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,�,E»�,,.� APPLICATION FOR � <br /> CONSTRUCTION °"°"" <br /> CiT Of <br /> everett PERMIT E+ <br /> BUILDING DEPARTPAENT <br /> 259•8810 TJ DE COMPLETED IN INK • PLEASE PRINT <br /> f] DEMOLITION ❑ COMBINATION �BUIIDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> 'wrua uei �nnu�•,. nrv nn nwov� <br /> U�c� (.6 T ?i K- c.�� �y 27 - IGa�°�" Sc,.1 Even�lf <br /> ..iu i� o�s�4Ntu u.natouis•; ��irv tm cHnNt. <br /> vfp[N1�IJNtR4[IOR M�n �ftllRftiS r (J�1 ONf iflqtil • <br /> ��� �w�„�� ��09 - /bysw �oNos 9 P���a � 36 <br /> ..�i��.�b-ucnw�iacmTuinnoAts� rm nn�n�� i�-�-�st . — <br /> �A•��A .t�i�bJT <br /> PIUMPIIIe�(.:�N11i\I.l(1N M�II �nI1NE15 (��lY 1�1 f�IiJNF <br /> �u e rr,� . <br /> �f,l� ]l)l Wl)Nv <br /> NEW �ADDITION ❑ ALTERATION ❑ REPAIR ❑ D6AOLIiION ❑ W(�ODSTOVE/FRPL.INSERT ❑ BUIL�ING RELOCA110N <br /> V�111�1i11N Ilt W�if1. 1'lJ51 UI MAILRI�LS PLIIS L�fl�IRi _. <br /> 2Sd 0 - <br /> l R NL <br /> l � o � <br /> us nr e�.:no�r.o <br /> 1 HEREBV CERTIFV THAT I HAVE iiEAD AND EXAMINED TH�S AP� <br /> PLICATIONANDKNOWTHE SAME TOBE TqUEANDCORRECT Al l <br /> �i.aorscn�vuoaornnovcatv�s�owr.eeiowon�tur.�rouatoo�r.� PROVISIONSOFLAWSANDOFDINANCESGOVERNINJTHISTVPE <br /> JF WORK WILL 9E COMPLETED WITH WNETHERSPECIFIED HEi7E� <br /> ����—B1OC"—O` IN OR NOT. THE uRANTING OFA PERMIT DOES NOT PR[SUMF TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIOP75 OF <br /> ANV OTHER STqTE OR LOCAL LAW qEGULATING CONSTRUCTION <br /> OR THE PERFOFMANCE OF CONSTFUCTION. <br /> SIGN�IUAEOrI�UN*Raf.iGROnAI�fnOnil[O�GlNr p��� /��� <br /> /^ / N � <br /> X � � � <br /> vV � <br /> �•nOitcr�ooFE55 �nn�ie�araf,rtr usiqf55uCeh5f �u <br /> � c� � — � �� St �W � / <br /> PLUMeING MECHANICAL <br /> NO. TYP!Oi FIIRURE OR ITEM FEE NO. TYPE OF EOUIPMlNT FEE <br /> WeTER CIOSEt�TOv E7� A�C—AaNDIG UNITS—M P <br /> BATMTUB qEFqICERATIpNUNITS—MY EA <br /> UV�TORY�WASH R�$iNl BOIlEFS—8 T U�H P <br /> SNOW�N GASFIREDIIC UNITS—BTU <br /> NI7!)NEN$INK 6 DISP FORCED�IR SYSTEMS—B T U M EA <br /> OiSMW�SHFA WALL HEATERS—B T U M <br /> LAUNDRY TR11Y UNIT MEATERS—B T U M <br /> CLOTHESWASMEN EV�PORRTIVECOOlEFS <br /> UPINAL CLOTHESONYERS <br /> OA�NKING FOUNT�IN ':EA7ILATIpN FAN <br /> FLOOR OHAIN pANGE h,�OD <br /> 9�CKFLOW PREVENTERS WATER MEATER <br /> ROOF DRAINS—PAINLEAOEPS 'NO00 STOVE <br /> SINK�SERVICE —BAR.ETC 1 MET�L FIREPLACE 6 CHIMNEV <br /> FIREPUCE INSER� <br /> MEAT PUMP <br /> ORS PIPINO <br /> E%MAUSTF�N <br /> !U!TOTAL i !U!TOT11L <br /> KRMIT � Kq�ry/ <br /> TOTAI F[[ ! TOT11L FL[ <br /> "• �'•�st�H�i. af•n sr re��.. S�UE 9E�B�C• �AN�HECk NUMBER FEE �f��� RELEIPT NO <br /> /✓.�} -- - • 5 � C' Z - �l.3tY`I <br /> ^�� :���i� ioi�nt• v�cuii srt FEE9 VALUATION FEE <br /> ,r:, - i'�-3 � :,ES�,� <br /> BUILDING S'� '��', S <br /> ��! O� inY51 OCCOP�NCYGOO�O NOOfOWfIUNGlPUiS <br /> � N M �I '(� P�UMBING <br /> ��:f "1 Bl pG NO OI SlORiFS N�Y OCC IO�D <br /> Z�U S� � � Na MECHANICAL <br /> OiNEF <br /> FIRE SPRINNLERS REOUIRED ❑ /ES NO STATE BUILDING SURCHni1GE <br /> STaTEENERGYSUNCHARGE <br /> JY:- .:.M1pN4( Bv VIPNSC4FCNfDBv �I`VR VpR6511�"I(fP� <br /> PUBLIC WORKS <br /> �`n n ,�,V` . ��/ �/.G • TOTAL <br /> V <br /> PROPERTV OWNERSARE(7ESPONSIBLE FOR DFTERMINMG ALL <br /> PROPERTV LINE LOCATIONSAND RElATEO EASEMENTS <br /> Yda. <br />