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� 10��1 <br /> � �PLICA�TION FOI�-� Pm � ° <br /> ; �;ro'°'�" CiDN�TRUCTION <br /> ; everett PERMIT e <br /> � BUILDING DEPARTMENT TO BE COMPLETED IN INK- PLEASE PRII�T <br /> 259-8810 <br /> • ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING /�MECHANICH� � PLUMBING ❑ SIGN <br /> � MniLA0DRE55 C�tt � PMONE � � <br /> t�i�.u. C4Lr�+i�v� �l5 ac.f�' 4F- -�r� �0 I ��i9 � � <br /> APCMITEGT OR OFS�ORt�i <br /> MML AOORE55 C iY 21P V ONE <br /> GENEPAILONSRAGTOP <br /> MeIL��URESS CPV Z�P VIIONE LIGENSE• <br /> ; PNONE LIGENS!• <br /> '� M CH�WGLGONTRPCT fl ARILAOORE55 <br /> ;; <br /> I ►��� !-k,��. �lq -a,�+���p Q�0 ��f-?7�0 UAZl�7�l���fi <br /> / ��ry IiP PMONE .iCENSE• <br /> PLUMBINGCONt GTOA MA�LAD�FE55 <br />, . 7 <br /> ' CLASSOFWORN <br /> . ; ❑ NE�N ❑ ADDITION ❑ ALTERA710N ❑ REPAIfi ❑ DEMOLITIUN ❑ WOODSTOVE/FRPL.INSERT ❑ BUI�DING RELOCATION <br /> �� V�LWT�ONOiWOFKICO510FMrVCF�nLSPWSLABO�i <br /> � pESGNIBE WOFN � 0 n / A L , <br />'. �J�� _ �l Q SU�J <br /> .�s ove iyc_,.� I HEREBY CERTIFY THAT I HAVE R�AD AND EXAMINED THIS AP• <br /> �� PLICATION AND KNOW THE SAME TO BETRUE AND CORRECT.ALL <br /> LEGALOESLRIPTION�JtVROPERTYISMOWNBELOWORRiTACM�OURCOPIE51 PROVISIONSOFLAWSANDOROINANCESGOVERNINGTHISTYPE � <br /> ' OF"WORK WILL BECOMPLETED WITH WHETHER SPECIFIED HERE• <br /> � �ar_e�ocK—or INORNGT.THEGRANTINGOFAPERMiTDOESNOTPRESUMETO <br /> G�VE AUTt;OFITY TO VIOLATE O!2 CAfdCEL THE PRqVISIONS OF <br /> � ANY OTHEfl STATE OR LOCAI LAW REGULP.TING COIJSTRUCTION i <br /> OR THE PERFOFlMANCE OF CONSTRUCTION. . � <br /> — SIGNniUHE GF GONINACTG� �p MOR�I.ED AGENT OATE _— <br /> ' I p�l�C� TSCI�VB E5. UC6N5 N �^ �C���� <br /> ' VPOJECT�DDFE55 <br /> ��IS �.� �� . <br /> " PLUMBING MECHANICAI , � <br /> FEE NO. TYPE OF EOUIPMENT FEE � I <br /> � NO. TYPE OF FIIITURE ON ITEM : <br /> � WATER CLOSET�TOILET� A/C—A/MNOLG UNITS—H.P. <br /> �� REFRIGERATION UNITS—M.P.EA. � <br /> ' BATMTUB <br /> � BOILERS—B.T.U./H P. <br /> LAVATONY IWASH BI�SIN� <br /> i SNOWER GASFIREDA�C.UNITS—B.T.U. <br /> FOFCEC AIR SYSTEMS—B.T.U' M F1�. <br /> �i KITCHEN S�NK 6 DiSP. � <br /> DISHWASHER _ WALLHEATEAS-9.T.U. M <br /> . UNIT MEATERS—B.T.U. M <br /> j ' LAUNDRVTRAV EyqppqqTlVE COOLEPS <br /> � CLOTHES WASHER CLOTHES OAYERS <br /> UPINAL <br /> ' VENTILATION FAN <br /> � OHINNINGFOUNTAIN qqNGEHOOD <br /> i <br /> FIOOR ORAIN � <br /> �� WATERHEATER � �. <br /> BACKFLOW PFEVENTERS <br /> WOOD STO�E <br /> ; ROOF DRAINS—RAINLEADERS ME7q;,FIREPIACE 8 CHIMNEV <br /> : SINK;SER��CE—BRF.E7C1 FIREPLACEINSERT <br /> . HEATPUMP .. <br /> GAS PIPING ._-�— � <br /> E%HAUSTFAN <br /> s SUBTOTAL <br /> SUB TOTAL p[qMIT � <br /> PERMIT <br /> f <br /> TOTALFEE <br /> TO7AL FEE s <br /> iRONTSEiB�CK REARSETB�CN SIOE SEIB�GN <br /> � vLnn CnECK NUMBER FEE RECEIPT NO. <br /> �pTqqE� PEES VALUATION FEE <br /> USE ZONE VAC�NT SiTE <br /> ❑YES ONO g <br /> BUILDING <br /> TYPEOFCONST. . OCCUPANCYGPOUP NO.OFOWF.LLIN.UWTS <br /> PLUMBING <br /> 512E OF BLOG NO 0�STORIES MR% OLQ LOAD MECHANICAL <br /> — OTHEFi <br /> FIRE SPRINKLERS REOUIRED ❑ YES ❑ NO STATE BUILDING SURCHANGE <br /> STATE ENERGV SURCHAfiGE <br /> RPFLIGRiION V fLANSCHEGI(EUOY ��PRFO�ISSU4NCEBY pUBLICWORKS <br /> TOTAL . <br /> PROPERTY L�INE LOCATONS ANONRELATED EASEMF..II751NG ALL <br /> I <br /> . .-..:. ��:.;,:-� r... .... .. ... :. ... _ <br /> ,r.--:i" _ " <br /> . . ...,.. .. .. -��.�,�,�•. <br /> . _. . ., .. . ' .s� <br /> . .uu:�r..::.r� �.�.....v.n. <br /> .., . .. . , .:... . . . ... . . . �. _ . . <br />