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ti.'f'LICATION FOR <br />,".E`.,°."" CONST�RUCTION <br />CITY bl <br />everett PFRMIT <br />BUILDING DEPARiMENI <br />259�8810 TO BE COMPLETED IN INK • PLEASE PRINT <br />❑ DEMOLITION IJ COMBINATION CI BUILDING ❑ MECHANICAL <br />OWbIR MeIIAPOnIVS ❑IV III' <br />.a� � .e��� ��S�i��� G-�3j3 S�rcn�.��,�e �'1. �_J. `�S-�',o <br />.��n����noams�nu[n u.n+nnn�s. cnv +u+ <br />\ dl PLUMBING <br />m�oui <br />3 S� 3- 2%� 7 <br />U 31GN <br />PIUMlMriCO11IfUL10�1 M111 AOOOl55 fp1Y lll' PIIO�II IlClb$[ • <br />LUSSIn vnn.. � <br />❑ NEW ❑ nomnou ❑ nu�r�nnori [l ��ernm ❑ n�Mni.inor+ ❑ WODUSIOVE/FRPI INs�r�� IlI111.DING REI OCn110N <br />uy ��rrO�)r Nnn..[n51 M ��a�l �n4 ��1 uS 1�r1nn� —.----_'_'-. " <br />� {) <br />0 0 -- <br />,�:�,�. <br />U11 Or flun Un�p _ <br />YP` �ti ' .� c • <br />� 1 f.M Dt Sf.nrnuN� nr nnor[ u� r iSnnwN <br />1 � �1�� NI n(.M� nl <br />G�3/3 �yc.c��i���d' <br />PlUM01N0 <br />frPE OF FIXTURE <br />W�TER CLOSET �TOItET� <br />B�Tl1TV8 <br />LAV�TORY IW�5110�SI111 <br />SHOWEN <br />RITCNEN S�NN 1 D�51' <br />OISMW�SNER <br />�AUNDRY iR11Y <br />CIOTNES WA511E� <br />URINAL <br />OAINI(ING FOUNTAIN <br />FI.ODF ORAIN <br />BACNFLOW PREVENiLn. <br />ROOF I7RAIN5 - �A���� EA Of. <br />S���K �SERVICE - OA�� Eif, � <br />uin�i�s�rou:. - - <br />1•,I IJi�E <br />�Ht U� ronsl <br />src u� mnu <br />fIRE SPn�NKLEF <br />u�piif.cli0u�lf, p <br />SUeTOTAI <br />PERMIT <br />TOTALFEE <br />��[•n se�n�cK <br />im.m� <br />nr�.ur•ucv cn[ <br />❑n i�� �Jq1uf.S <br />�iB) I] YFS <br />VI / p51:11ECM[[ <br />�oun <br />I HERBBY CERTIFY iHAT I HAVE FEAD ANO E%AMINEO THIS AP� <br />1'LICA710N AND KNOW THE SAMF TO BE THUE ANDCORI7ECT. ALl <br />PROVISIONSOF LAWSANDOR[]INANCESGOVERNIN6THISTYPE <br />OF WOIiK WILI. BE COMPLETED WITI{ W1IETIIER SPECIFIED HERE• <br />IN OR NOT. illE GRANTING OF A PEPM17 DOES NOT PPESUME i0 <br />GIVE AU7fiOfillY TO VIOLATE OR CANCEL THE PPOVISIONS OF <br />ANV O111LR STAIE OR LOCAL LAW FECULAiING CONSTRUCTION <br />OR THE PERFOflMANCE OF CONSTRUCTION. . <br />514N�IIIREUICUNIN�C10f10Rq1111pfU1lOAGkNi DNE <br />X -� �.�i )_ f �' G -;� o -s''8 <br />nn ouslrrt ss ucu�s� ��o <br />MECHANICAL <br />bC - Ad1NDLG UNItS - M P <br />REFRIGERATIONUNIT9-I/P E� <br />OOIlERS-Bi WNP <br />dA5 fIRED A C. UNITS - B T U <br />FORCED AIR SYSTEMS - B i U. M EA <br />W�LLI/EATERS-BTU. M <br />UNIT NERTERS - 0 T.0 M <br />EV�POPATIVE COOlERS <br />CLOTIIES DRYEt75 <br />VENTIUiION FAN <br />RANGE 11000 <br />W�lER11E�lER <br />WOOD STO�E <br />MEUL FlREPUCE A CIIIMNEY <br />i1REPlALEINSERT <br />NEAT PUMP <br />GASP�i'INO _ <br />fU! iOT11L 1 <br />1)i � <br />— P[PMIT <br />1 � 1� �— �OTAL fEE 1� <br />� ' VLAN CMECN NUMOEN I FEE I PECEIPT NO. <br />snn.c� <br />vebuu snL� <br />f IVLS I1t10 <br />nn nr mvruirvuurms <br />MPv <br />nrrn ia� <br />BUILDING S ���_ <br />PLUMBING <br />MECHANICAL <br />onien _ <br />STATE BUILOiNG SURCl/�RGE <br />STATE ENERGY SURCIIARGE <br />PUBLIC WORKS �� <br />TOTAL �� <br />PiOPERiYLINELOCAIIONSANOrRELAlEOE SEMENTSINGALL <br />