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M� Ev�rprsan <br />GITY OF <br />everett <br />BUILDING �EPARTMFNT <br />259•8810 <br />r �. <br />i�PPLICATIfJiV FOF`i� <br />�oivSTR�i.�1��oofai <br />PE�Ii�iIT <br />TO DE COMPLETED IN I�JK • PLEASE PRINT <br />everetl <br />e <br />i <br />� G LEMOLITION ❑ COMBINATION ❑ BUILDING ❑ fdF_CHANICAL ❑ PLUMBING ❑ SIGN � <br />I �WNE MAILApD11L55 CI�Y 211` PIIONF, '. <br />' �/1�%n ,� .S'�7�r%i Pa [�aX .5�2 •Cif' Si���e� yShs� Gs-3 o7o�S_` ' <br />� ANLNIfECtOROlS�GNEfi MARAUOfItS:i Orv :�P {'r�ONL <br />, GENERALGONiRPQOR MAII.�UbRC55 �]��. -- .:�'•"— ,�A I9�OA: LIC[NSE� <br />� ,_$'•��i�! f. _-- /�'I C�u�// � U �� /��% <br />' MEGHAWGAL CONiPAC10❑ ���Il ADORES$ ;ilv !�P PUONE. UCCNSE • <br />' PLOMpiN.CONIRnGttI❑ h1AllA01)�[SS �'��r DV M�ONF LICL115E+ <br />❑„NEW O ADDITION U �LTEFATiJN ❑ FlEPAIR ❑ DEMOLIIIU�J ❑ WOOUS10VEiFLPL.INSFRT ❑ BUILDWG RELOC�TION_ , <br />vnlunriorvofwonn�Co;lor rd�tUanlSi'ius�.nooni ' . <br />.�.y -�d o � _ _ � <br />OESCRiBE NDR1c <br />-si �74%� <br />' uSEo:��Wtoirv <br />LEGA'L !�ESCRiP11UN OF pnOPl <br />� �or�e�oc�—o� <br />PROJEC Al pDiiE:S <br />PLUMBING <br />MOY/N OELO W O' Fl �AGI fOU�i CU�'R tir <br />%/� Sc?// �c/GG <br />� p,-. S Fl <br />� NO. TYPE OF FI7(TURE OR ITEM <br />i WqTER CLOSET (TOILET� <br />BATHTUB <br />. LAVATORYIWASH BASIN� <br />� SHOV�ER <br />NITCMEN SINN 8 DISP <br />OISHWASHER <br />� LAUNDflVTRAV <br />� CLOTHES WASHER <br />URINAL <br />�RINNING FOUNTAIN <br />FLOOR ORAIN <br />BACKFLUW PREVENTERS <br />ROOF 7RAIN5 — �AINLEAOERS <br />SINK �SERVICE — BnR. ETC 1 <br />SUBTOTAL SI �� — <br />PERMIT t�—�� <br />TOTAL FEE S /y�"�' � _ <br />FRONr5Ei0nCrc nEAnSE�Nn( <br />�� 2b <br />usetou„ �oranen <br />K �� <br />TYPE OF LONSL OCCUVANLY <br />512E OF tll�G Np U� S10R <br />51p[ SC10AGh <br />VACAIlL SIIL <br />I1vF5 IINO <br />NO Of IJWPILINti UNIi$ <br />I HEREBY CERTIFY THAT I I1AVE READ AND EXAMINED THIS AR <br />PLIGATIONAND!(NOW THESAMETOBETRUEANDCORRECT.�LL <br />PROVISIONSOF LAWSANDORDINANCESGOVERNINGTHISTYPC- <br />OF WORf<WILL �E C0�1P..ETED WITH WHETHER SPECIFIED HERE <br />IN OR NOT. THE GRANTING OFA PERMITDOFS NOTPRESUMETO <br />GIVE AUTIiORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANV OTIIER STATE OR LOCAL LAW PEGULATINGCONSTRUCTION <br />OR THE PEFFOFMANCE OF CONSTRUCTION. <br />sicr�nivae or coNiriac�cr� on numonizeo nce�+r unre <br />�� ��T�o, � _ .s/�'� <br />pli:iNf Sti i �CI I�tiF <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />A�C -- Ad'INOLG UNI75 — H P <br />RLFRIGER�TION UNITS — H P EA. <br />BOILERS—�TUiHP <br />GAS PIFED n C. UNITS — 4 T.U. <br />FORCED AiR SYSTEMS — 0 T.U. M EA. <br />'NALIHEATERS—OTU M <br />UNITHEATERS—�TU M <br />EVAPOFIATIVE COOLERS <br />CLOTHESDFVERS <br />VENTIL�TIOI� FAN <br />RANGE t�00D <br />WATEA FIEATEfi <br />WOODSTOV[ <br />METAL PIiiEPLACE R CHIh1NEY <br />FIfiEPIACE INSERT <br />NEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUOTOTAL <br />PERMIT <br />TOTAL FEE <br />�'LAN CHECN NUMBER FEE _ <br />�� � � ��U �� <br />FEES VALI <br />�UILDING � <br />PL11M81NG <br />Mn+uCL Lo.iU MECHANICAL <br /><rnucr.ua� �.r.r, n+ rinr�scu[Grc�ouv nriv� roiu�suar�r.i nr <br />,� s� <br />OTH[R <br />STATE OUILUING SURCNARG <br />STqTE ENF�iGY SURCHAFlGE <br />PUBLIG WORNS <br />TOTAL <br />rec <br />i <br />RECEIPT NO. <br />FEE <br />f'flOi fRlv OIVNGRS �R[ Rf]SPOfJ51�L[ I"OR DETERM1IINING ALl <br />p170PGR�Y LINf. LOC�ilONS ANU f7ELA1ED EASEM[NTS. <br />