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.�.PPLICATI�DN FO ►. everetl <br /> I�e E+erpreen C O N S T R U�T I O P� , O <br /> cm ov <br /> everett PERM6T <br /> BUILDING DEPARTMENT <br /> 259-88i0 ' � 8E COMPLETED IN INK- PLEASE PRINT <br /> � ❑ DEMOLITION ❑ COMBINPTION ❑ BUILDING q3'MECHANICAL ❑ PLUMBING ❑ SIGN <br /> I <br /> rr,rt.n �n:,ii+onr�tcs <br /> n.� ro vnr� <br /> ������1�'l`l i1 /��'�,�1(t�i � ►�'�l�� l`li l�(I �u=a�'f( ( /�� ��l"lr l��t's=�=k' ��!��;��i� 7�z�-g�"rL <br /> ec_�mi.nonuese,Ea �ani�aooa[ss cirv :u, c��orit <br /> nu�eor�raseior+ I � ram�.,00nEss 'y�1 ����e�.-v '� � =��on��� / u ensr. <br /> H i,tl%%�lL)I IU `l V'4}'�f� �('���<``F���—lLr-1 ' C' (i L I r�'�k"C,l:i J l�7 �v����i <br /> x C"'x� •e�c�,�aaic:>i corvra<r,rne ��m�auoaess r r,orve uce��si: • <br /> �9 y �?����` i �� i�IJ�F <br /> kJ.`�7x r�urnoon;corrtancron rn.n.aooacss c�rr zi✓ r�romr u::�nsc . <br /> '4" H <br /> ayw <br /> H '�y� a�<:Snr�vnnr. <br /> � Z� ,�NEW ❑ /+DDITION ❑ FITERATION C� REPAIR ❑ DE1dOLIiiG�J ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDWG HELOC�TION <br /> y� /:'alU4i:011011':CR-.I:OSiO{ 1.1>IEFI4l��L1:`_:<I�'iR. <br /> 'TJ H'�J <br /> � V1 H n,�scn�ec�vor,n , � - ' .� �� ���� <br /> z� l \ � . <br /> y� use or e�_�n.o�r+u � � I HER[BY CERTIFY THAT I HAVE READ AND EXATv1WED THIS AP� <br /> 7 <br /> H �� 1 �•� ' ����� � �(�'�� l7�_� PIICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.lLL <br /> �c.^,n�orsca�Pno�+oFaaoaeaiv�s� vn�oe�rn•roumr>u�rwaca�res PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISIYPE <br /> �„ n OFVYORKVlILLBECOMPLETED\NITHWHETHERSPECIFIEDHERE� <br /> H � ,a�_Eunn_or IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> Z H GIVE AUTHORRV TO VIOLATE OR GANCEL THE PROVISIONS OF <br /> ,�y �7 z ANY OTHER SiATE OR LOCAL LAW REGULATING COtJSTRUCTION <br /> F..�y OR THE PEFFORM1IANCE OF CONSTRt1CTION. I <br /> � ti 5 uNaluuE�' ::p•ir:cGiC'f�q M1utr.OtiizF :.LEr�r O.�tE <br /> H � /• <br /> c� C7�n X � <br /> � �r , /2;�/�7 <br /> 'L H C/1 i-ea�r.0 aooa[ss >�:n_,�u�ncu.�r.��t ss�.,'t.•�tir �. � <br /> H O Cn � <br /> � ����7 ;����'�� C� - <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER Cl0$ET ITOILETI ��C —���+���lG UNiTS—M P <br /> �ATNTUO AEFHiGER%.TIONUNITS—HG EA <br /> LAVATCFlV I�4ASM BASPJI ElOILERS—H T U:N P <br /> '� -- GaSfiREOAG UNITS—BTU <br /> ��t� cMOwER <br /> KITCMEN$INN 8 O�SP FCRGED AiR SYSTEM$—B T tl M EA <br /> OISHWASMER WAILN[ATERS—01U M <br /> ��y _ �AUN�RY TRAY UNIT HEATEPS—�T U �f <br /> ' CLOTHES WASHEF EVaP0�1AI VE COOLEFS <br /> .�m . <br /> UA�NAL � CLOI��LS�RYER$ <br /> ORINHMG FOUNTAIN �� VENTILATiON FAN <br /> FLOOR OA/IN `� ��NGE F�OOD <br /> '��� BACNFLOW�'�EVENTEfiS WFTER NEATEP <br /> ROOF DRAINS—PAINLEAOERS WO00$TOVE <br /> SINK ISERVICE —8Al1 ETC 1 METAL FIPEPLACL S CMIIANFV <br /> f FIREPL�CE INSERT <br /> '�� HEAfPU4�P <br /> GAS�IPING <br /> , ExHAU$TFAN <br /> •; <br /> SUB TOTAL S SUB TOTAL <br /> PEHMIT S PEflM1T <br /> TOTALFEE S TUTALFEE <br /> +��� RECEIPT NO <br /> ��,uur tii iu.+ur. ivenn suuzc. � smc ti[iencK �'lar�CMECn NUMBER FEE <br /> . . .�..:out �orancn vacairt.ne PEES VALUATION FEE <br /> ❑r[s :;Ho 5 <br /> DUILDiNG <br /> �.�.i�orrorvs; occucn�mvcroun uoo�owt���r.�curnrs <br /> PIUM�WG <br /> f.'.(E i�i 91p(i fl0 pI51pR�F,i IdA4 OCG LOAD <br /> MECHINIGIL � <br /> OTHER <br /> FIRF SPRINKLERS REOUIRED ❑ VES ❑ NO STATE BUILDING SUPCHFRGE <br /> STATEENERGYSUFCHARGE <br /> o��r�nc-�int:>cc [i. ��Fuscu[�✓[oev cr�rnrCnissueHceor pU9LICWORKS <br /> \\-�� TOTAL ` <br /> l <br /> -- PROPERTV OWNERS ARE RESPONSIBLE FOR DETERIAININv'ALL <br /> PROPERiV LINF LOCATIONS AND RELATED EASE�.IENTS. <br /> '.� <br />