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i <br /> ,�.f..ro„,� APPLICATION FOR <br /> "ry°` CONSTRUCTION °"°.°" <br /> everett PERMIT e <br /> OUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK • PLEASE PRINT <br /> ❑ DEMOLITION ❑ COM8INATION �BUILDING O MECHANICAL ❑ PLUMBING ❑ SIGN <br /> ��w.�e.a u•n �oouiss/4r,�-� rnr nv orwvt <br /> �' U, <br /> _�/�e57eic ff / ��,Kc�� r-3�u- ir�n s" � Sk; (,v�rFTr �1Br�.� 5 � T� ii.r <br /> i iNe uui .00 ess c.nv ru, v�rr�� <br /> °7'�'P- 3�,f�/ <br /> ��rlr�lilAl(:IJNIF�t:I()R M�II �f111HI5} [i�1 Llf' 1�1�(:1�f Ill:lNSf • <br /> ��. O /.�� /ur2 <br /> Y!('n�N4.q CON1R�CtOq M��l�OONEAS CIiY l�P PIIONf IICCNSI• <br /> O�UMfliN�iLONtR�UOR Mu1 �DONEtiS CiM1 I�P np�_iNF <br /> �n.�ptie . <br /> a�ss o� won. <br /> ❑ NEW � nDDITION ❑ ALTERATION ❑ FEPAIR ❑ pEMOUTION ❑ WOODSTOVE/FqPLJNSERT ❑ BUII�ING RELOCAlION <br /> �'4V�tnlN7OlWnp. COS1�If�!M���EA�4[P11151�PqRi <br /> ol� L=s�.2 � — �d `�c� X .��� ��_ <br /> DI YCRiHJ!�W:)Pn <br /> 1/ C /�� � �/0 2 T J , �Q' . <br /> Uyl Of BUIIOiNG <br /> I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS AP� <br /> PLICATIONANOKNOWTHESAMETOBETRUEANDCOFRECT ALL <br /> .�r..inesr.n�onoanroaovenrvisNowHae�owoarn.c�rouncoairs� pqpVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTVPE <br /> OF WORK WILL BE COMPLETED WITH WH[THER SPECIFIED HERE� <br /> ����—aioc�or_ IN OR NOT THE GRANTING OF A pERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV OTHEF STATE OR LOCAL LAW REGULATING CONSTqUCTION <br /> OR THE PERFORMANCE OF CONSI'FUCTION. <br /> SION4IUPE Of(:pNifUCiOq Oq Alq��ppljFO nGCNi p41F <br /> X /, / �,/ 7/ <br /> Nne�tc �oo�a7s <br /> -G-"'TCA_lCti 'y �c�e��G�i �Y�� <br /> •GPLif.AHT16���flu�iNf S5��C!iiSf 4n <br /> — ov � S7 s s � r- , <br /> PLUMSING MECMANICAL <br /> NO. TYVE OF fIIITURE OR ITEM FEE NO. TYPE OF EOUIVMEN7 FEE <br /> W�TER LLOSET�TOILETI q,t—a,HNDLG UNITS—M V <br /> BATHTUB AEFRIGEP�TION UNITS—M P EA <br /> UVA70RY�WASM B�SINI BOILEPS—B T U M P <br /> $MOWER OASFIRED�C UNITS—BTU <br /> ICITCMEN SINN 6 OtSP FO0.CEO nIR SYSTEMS —B T U M EA <br /> OISHWASHEH WI1LL MEA7ERS—B T U M <br /> LAUN�RY iRAY lIN1T YEATERS—B T U M <br /> CLOTME$W�SMER EVnPORATIVE COOIER$ <br /> URIN�L CLOiHEtiOBYERS <br /> ORINKING FOUNiRIN VENTILAiION FAN <br /> FLOOA�RAIN 'I RFNGE HOOD <br /> BACNFLOW PREVENiERS WATfR ME/TER <br /> AOOF DR�INS—R�INLEADERS WO00 STOVE <br /> $INN ISERVICE —B�R.ETC I METAL FINEPLACE 6::MIMNEV <br /> FIREPLACEINSERT <br /> HEATPUMP <br /> OAJ PIPINO <br /> EXM�USTFAN <br /> fUeTOT�� � !UlTOTAI <br /> PEPMIt � IKpMI� <br /> T0T1LfE[ ! TOT�LfE[ <br /> ����..%srroa. nF•nsrre+�n SiDE9E*BeCe :InNCHEC1cNUMBER FEE RECE�PTNO <br /> - � 7 �9 3 3 P- ?c�-`'S `i :� Y o a. <br /> d :�iNt ior�ri� <br /> v.c•r�rane FEE9 VAWATION FEE <br /> ' _�r.t �S-P 3 %� yNvS .3 r �rts�o <br /> .�-� �., rnvs� BUI�OING S <br /> (N;fpV,1NCVGNpU� NOOlOWfII�NOUNliS <br /> �� <br /> Y — N � �� � � �` P{,UMBING <br /> .;f �D B.O�i HO 01 SP)qiEA M�� OCC LO�O <br /> �Z g S� � N� MECHANICAL <br /> OTHER <br /> �iRE SPRINNLERS REOUIRED ❑ YES NO St�TE BUILDING SURCHARGE <br /> STATEENERGYSURCHARGE <br /> "'' '^� �•� tl� ��u�Sf��ECNEOB� �Vt'R �ORi59WNGkA'r I <br /> ' PUBUC WONKS <br /> /•, � `�� ��Z.C- /.1-L_ TOTAL <br /> PROPERPY OWNERS ARE RESPONSIBLE FOR DETERMINING ALL <br /> PROPERTV LINE LOCATIONS AND FEIATED EASEMENTS. <br />