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fMEv�qn�n APPLICATION fOR <br /> ""°` CONSTRUCTION `°°'°" <br /> everett PERMIT C <br /> BUILDING DEPARTMENT <br /> 259�8810 TO BE COMPLETED IN INK • PLEASE PRINT <br /> ❑ DEMOL TION fJ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑SIGN <br /> ��w.,. � �un enou�ss u„ <br /> � PNnN! <br /> (3c'n .��. I���� IG�'`�c:; ���/��c� Ci��S� <br /> .ur��.�� �„ M �n ti n.�ou <br /> , [HI u.�l t JNtrq.�iv M�y .�411OL:[ ----- PnONr <br /> i ,� ���1. ` Z Q♦TI � � 1�(:f':S! • <br /> .,`,.i r�, 1N•' 11,fl 6�l!'.5( �lM�innn����1�l v I ` ��i � !i rc�(�r�. L� � 1'?�3 <br /> � r.irv t.�� rv�nqe <br /> ` 1-x<C 1�='CS'�""Yv� <br /> �IVMB�N�iL:JNIF4 rnl� Mlil 4pp��51 <br /> Silr fil' PUONf — <br /> i u l p'd . <br /> Cl�SS ni NOP� <br /> �. NEW ❑ ADDIiION ❑ ALTERATION ❑ FEPAIR ❑ DEMOLITION ❑ WOODSTOJE/fRPL INSERt ❑ BUILDING RELOCAtIGN <br /> vh^Ve•��.�ni.ir N�.n.��l.v n41In4��Pll�tiUflnRi ___ <br /> .� �"O ` <br /> DISCHiflI W�)Pr <br /> � .J �� �-C � �. 'C' — <br /> usF ur 9uy0rrvG _ <br /> �'�'�.�[—(1ri I HER[BY CERTIFV THAT I HAVE READ AND EXAMWED THIS AP� <br /> ' ���`� — PUCATIONANDKNOWIHE SAME 700E TRUE ANDCORqECT ALL <br /> ureioesr.ainiirvorvnootnn�s«ownntiowoa��uu.rnuncowrs� PROVISIONSOFLAWSANDORDINANCESGOVERNINGiH15TVPE <br /> ��.��_eioc�_nr OF WOfiK WILI BECOMPLE7ED WITH WHE7HERSPECIF�ED HERE� <br /> IN OR NOT THE GRAN7ING OF A PERMIT DOES NOT PR[SUME TO <br /> T ;j� GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIOMS O� <br /> � �` ��4 � 1 11 < <� � � ANVOTHERSTATEORLOCAILAWREGULATINGCONSiRUCTION <br /> OR THE PERFORMANCE OF CONSTNUCTION. <br /> SiGaalun[ pi (tqN�nni_nluonnun�nnr,[nni,l4� rarl <br /> 1'N. rl1:'�if�HE55 � . ��II I��yJ�� <br /> �. •Ivy 1'AHt�,f.rtv PU•bv!SS I n I V.f NO <br /> (��� � Ocl�'�- S„� e,.,,c'.s'�%G �.tii� <br /> PLUMBING MECHANICAL <br /> NO. TYPE Oi FIf(TURE OR ITEM FE! NO. TYPE OF EOUIPMENT FEE <br /> W��ER GLOSEi�TOILET� p�C —A�HN�I.G UNI'f5—H P <br /> B�THTIIB REFRIGEPAiIONUNITS—MP EA <br /> LAVATORV IWA511 B�SINI AOI�ERS—B T U�M P <br /> _ SHOWEF GAS FIRE�A C UN�iS—8 T U <br /> MITCHEN SINR 6 OISP FOPCE�nIR SYSTEMS—B T U M EA <br /> OISHW�SNER WRLLHEA7E(i5 —P1U M <br /> UUN�RY TRAY UNIT NFATERS—B T U M <br /> CLOTMES W45HER EVAPORATIVECOOlERS <br /> URINAL Cl OTHES DRYERS <br /> DRINNING FGUNTAIN VENTILATION F�N <br /> FLOOA O�qIN R�NGE NOOD <br /> BACNFLOW PREVENTERS WATF.R HE�TER <br /> nOOF ORnINS—F�INIEAOER$ WO00 SiOVE <br /> $INK ISEAVI(;F —BAA ETC 1 METAL FlREPLACF,B:;MIMNEY <br /> FIREPLACEINSERt <br /> HEAi PIIMP <br /> GAS PIPINO <br /> EMHAUSiF�N <br /> SUS TOT1L i !US TOT11L <br /> PFPMIT f P[qMiT <br /> TOTALF[E ! TOT�LF[[ <br /> "" '�'�t�ns, . qf�atiErB���. SioE5t18�cn ✓�.ANi.h ;NNUAIBEF FEE NECEIPTNO <br /> �� s� s o ,o� �'7�19o2Fs � 9CS32�7 <br /> '�� ���� �ci�nt• ��r�r�rs�rE FEE9 VALUATON FEE <br /> si�v is -�Y3 �.ts�� � <br /> ���i ��� s• � ) ocru���N�c[r¢nnuv r�o n� nwfuir�,ua�+y BU4DING �. <br /> �+��{ /✓� � � '�' PLUMB�NG <br /> :f .�� B��iO�ip NO �1lS�Ol1iF5 M�� OCC 101D <br /> 2E O �� � N. A I MECMANICAI. <br /> O7HER <br /> F iRE SPRINKLEFS REOUIRED '� YES T�NO S7A7E BUILDiNC 54RCNARGE <br /> I � <br /> STATEENERGYSUACHARGE <br /> .�• •. � ♦a. - Ifr 1.�/.NSI;I�EL�EDBY 11.1'R I�l1iIS511��11.1 (� <br /> PUBLIC WURNS <br /> �i � I G ' �. TOTAL <br /> —_. _ .. _ _.. i__.__ �-__—___ <br /> PV70FFA�V OWNERS ARE RESPONSIBLE FOR DETFRAIINING AIJ. <br /> PROFFRTY l ME LOCPTIONS AND PElP7FD EASFMFN75 <br />