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� <br /> Af'PLICATIOfd fOR ���.,„ <br /> �«""""' COwSTRUCTION 0 <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259-BB10 TO BE COMPLETED IN INK - PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION �UILDING ❑ MECHANICAL ❑ PLUMBING O SIGN <br /> OWNER MNI�DORE55 f:lry IN _—PNONt. <br /> P.Jf.6�A�c�txe,c�vA tia.9 �av"`sT' se G-=v��� 9P�4 5� 35�7-399's�' <br /> �RCMREC,�ORDISi4NtR M��1 �DDNltiS ���' I�� YNUNI <br /> /��'^�,F��,rulA� 3,�/M„ .,,,,,u,�r�o�cc__�l/EY-dT 98;� 6i5�2--G�4�g , <br /> �{�10�}i�JfT�4' r��A 8�'Si SE �v�%K�/T 9��1!$ ._. 337'-Y�oS���yDT <br /> � MFM�NIC�I CONIP�G1Ifq M��I 1pOPkSh ,-- !n• P�u1Nt UCf qSl • <br /> PWMBMqCONIRIL'OP MHl�00RF55 t��♦ bl` VnONf �nli�t! • <br /> GL� SO�WORM <br /> �NEW ❑ ADDITION ❑ AI.TERATION ❑ REPAIR ❑ DEMOIITION ❑ WOOOSTOVE/FRPL.INSERT ❑ BUILOINO RELOCnfION_ <br /> veW ioMo� .v.�n✓� �n" �aM�ijaa� ^�L��`�J <br /> � a �i �x <br /> oESCRiBE wnP« <br /> ��/ _' / NlC�'•S <br /> usr or eun.mnc I HEREBV CERTIFV THAT I HAVE FEAD AND EXAMINED TFIIS AP� <br /> PLICATIONANDKNOWTHESAMETOBETRUEANOCORRECTALI <br /> �eo�RIPIIJHO�VRO�ERTY�BMOWHlELOWOR�II�G.1fOUNCOPiFS PROVISIONSOFlAWSANDORDINANCESf30VEfiNINGTHISTVPE <br /> OF WORK WILI BE COMPLETED WITM WHETHER SPECI�IED HERE� <br /> io�_e�ocw._or IN OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUMF TO <br /> GIVE AUTNORITV TO V�OLATE OR GANCEL THE PROVISIONS OF <br /> ANV 07HER STATE i1R LOGAL LAW RE(3ULATING CONSTRUCTION <br /> OR THE PERFOR�AANCE OF CONSTRUCiION <br /> SIpN.1IURE Of LUN1qIf lOR 00 1TIlOqIIE�A4F NI I`a�[ <br /> X ^f—;L()-�� <br /> PROIELt�DORE99 �PPIT�N�\tJ1�fl1���N Sp�n"INM Nn <br /> 76�4 i ��� s? SE �vc�� � S'�flP <br /> /LUIYMINO MECHANICAL <br /> NO. T1'K OF i11RU1K OII ITEM fE[ NO. TYPE OF lOUIPMlNT iE! <br /> W�TER CLOSET�TOILET� AiC—�MN�LG UNIiS—H P <br /> B�THTUB REFRIGERATION UNITS—H P EA <br /> LAVATONY 1 WASN BASIN� BO�LEAS—B 1 U M P _ <br /> $MON'EH d�SFIPEOAC UNITS—BTU <br /> NITCHEN SINN 6 D19P FORCED MR SYSTEMS—B 1 U M G <br /> pISMW�SHER WALLMEATEPS—tlTU M <br /> LAUNDRY TR�Y IINIT NEATERS—B'�J M <br /> CIOTNES WA9MER EVAPOR�TIVE COOLERS <br /> URINAI CLOTHESORYERS <br /> OR�NNINA�JUNTAIN VFN�IIATION F�N <br /> FLOOR DA��N R�NGE HOOD <br /> BACNfIOW�EVENTERS W�7ER HEATER <br /> ROOF OPAINS—N�INLEAOERS wOOD STOVE <br /> SINN ISEAVIC� —BAR.ETC 1 METAL FIRF.PIACE 6 CHIMNEV <br /> FIPEPIACE�NSERT <br /> HE�TOUMP <br /> OAS��PINO <br /> ENH�USiFAN <br /> tu/70�A1 f 6UlTOT�I <br /> r[RMIt ! �[IIMT <br /> tOTAI r[! 1 TOT11L R[ <br /> — PLAN C. ECI(NUMBER FEE � AECEIPT NO <br /> fRON14F�B�Ct PE�R9F�BAf.M SIDE9EIB�CM � �� ��� <br /> � r � — <br />' use zoet ����aE� wuHr sin. FEES VALUATION �E <br /> c-, ,,.ES � y <br /> BUILDiNG <br /> 1VVE01fON41 nCCUP�NCYGROIIP NOO�OWFLLiNGUHIl4 <br /> �� �� 2 '�' PLUMBING <br /> S�tf o� B�Oc HO Of S�ORiE9 M�� OCC �0�0 MECMANICAI <br /> �2 s � 5�' <br /> nTNER <br /> FIRE SPRINKLERS REOU�RED ❑ YES O STATE BUILOiNG SUACMAPnE ) <br /> iT11TE FNERGY SURCHAPGE <br /> •Ye��,�;�bO�pv PI�NSCMELMED B� �POM !OR�95U�NCk B• pUBLIC WORKB <br /> �.� r� TOTAL < � ��. <br /> PROPERT�L NE LOCR70N5 A DNRELA7ED E SEMENTIg ING AL'. <br />