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APE�LICAT�N FOR CONSTRIJC�OPI <br /> ,�aF.o.o,ao� <br /> PERMIT <br /> CRY OF �'��'��'�� <br /> everett e <br /> BUILDING DEPARTMENT <br /> 259�8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> awn�a �a�uuecss .� + z�� ��m.e <br /> CO�STl.�J�f�E �'u�✓y 22 oUg 37'-� �T. FUE,�E� : V o E <br /> ✓ � v v <br /> mCNiIECiON0E5i6NEP MLRe00NF59 C�1Y ZiV NqNE <br /> GENEfULCONIP1LfOq MAIL�DOPE55 CIiY ZIP 4XONf IICENSE• <br /> /UEuJ(FLv(� �SY?Ltc�i� 3307) CGtESYN�c� EUFrZf�` <br /> MECN�NIUICOMIP1LiOR M�It�pDRE55 CIlY I�G GHONE LICENSE� <br /> /�/�/E�l6fa.0 �Tl� �G7�(G (flEECrr,, w�-y �1HCe ye/ZS 3�7-353� AM��x2izTC <br /> RVMBiXOCONIR�CiOP M�IL���PE55 CIIY $IV pNONE tiC[NSC• <br /> Ll/i50fNVNR <br /> �NEW ❑ RD�ITION ❑ PLTEMTION ❑ NEPAIN ❑ OEMOLIiION ❑ 1VOODSipVFJFFPLINSEPT ❑ BUILDINOPELOCATION <br /> tEN�N1iMV11WEMEMOPiMERiOPPEMOOELONLY COHL���C�ND���/� 3�7-3S3S� <br /> OOx1MLtGPiCEO�NOflK <br /> OESCbB[WOR[�N�SOWNE f�i1GE iH W WEO <br /> ���� <br /> wrow,`s[on u^sc or euaoma I I HEFEBY CEFTIFY THAT I HAVE PEAO RNO E%AMINED THISAPPLICRTION ANO <br /> vY'1�fa �I Ul�d�lA/ndl`�O NNOWTMESAMETOBETRUEANDCORRELT.RLLPROVISIONSOFLAWSAND <br /> �Eauo[seeiu vno>cn isH Fo� o �vr.cNeounGOA[s ORpINANCESGOVERNINGTMISttFEOfIYORHWILL9ECOMPLETEDWITN <br /> WNETHEP bPECIFIEO NEREINOF NOt.TNEGFAIJTINGOFA PERM�i DOES NOT <br /> PRESUIdE TO GIVE AUTHORIiV TO VIO�ATE OR CANGEL THE PROVISi0N50F <br /> l0i_ &oce_Or ANYOTNERSWTEORLOCAILfiVREGULATINGLONSTRUCT10NORTHEPER� <br /> FORMANCE OF CONSTRUCi1011 THAT I AM RUTMORRED BY THE OW NER OP <br /> THIS PROPERTV TO PEFFORM TPE WORK FOR WNICH APPUCATION IS MAO[ <br /> ANp 1 GOMPLY WITH TNE STAfE CONTRACTOFS LAW IBY] RGW RND <br /> 296200 WAG �/D� <br /> seuauncorco�+*n�nonnnaun�onizco+ccr�i o�re <br /> X Gey��c,��^,, ���� <br /> vuo�ec��ooa�ss - �^ L•6��'�/l <br /> / �y� ^ / �>pLIC/.N�SCIIYBUS�NESSL�CENSLNOAN00115ik[SSN�MG <br /> � YT <br /> ✓� <br /> PLUMBING MECHANICA� <br /> NO. NPEOFFIX7V11EOPITEM FEE NO. TYPEOFEOUIGMENT FEE <br /> WATER CLOSET�TOILET) A/C-A/MNDLG UNITS-H P <br /> BAIHTUB � F/1PCEDAIq5Y5TEM5-HTU. MEA — <br /> LhVATORY�WASNBFSIN� 2 UNIiNEATERS-OTU.aRA —' <br /> SHOWER GLOTMES DRVERS <br /> NITLHEN SINKd pISP. VENTILATION fAN <br /> OISHWFSMER RANGE H00� <br /> LhUNDFY TRAV WATEF HEATER <br /> GLOTHES WASHER WO00 STOVE <br /> URINAL METAL FIREPLACE 6 LMIMNEY <br /> DRINNING FOUNTAIN FlFEPLACE INSEfiT <br /> FLOOR DRRIN MEAT PU1.IP <br /> BACKFLOIY PPEVENTEFS GAS VIPING <br /> ROOF DRAINS-RAINLE..UERS E%NAUST FFN <br /> SINK(SEFVICE-BAR.ETC� <br /> SUBTOTAL 5 SUBTOTAL 5 <br /> PERMIT 5 PERMIT 5 <br /> TOTRL FEE t TOTAL FEE 5 <br /> fNONi5E18�CK PE�PSf10/.LR SIOESCIB1LIt %ANCM[fRMUMO[fl iCE 11{CEITN�. <br /> us[xoH[ wi�n[+ mcnrv�sne FEES VALIIATION FEE <br /> p YE9 p NO <br /> IYPFOifAN9l. CLNV.WCYOPOOP NOCFUNFLLINOIlM19 BUILOING <br /> AILGW�BLUI�CiUµ <br /> PLUMBING <br /> S�IEOFBLW NOOlSIOXiES 8541 CCGLO�O <br /> o v MECHANICAL <br /> OH <br /> HE�cnruMrt�nOn OTHEN <br /> liPESPRiNXtEfl9flEWIPEO �YE4 �NO STATEBUILDINOSURCHARGE <br /> STRTE ENERGY SURCHMGE <br /> RVVLiC1lION�CLtlY PLAN$MVPOY <br /> � ` vuaucwoaKs <br /> -�-�J TOTAL � <br /> a7�1��' <br />