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APPLICATION FOR <br /> '�""ro�"" CONSTRUCTION '°°"" <br /> C11Y Oi <br /> everett PERMIT e <br /> BUILDING DEPARTMENT <br /> 259-BB10 TO BE COMPLETED IN INK • PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION B'�UILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> t�Wl�r 11 M�II �llI1N1'�+ /� f.�l. � . n��( 11 <br /> ����.� �iN05o2 ico�N,su/ �dE,�C'rr S�ra Q����-� j� <br /> .,, ,,�w�, ,, , ,,,. ,��o,,,..., <br /> �dME . .,.,�, <br /> .,.�.��, . ,,,., . ,. ,,.� .��.,,, ;� -- , , -- <br /> . ,,,,,,� ,�, ��5� . <br /> D►.vN�Z , <br /> Vi i ruar a� i n. u:•nR M�q e�Ort55 Crt. � <br /> /�� fqpN!' L�[FNSf • <br /> PIbMPiN'ICP41q�t�Of1 M�IIAO�AE15 (i�♦ lIP VHONf IICt114 • <br /> CI�SSl�� WOPM,..,� � <br /> ❑ NEW il�l AOO1110N ❑ ALTERATION ❑ REPAIR ❑ DEMOLI110N C WJODSTOVE;FRPLJNSERT ❑ BUILDING NELOCAiION <br /> • .�I)y�llW��Rn �F1111A4f[R�A15PllItiUP��R� <br /> "�4200 <br /> l�l Sl FiHI W ��� <br /> �.on ��l�eoozr, D�z� s� � _ <br /> �,, .������7„�,,.:��7 l��^ /� -- — <br /> C/Y�YC�T / //! ! " LL S � NEREBY GEii11FV THAT I NAVE REAO AND EXAMP�ED THIS AP� <br /> PLICA?IONANDKNOWTHESAMETOBETRUEANf�i3ORRECT A�L <br /> it,aos�erononn�onon¢ul.,s��ow.�etEuwau�iuu�rcuawi��ts� pROVISION50fLAW5ANDORDINANCESGOVFANINGTHISTVPE <br /> � C P i�� ��/� � ) - � � OF WORH WILL BE COMPLETEO WITH WHETHER SPECIFIED HERF <br /> IN OR NOT TH� GRANTINGOF A PERMITDOESNOTPR[SUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANVOIHER STATE ORLOCAL LAW REGULATINGCONSTRUC1lON <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> ti�,3NaiuPr N t��4q:nrL;u nn n11Pe-�n�9 P n.d NI I�atF <br /> X �!R I I / ✓ <br /> oao ircnooNcss .nn���uir•,�.�•. �i�����u=���,r��s �. , <br /> 1U.J7 �l"Y`�� ,�� �G�� �' �` <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE Oi FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT T FEE <br /> WIITEA CLOSET�TOIIETI A�(; -q MNpLG UNITS-M P <br /> BA iMTVB qFFRIGERATION UNITS-H P EA <br /> LAV�iORV IW�SH B�SINI 901�EN5-B�ll�H P <br /> SHOWER fiASFIREDAC UNITS-B�U <br /> RITCHEN SINN 8 DISP fpRCE��l{7 SYSTEMS-B T U M EA <br /> DISNW�SHER WALLHEATEA$-BTU M <br /> UUNDRY TR�Y UNIT HEAiE.7S--B T U M <br /> CLOTMES Wa.SMER FVAVOp4TwFCOOLEPS <br /> URINM CIOTHES^R�'�5 <br /> ORINKING FOI JNTAIN VEN f II.A I li ik fAN <br /> FLOOR ORAIN RANGE 11000 <br /> BACRFLOW PREYENTERS W�TER NEATEA <br /> ROOF DRAINS-R�INI EAOERS WOOD STUVE <br /> SIN"ISEFV�CE-BAP ETC� METAI FIRFPUCE 6 CNIIANFv <br /> FIREPUCE INSERT <br /> I MEAT PUMf' <br /> I 6AS VIPING <br /> 1 <br /> i E%HAUSiFpN <br /> 7Ue T0T111 f !UO TOTAL ! <br />� VEPMIt f PCRMIT 1 <br /> TOTAL�LE f TOT�LFEE <br />� �uur���.�rrP�� n np�q¢ErB��K �'���+���E NUMBER FEE Aj� AECEIPT NO <br /> s�ne sRe�r,� <br />� _. ��5� ����C�, `��- a � J-��� <br /> ���t z.,.,� ,���.��t. <br /> v.cnn srtc FEES VA�.UATION FEE <br /> i l�L� _nes,�o <br /> •v�[ ,�vse oeruv�p�v,nouP tio ur pwr ui4o um..�,, AUILDING S � <br /> Y ` � � � � Q' PLUM�INf <br /> i <br /> ' II U�Bil�C NO O!SIUPifS Me� OCG IfuO <br /> Drn 7rL 7�• 'MR.N:r �`�L ��� , i MEC1iANICAL <br /> IO �VYI �4G • <br />� O7HFR <br />, �IRE SPRINHLEf7S REOUIRED ❑ VES ESNO __ ' gTATE BU�LDING SURCMARGE <br />' STATEENEAGYSURCHARGF <br /> <'� H'� ni<ra �'nE�YFDlrv •w'q rq'.i�SSu�NG! B� p��BLIC WOAN$ <br /> � ,:,.f �.;tL TO?AL <br /> ---- - - _.___ ..1—� ---__ — - - -- ------- <br /> r�r�i�� r n ow��r.rvs nAr nernuNsiei.F r'on o[tranuNuacni_� <br /> rnur•c.nrviiNt ioc:nrioNsnNrr�[�nrEotn�r�,nFHrs <br />�� <br />