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�MEr�rOmn APPLICATION fOR ���,�„ <br /> `��°` CONSTRUCTION <br /> everett PERMIT e <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK - PI_EASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHAh;CAI ❑ PLUMBING ❑ SIGN <br /> ��wrr � .nu� mnu�titi i :n r��n�a <br /> tc Q�FOt�As /9',�7- /�e °'Sl�• �cR' 9l���I <br /> •i�C��dl(JUPUItiG�RN M�p Dllulv. � � .i p���;��� <br /> r u i ��vrn�iJan r1��i .t un.�. .� ' ,.i •ti . <br /> ��►etdu- �n�t. S�lo- F/t�r�n� �1 �12 �.�s. �lF1o3 oif�p Se��,r�yleG <br /> 1.1ltr��Y�t=�11.�.��P��111l1 �/�il �[1^1i11, :'1� I��t <br /> �. 1�� �'.1 • <br /> PWM9M�[C.CNIP4L�q M41�0(��ilSh i .lr <br /> !il' I'I�Itnll Illlrl',. � <br /> Cl�RSM WpP� — <br /> t: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITIGN ❑ WOODSTOVE%FRVL INSERT ❑ BWIDING RELOCNIIG!I <br /> WI W�iUNJI WUH� IOSi01 M�IEN�q6 9.11ti1�P1�14 <br /> l�-r�--' S37� <br /> f�ISCRiPI �i�- <br /> Y � � t1te.I��, ��Vt.�' <br /> us �r Hu�i u�� . <br /> I HEFEBV CERTIFV THAT I HAVE READ AND EXAMINED TI115 Ap- <br /> PLICATIONANDKNOWTHES4METQBETRUEANDCORRECT ALL <br /> icoeinrscA�ni�o.�nronovenrr�s�nwr�ntinwnn�n�r.�rouar.00�rs� PROVISIONSOFLAWSAND`�RDINANCESGOVERNINGTHIST"PE <br /> OF WORK Wll I.BE COMPLE.FD WITN WHETHER SPECIFIED HERE� <br /> ior_einrK—o. – INORNOT THEGRANTINGOFAPERMITDOESNOTPRESUMF TO <br /> GNE AU7HORITV -:� VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV OTHER STATE OR�OCAL LAW qEGULATING CONSTRUCTION <br /> OR THE PEHFORMANCE OF CONSiFUCTION <br /> 9ibN4ru��l. q� tr�yrnm�h;n�lpaur�ainitrUn.dpr �•n.� <br /> / x ��� G �a7-r� <br /> oaoircr�ooeEss {�'�V � •rrui nmr,�_n. n�r,�rvt� i�� i av •. - <br /> I �7- � S <br /> PLUMSIN6 MECHANICAL <br /> NO. TYPE OF F17fTURE OR ITEM FE! NO. T'PE OF EOUIPMENT F�E <br /> W�TER CLOSET ITOILET� q-0 -q �+NOLG UNIiS-N P <br /> � BATMTUB RFFRiGEPA710N 11NIT5-M P F.A <br /> UV�TOAY IWASM B�S�NI AOI�E�S -B T ll-H P <br /> SHOWER 6A5 FIRED A C UNITS -P T U <br /> KITC��EN SINK e DISP FORCED AiR SVSTEMS-B T U M EA <br /> DISHWASMER WFLL MEA1EPd-0 T U M <br /> UUNORV iR�Y IJNIT NEATE�S -B T U M <br /> CIOTHES W�SMER EVAPORATIVECOOLERS <br /> LIHINAL CLOTHES OAYEPS <br /> CIINNING FOUNTAIN VENTIIAI'ION F�N <br /> FWOR OF�IN RANOE HOOD <br /> BACRFLOw PRE�ENTERS WATEPHEATER <br /> AOOF DRAINS -RAINLEAOERS WO00 SfOVE <br /> SINN ISERVICE -BFR ETC 1 ME1AL FIREPIACE 6 CMIMNEV <br /> FIREPLACE INSERT <br /> HEAT PI1MP <br /> GAS PIVING <br /> E%HpUSTFAN <br /> fU!TO1�L ! 6U!TOTAL <br /> PERMIT � P[pM17 <br /> TOT�I F!f ! TOTAL FLC <br /> �uoar5fr0�[r � �+t�utit�x��•� 5mt5E�P�r,e M y N�ANCMECN IUMBER FEE RECEIPTNO <br /> s �.,,�„d �' �� ao 3�3 5� �= l o�� � <br /> ly� 111N1 LOr�REA <br /> Cn v.,:.Hr�;in FEES VALUATION f[E <br /> ^ }/�` ':vFS� <br /> Rq� pYS� Of:C11P�NLVGROIIP NqU� [1N�IL�NGlINRS BIIILOING �53�� � <br /> y/ �N /N� � � PLUMBING � <br /> �i(f n� m UG NO Of Si0RiE4 M�� OGC 10�0 <br /> 7j. y f G.P{. � N� MECMANICAL <br /> �I'tK1 oTHEa / �`� � I <br /> fIRE SPRINNLERS REOIIIRED Ll YES �CNO STATE BUILDING SURCHARGE <br /> S'�TE ENERGY SURCHAIIGE <br /> ei��_� ni�,,.,. . N. ���nNscnN.��oer •rna r.,niss�.rv�� ii. <br /> PUBLIC WORKS <br /> �n hIl � �� TOTAI <br /> �rl i1 <br /> PROPERiV OWNERS ARE RESPONSIBLE FOR DETERMININO ALL <br /> PROPFRiY LINE LOCAlIONS AND RELATEO EASEMENTS <br />