIIFV 7HA1 I HAVE READ AND E%AMINED THIS AP• <br /> ��__� , ..� i .�� : � �.�✓� • PLICATIONAN�KNOWTHESAMET08ETRUEANDCORRECT.ALL <br /> ucnin[sca r�or+n� rHorc rr�sr�nwuncy won�iutnro�v.rnrv�s� PHOVISIONSOFLAWSANDORDINANCESGUVERNINGTHISTYPE <br /> Ll/� n `/{C (1��% OF WORK WILI.BF_COMPLETFp WITH WHETMER SPEGFIED MERE <br /> �JI�V}IIUf �'i��� / �' =�'---� iNORNOT 711EGHANTINGOFAPERMITDOESNOiPRESUMETO <br /> GIVL A1I7110NI1Y TO VIOLAT[ OR CANCEL THE PROVISIONS OF <br /> ANV OTHEN STAIE OR LOCAL LAW REGULATING CONSTRUCTION <br /> -- ---�� OF IHE PEHFnRMANCE OF CONSTRUCTION. <br /> . SlulAl1111L0`11.1i1llHnl'JIiNOI1N11111UNIL1- Nli1N' L41p <br /> X , I 1 <br /> 7 �''` � ;:_— " ��'i4T <br /> PPOIECT�DDHI55 ---- •PPIifaNl'SCPv' ISirl�lhti NO <br /> .t� / 7� ' <br /> 'lU1MIN0 MECMANICAL <br /> NO. TTE OF FIKTUPE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> W11TEP CIOSET ITOILET) n�G -AiNNDLG UN�TS-N P <br /> BIITHTUB AEFRIf.ER4TIONUNITS-NP EA. �� <br /> LAVATOR�IW�SM 9ASIN� f301LER5- 0 T U�M P <br /> SIbWER .ASFIPEI7nC UNITS-BTU <br /> KITCHEN SINK{OISP FORG[O AIR 9YSTEMS-B T U M EA <br /> OISHW�SMER W�LI HEATEf15 � �TU M <br /> LAUNDRY TRI1Y IINIT I�LATEP$ -0 T U M <br /> CIpTHF.S WASHEN LVAPORATIHE GOOLERS <br /> URINAL ClC ��ESf7N�ER5 <br /> DRINRING FJUNTAIN VEIITILAiIOt�MN <br /> FIOOR OA��N R�NGE 1100D <br /> B�CNFLOW�7EVENTERS W�TER HFATIEF <br /> ROOF ORAINS-R�INlE4DERS WO�O STOVE <br /> SINK�SERVICE-BAR.ETC� METAL FIR[PI.ACE 6 CMIMNEV <br /> FIREPV�CL MSEPT <br /> 11EAT PUMP <br /> GAS 1'IPWG <br /> E%uAl15T FAN <br /> SUS TOTAL 3 SIIB TOT�L S <br /> PERMIT t PERMIT <br /> TOT�LFEE S TOT�LFEE <br /> nrpqr SfBu.r ---" nf u�tit Ib�Cry -'�"-- Si0[Sllo�f,n -- i'I AN C��tCn NIIMpLR f'EE FEGEIPT NO <br /> nsi ruru ionn�.+ vq�:.���tii�� FEES VALUATION FEE <br /> iiYlb IINU - <br /> 13UILDING $ <br /> t�lq OI L04S� OCLpP�rIGY GFOIIP rp) O�pWf 11 iNG 1If11t5 <br /> PI UMl31NC <br /> SAf pl LI DG NO O!StOBICS I.��M OG( 1 O�0 �� <br /> MECHANICAL <br /> O7H[R <br /> FlR[ SPRINNLERS REQU�RED U VES ❑ NO STATE BUILDING SUf7CHANGE <br /> STATEENERGVSUNCHAPGE <br /> .rr���.:.nniu�-.� n. vi�rr.;cn[c�enov �rrn ionissu.r+ctnr <br /> . . VUBIIC WOfiKS <br /> TOTAL �I� 7 <br /> � PNOPER7YOWNERSAPERESPONSIBLEFORDETERMININGALL <br /> PROPERTY LINE LOCATIONS AND RELATED EASEMENTS. <br />