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. .PPLICATIOfV f�. _ <br /> r^•fw��^ CONSTRUCTION �°��`�`" <br /> �everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259�8810 TO BE COMPLE7ED IN INK - PLEASE PRINT <br /> L' DEMOLITION O COMBINATION (7"BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> Owpr� / Mui �Fl�ul•.� — '�---' :rt� nHnNf <br /> -.1� ���nq�c �Sic.��+��r /�/-:l � -ioo�s� S W. T 1� u��� i� � Ib'ic,y. �s�3- i� zq <br />� aurHiqnu�.tn�eqqtq M�u �nDeltis - nv nr rHJNL <br />� r' n - �� � ♦ <br /> �011llll�� l��r�inq� l.`I: M�il >OOHf55 r. . /�p <br /> j VI�nNC 1�1:l�ICf • <br /> INf��•�i/'�,����a(�.R�H N��l UIOREti3 Clf� :iP PNf1NE UCEN51 • I <br /> OLIIM9�N':lt,yt�a �Jq M�ii •onness OM1 DI` pnUNF i�fU�9( • <br /> I <br /> L1�55UV WOPY <br />' ❑ NEW AD�I710N ❑ ALTERATION ❑ REPAIR ❑ DEMOu110N ❑ WOODSTOVE/FRPLINSERT ❑ BUIIDING pELOCATION <br />� 4111�InIN i 11 Nf�F•.COSI��� M��f R�11`�LUS l�P�)N� -. <br /> �JfS Oo, no /'a!/,Is �o.�.v �„.>, ,-- �/�� �, <br /> I1ISlRiNI WORM ^ ' / <br /> � / / � / f <br /> �i.l.L+RRf1�(.��LY� C 7 w. <br /> �sl Oi BUu U�NG <br /> I HFR[BY CERTIFY TNAT I HAVE READ AND EXAMINED iHIS Ap� <br /> � r �— PLICATION AND KNOW THE SAME TO BE TRUE 4ND CORREC7 Al L <br />� ie<�•� nrscninnaNnivnovcn*risHownee�owonuuo�rouacowes� PROVISIONSOFLAWSANDURDINANCESGOVEHNINGiHISTVP[ <br /> C OF WORK WILL BECOMPLETED WITH WHETHERSPECIFIED HERE- <br /> I nn�e�oc�—or �'a'��21i%A�l `5 �. Z IN OR NOi THE GRANTING OF A PEPMIT DOFS NOT PRLSUME TO <br />� GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVI.ilONS OF <br />' ANV OTI IER STATE OR LOCAL LAJJ REGUTATING CONSTRUCrION <br /> — OR THE PERFORMANf,E OF CONSiRUC'ION. <br /> S�GN�q�qt Ui Cuhiqa�:tOR OR AU1nURJf f)At CN� f�<iF <br /> I�nti /� <br /> �� <br /> PNlV6111�OnliL'.h AP ll �N Sfi1rHU�iryf5�1 � Iqyl 4r <br /> � �� . � -� . - � •I �_ <br /> II PLUMBINfi MECHANICAL <br /> NO. TYPE OF FIXTUNE OR ITEM FEE NO. TYPC OF EOUIPMENT FEE <br /> W11TER CLOSET�TOIIETI n-0 - Rd�NOLG 11NIT5-N P � <br /> � BI1THfUB RFFi1IGERAT�ON UNITS-M P EA <br /> LAVRTORY IWASM B�S�NI AOILEPS-6 i U�H P <br /> SHOWER fiASFIREOAC UNIiS-BTU <br />' KIICNEN SINN 6 DISP fOFf,ED PIN SYSTEMS-B T U M EA <br /> DISFIW�SHEF WALLHEATERS-BTU M <br /> I LAUNOR�TAAv �NIT��EATERS-B T U M <br /> ��p�HES W�SMEA EVAPpPqTIVE COOLERS <br /> UAINAL CLOTHEtiDRVERS <br /> ORINI(ING FpUNTAIN VENTIIATION LAN <br />�I — FIOOA OA•11N RANGE HO00 <br /> BACRFLOW PREVENTERS W�TER NEATER <br /> ROOF ORa�NS-RAINLEAOERS WOOO STOVE <br />� SINN�SERVICE-BAR ETC 1 METFL FIREPLAf,E 6 CHIMNEY <br /> fIPEPLACE INSERT <br /> MEATPUMP <br /> OAS PIPINCi <br />' EMHAUST FI1N <br /> tUlTOiAL f 6UlTOLAL <br /> ►ERMIT f KNMIt <br />( 70TALF[E f TOTALFlE <br /> .L �.,r�p iq�� . - � i�F�a tif�H4.� Sro[5[rx�Ce �-AN,CI ECK NUMBCR FEE AECEIV�NO — <br />; , 1, � 1 , �,,� �, <br />' Ib! lilNk IOt�RE• <br /> wu�� ne FEfiS VALUATION FEE <br /> 5Y'U� 15-83 u.es�Ho <br /> eui�oiNc t���. <br /> i �rnt M G N5� OCCIIP�H[VGROUF NO Uf pYIFLIMGUN119 _ <br />. �/f M'� I � PWMBING <br /> a�e� �,r e.nc �.a nr s�oaies M.. occ iu.o <br />� ` � O� � �^ MECHRNICAI <br /> J T <br /> �. pEGA,/ OTMER <br />' PiFE SPRINNLERS HEOUIRED ❑ VES NO _ <br /> --� STATE BUILDING SURCHARGE <br /> S7ATEENERGYSUACHAFGE <br />� a+��.�. :,hn!Is�.r. P� PL�NSCNECMEDBV ��Pq �OA19SWNGkB+ <br /> � PUBLiC WOHRS <br /> _ �1 � c <br /> - --��,'� TOTAL _ <br /> PROPERTI'OWNERS ARE RESPONSIBLE fOR�ETEPMINING ALI. <br /> PROP[RiY LWE IOCPTIONS ANO RELAiED EASF.MENTP <br />