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,�,E,,,o�,� A P P LI CAT I O N f O R �,�,�„ <br /> ��^°F CONSTRUCTION O <br /> everett PE R M I T <br /> BUILDING DEPARTMENT <br /> 259•8810 TO BE COMPLETED IN INK - PLEASE PRINT <br /> ❑ DEMOLIT��IyO� ❑ COMBINATION 11 BUILDING ❑ MECHANICAL G PLUMBING ❑ SIGN <br /> nrnaa �� V�' r,un .nrnaes —� on �u- ruoH� <br /> ; ' ' L `'10/= j.,.uw� f,> /rs /y� 7 /Jv� �t G.J ,�'(/ i:��f � ,t ifaciy <br /> .ncHiq.nUnoi.rti.tl�� ---�� . u�� S, .nv i <br /> . PnoNL <br /> t���r�LN1l (.Jr�IF/.l���n I.I�iI al�ll�lt iti �'r�. i� � <br /> C � 1�/lllf 11'Itil • <br /> ul _V� � � 'IG�CfS 7�/ S� �/£ /� ' <br /> � k'•N <br /> 1(.---1 � r � y ��/�L_1,�L�-�LS�ri�,�F ld'7/� ti- 3s l �„y ,,,��' <br /> ���i ua��..i �o�an.n �� v.�i.uoau,s oi. ( xn �— <br /> ��rnn[ iu,tvtii . <br /> c�.��� �y: P <br /> rw4Nn��-�cUp�nKrJu Mui �onaiss �m .o .nnNl iuiysr . <br /> CL�55 WOP� <br /> NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOUIION ❑ WpODSTOVE�PRPL INSERT ❑ BUILDING RELOCAiION <br /> v�lu�PU4J� wi�n. �JSi�I( Aqqniql.��Llltil�Hnn " <br /> ��� c>v <br /> :q SLPitI!WJ(1« � - . O / 7I �—1 � �/(/ t� <br /> ) �� � � <br /> u,r o�euno�r�u <br /> � C���� I HERGBY CERTIFV THAT I NAVE FEAD AND EXAMINED i1115 AP <br /> 'L PUCATIONANDKNOWTHFSAMETOBETRUEANOCORRECT ALL <br /> ur.�in[scu�ruuwornr.ovcnrv�sHowr�niiowan��uc�rouacon�rs� pqOVI510NSOFLAWSANDORDINAPICESGOVERNINGTHISTYPE <br /> ,'// OF WORK WILL BE COMPLETEn WITH WfiETHERSPECIFIEDNERE� <br /> �o��GZ�e�octi—a. IN OR NOT TN[GRANTING OF A PERMIT�OES NOT PRESUMt TO <br /> � GIVE AUTHOFITV TO VIOLATE OR CANGEL THE PFOVISIONS OF <br /> ANV OTliEH ST�7E OR LOCAL LAW HEGULATING CONSTRUCTION <br /> ,� OR iHE PERFORMANCE OF CONSTRUGTION. <br /> ����7 ,!�� s;Hn�w�e a i�r�nvncrou on aurnn�i:�n no�hi i�.v� <br /> ��L7�C'��S �L!�1J _ . <br /> X� �� i —� . , <br /> �Rp.ifQ�00RE55 4� �iC N�hUr�ll�. h : i.��iry� �.:� `- /��U �� <br /> �'c'�i�c..�s s hs tt �� H�'�•'� � <br /> PLUM81N6 MECHANICAL <br /> NO. TYPE OF FIIRURE OR ITEM fEE NO. TYVE OF EOUIPMENT FEE <br /> WIITER CLOSET I101LET� 4rC —��MNDLG UNITS—H P <br /> B.ITHTUB FEFPIGERA�ION UNITS—M P EA <br /> LAVATOpY�WASH 01151N1 001LEP5—A T U�N P <br /> SMOWER fiAS FIREo n C UNITS—B T U <br /> KITCMEN SINI(A DISP FO�CE�AIR SYSTFMS—B T U M EA <br /> DISMW�SMER WALLHEAfE�S—BTU M <br /> LAUNDRV TR�Y UNIT MGATERS—8 T U M <br /> CLOTHES W�SHEH EVAPONAiIVECOOlERS <br /> URINAL CL^TMf:90RYER5 <br /> �RINNING FOUNTAIN JENTILATION GAN <br /> FlAOR ORAIN RANGE MO00 <br /> 9ACNFLOW PREVENTERS WATER NEATER <br /> ROOF OFAINS—RAINIEA�ERS WOOD STOVE <br /> SINK ISERVICE —BPF.ETC� METAL FlREPIACE 8 C�iIMNF.V <br /> FIRE�'LACE INSF.RT <br /> MEAT PI1MP <br /> GP$PIPING <br /> EIfH�UST 1.1N <br />�� SUB TOTAL i BUB TOT11L <br /> PERMIT f P[RMIT <br /> TOT11L FEE f TOTAL FEE <br /> I� �u ����tit�e+� . Ht.0•t�x�n. S�oe sE�e�cn rq aN Cr+ECN NUMBER FEE AECEIPT NO <br /> i '� � � 7 (93 ?I z � 65 434z8" <br /> ��i :�iv� `°r�nE� '+���H 'rE FEES VAWATION FEE <br /> i <br /> v�c '����s.f ��Ez,I�No <br /> ���n �,� ,..osr ,-��.,�io/n�H�rGnnu� NoovnywFwNGUN�is BUIL�ING t y� <br />� � ' � /'/ � � 7/ PLUMBING <br />� sJ! o� N�fni Nn ur 40uif5 M�� OGf. LO�D <br /> �/JO / N� MECHANICAL <br /> 7 <br /> i OTNER <br /> i fIRE SPRINNLEFS REOUIRED ❑ VE�NO STATE 6UILD�NG SURCHARGE 3 D <br />� STATEENERGYSUPCHARGE <br /> 4�n,. :nn",a. P• ri�qs�uF�flFUP� Arnar�]ni�tio�H� [ B+ <br /> PUBLIG WORNS <br /> ��.1��4 �'.✓Ci �� TOTAL `{ S(_. <br /> � PFU^fRTY OWNERS AqC RFSPONS�AI.f fOfi DF TERI.UNIN(3 ALL <br /> PROPFRTY LWE LOCATIONS�ND NELAiE(1 F�Sk MEN75 <br />