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,�.f.,,,,,,� APPLICATION fOR <br /> "�°` CON E M TTION '"e <br /> everett <br /> BUILDING DEPARTMENT <br /> 259•8810 TO BE COMPLETED IN INK - PLEASE PRINT <br /> ❑ OEMOLITION ❑ COMBINATION I8' BUILDING O MECHANICAL ❑ PLUMBING ❑ SIGN <br /> "w'^" e�.n �ooHes•s <br /> nn no nHnw <br /> : � �'S'� C�L <br /> AR. . � r'i _ /4;3_�/ `u�.'ts .C� � '>>A//i+ y 'i'/.�>_ <br /> ur.H�itu a i� o e s rn rrorn <br /> uFNI P�/L CCON1R�Gt0� M1q .pORF55 O•v jiV I�upN[ <br /> Z�`�'U �%i�t�AC'N�P( �/�i(�� /�����/ �I C 1 /L �G,c-' lf3.3�� � �'�l� ��7�f r'y�i�+.��7j'� <br /> c r� r nn oo r c� , t�� /�J/ C't= <br /> PNONE liC[qs! • <br /> PIUMR�NOCOHtP�(!ON M�q �pURC45 <br /> ���Y l�C n rONf <br /> ��LlNtil • <br /> I.I�tihln WON• <br /> F� NEW ❑ AODIlION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTO\E��HPLJNSERT ❑ BUILDING RELOCntION <br /> `�I��IUNUf� µp� LRJIVP�Vy��qq�' �� _. <br /> �" � 339 <br /> .„ � <br /> �- ,,7c� � iy' �,/' � ' �x��S� <I �( i,�.- .�,�,T C� _ ' <br /> u.� o�emi.o�N�. G Yti�t �//Z'S!'K �S/X7n� <br /> i <br /> I HEREBV CERTIFV THAT I HAVE READ AND ErAMINED THiS AP� <br /> PLICATIONANDKNOWTNESAMETOBETRUEANDCORqECT AlL <br /> irnaoFscn�nnoHnrnaovcnnisrowpae�owon.�ucrrnuacom�s� pqpVISIONSOFLAWSANOOFDINANCESGOVEFNINGTHISTVPE <br /> —xioc�nr OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE� <br /> ���� INORNOT THEGRANTINGOFAPERMITDOESNOTPRESUME70 <br /> GNE AUTHOFITV TO VIOLATE OR CANCEL THE PROVISIONS O� <br /> ANV OTHER STATE OR LOCAL LAW qEGULATING CONSTRUCTION <br /> OR THE PERPORMANCE OF CONSTf'UC710N. <br /> 51(�N�IURC OI �'.UN�MpIGR OR AUiNORiLFO TGCNI pAl! <br /> --_� X / � .t-c�v �� � ��5 <br /> �nnrtr,innnacss - • <br /> �F�r/'CC'A� S:�'�n'�f d`�i'�ft. //�3 �"our�r�rspneu.wrt,tui:tr�tie �in — <br /> rkJ . � lC: �(�� ��/ <br /> PLUMBING f d' MECMANICAL <br /> NO. TYPE Oi fl1(TURE C11 ITEM FEF MO. TYPE OF EOUIPMENT f�� <br /> W�TEA C.OSFT�TpILET� rl-C –�iHNDLO UNITS–H P <br /> A�THiUB REFRI(iEAATICN UNITS–H P EA <br /> LAV�TCRY�W�SH BASIN) 901LE�5–B T U�M P <br /> SNUWER GAS FIRED A C UNITS–B T U <br /> NITCMEN SINK 8 013P iOFCED AIF SYSTE�15–B T U M EA <br /> DISHW�SMER Wp�_LH[AiERS–B1U M <br /> LAUNCRY TR�Y UNiT NEATFRS–9 T U M <br /> CLOiHES W�SHER EVAvppqTIVECOOlERS <br /> URINAL CLOTHES DRVERS <br /> ORMRING FOUNTAIN VENTIUTION F�N <br /> F�OOAOAAM RANQENO00 <br /> BACNFLOW�'IEVENTER$ W�TEF HEATER <br /> AOOF DRnINS–A�MIEAOERS WOOD$TpVE <br /> $INK�SERVICE –BI1R ETC I METQ FIREPLACE 6 CMIMNEY <br /> FIREPUCE INSERT <br /> MCAT PUMP <br /> O�5 Plf`INO <br /> ENH�I�5�FAN <br /> !US TO�AL ! 6UR TOT11L <br /> ►£RMIT ! P[RMIT <br /> TOTAL fEE f i01A1 Rf <br /> ���9'+�SF�A"' • '�F�°�E�e�C" 5me9[rB�ce �ANCME kNUMBF.P FEE RECEIPTNO <br /> �-' ` - 5 ' b b' 1 9 l�R 5 `�U `'s 5 <br /> '.I :�IN! L(�1AFE♦ <br /> - -� wr�N�s�re FEES VALUATON FEE <br /> L�1 '[.� ❑vE5 'INO <br /> ��'P!Or�ONS* OCCUP�NCYGNOUP NO Of OWlLUN6UNIt$ BUILOING S � � � � � � <br />' PLUMBING <br /> S�tE O[Bi�U Na oi 4tpRiE9 M�M OCG �peD <br /> MECHANICAL <br /> OTMER � <br /> . Y(i / ' � � (� "�� <br />' fIRE SPRINNLERS REOUIRED ❑ YES � NO STA7E BUILOING SURCHANGE ? <br /> $TATEENERGVSUNCHARGE <br /> u,w.�,.:.nr�.�., � r, vunsuNcc.eoer ,���� ��,�� ..,.�.���� e, <br /> '^ PUBLIf,WORKS <br /> �� �• I TOTAI '/ S <br /> PROPERTVOWNEHS ARE RESPONSIBLE FOR DETERMININGA�L <br /> PROPERTV LINE LOCATIONS AND RELATE�EASEMENTS <br />� <br />