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� <br /> �< I , r.tL��c h61_ <br /> „�PPLIC,4T�ON FOl. ��-,�,-�„� <br /> OaE.��qreen CaNSTRUCTION ;p� <br /> Ci*� o� <br /> everett PERMIT � <br /> y (� BUILDING DEPARTMENT <br /> ��� 25g•BBiO TO BE COMPLETED IN INK- PLEASE PRINT <br /> C� H <br /> H ❑ DEMOLITION ❑ COMBINAI'ION L7 BUILDING '[�,MECHANICAL ❑ PLUMBING ❑SIGN <br /> a 'S'y .. �nml aooa[55 r rv — •� rqovc <br /> � 'T1�51-E'n�n��__ 1Y�..�G2� IL2��S I�r�se.OrII�X� �5-c��--� <br /> ��� uui aooaes,I cnv :��� c�.rrn <br /> ANI]utLCl ON pl SGNER <br /> H �1 <br /> O S O — <br /> �i1 H�i1 ., v[r��.�,i_rrtnncun nu�� .:nnn�.ss . zir w�om� ucv st. <br /> 1 <br /> Vi H <br /> y ��'�j rr��c�,�rcicor�v rne M+::ancr,v, ^� cnr n�, � � r,�r,ac ucE�ur. <br /> � y e \C , �12 `�/� `� l l��i !��U� �-i ��I't� "��y ��7-? � VA!�_f�'iC�'� <br /> r�ur�omr,�o ectnn vui noe�iss uiv n�- w�oar uctNse. <br /> H� g <br /> (�]V (� <br /> Z H� CUSSOI IYOPr. <br /> �-] ❑ NEW ❑ �DOITION ❑ ALTERATION ❑ REPAIR ❑ �[MOLITIO� ❑ IYOODSTOVE/FRPL W9ERT ❑ ❑UII.[1WG RELOCATIO�+ <br /> � �„�y vniunnnvnr��;,a.�cosro� �•mie�n�cnwsiRanu, <br /> g�' - <br /> H <br /> n �y y r.rscniet�a:>�, (� � <br /> �G � �� , � ��LIJ�" -- <br /> mc c�oci��� I HEREBV CERTIPV THAT I HAVE READ AND E%AMINED 7H15 4('� <br /> / � <br /> yp� `� � ������ PLICATIONANDKNOVlTHESAMETOBETRUEANDCORRECT.AI.L <br /> �u;°incscu�ri�o�+o�onnrn*v�srownortowov.��+o��ooncor�cs pROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYP[ <br /> OF N'ORK WILL BE COMPLETED WITIi N'HETHER SPECIFIED H[^nE� <br /> �n�__iaioc�--,,� IN OF NOT.THE GRPNTING OF A PERMIT OOES NOT PR[SUWE TO <br /> GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTNER STATE OR LOCAL LAW REGULATWG CONSTRUCTION <br /> — OR THE PERFORMANCE OF CONSTRUCTION. <br /> s�cr�n�un�-orcnv.��•,�i�uo Furr�or�rm.+cv�� n:re <br /> X /-27�� <br /> raorzc�•ooacss — arruutin�.n-,_vva�ss'�,i.�.u•.�. <br /> � �q�-� S� iv�✓ ����_.- <br /> PLUMBING MECHANI�AL <br /> ND. TYPE OF F�i(TURE ON ITEM FEE NO. TYPE OF EOUIVMENT FEE <br /> WrITEPLLO5E1 i(OILET� A�C—A�HNOlGUN175—HP <br /> '�' fiEFRIGERRTiONUNITS—NP EA. . <br /> BA'NTUO <br /> " �qVATCRYIWP5NBA51N� BOILERS—�.TU�MP <br /> � SMOWER GASFIREOACU�JTS—BiU <br /> KITCNENSMKA�ISP FOACL�/�RSYSTEM$—OTI/� MEA _ <br /> � 1 DISHWnSMER WnILHEATE�S—BTU M <br /> ' f LAUNORY THAY UNIT MB.TERS—B T U M __ <br /> � CLOTNESW.SMER EVAPOPATIVECOOIEfiS <br /> '�1 UFINAL GLOiMES�RVEFS <br /> DRINKING FOUNTAIN VENTILATiON FAN <br /> I ' iLOOA�RAIN HANCE HOOO <br /> � BACNFIOWPREVENTEFS � W/TERMEATER <br /> ��1 POOFORAWS—AAINLEADERS WJO�STOVE <br /> 9NK ISERVIGE—DAP.ETG 1 METAL f IREPLACE S LHiM1MEY <br /> FIREPIACE IN5ERT <br /> ��' HEAT PUUP <br /> GAS PIPIN(i <br /> 1 � E%MPUSiiAN <br /> fSUBTOT�L f SUBTOTAI <br /> ' PERMIT S PERMIT <br /> TOTAIFEE S TOTALFEE <br /> � . _ _ — aLam CYECK NUMBER FEE FECEIi'T NO <br /> 'd'111aC. iiCPR5t1B4K 5'DCS[iB�CM <br /> .��••� ��*°"E^ vncnursi*e FEES VALUATION FEE <br /> �res rvo 5 <br /> OWLO�NG <br /> �_ U�IOYS OCCUPPNGV4flOJ� NOO�01YFlUYfsIINIfS —� <br /> 1'LUM�ING <br /> ... n 9.pG r�p O�Sip4!I 5 ��M OCG .O�D MECHANICAL <br /> OTMER <br /> I�RP SNRINHLERS REOUIREO ❑VES L NO STATE BUILDING SURCHAPGE <br /> STATEEtJERGYSUPCMARGE <br /> .,. . .cooe�n.; ov �unsCr�eCK[oBr .�+ �.�=�um.:.i.¢� PU�LIGWOFKS <br /> TOTAL <br /> —�'---�'-'�— P{�OPFRTYOWIJERS ARE RESPONSIOL[F"JR DP.TER�dINIt:C i�LL <br /> PRO�'ERTV LIN[IOCATIONS AND P[LGTE[1 .ASL1dENT5 <br />