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Ih��Lrrrgr�rn <br /> ����°, CONSTRUCTION <br /> everett; PER��IIT PERMITNO. � � 796 <br /> 25y -8745 <br /> O DEMOLITION � COMBINATION ❑ BUILDING ❑ MECNANICAL �PLUMBING ❑ S16N <br /> � OMMEF MMl��DRE51 CItY II{` PMONE <br /> pe���1 T. c3byfn ��l�i� -��»{�, � � S ,� E v��.�tf A 9��0_� �ss -z9�.� <br /> I1Rb�ITEQ OR OESIOMER MML�pORE55 (;ITY jlp <br /> R�ONE <br /> GEHER�i CONinw�TOn MM� Ap.�11E55 f.iTv Lm fMpNE IICENSE• <br /> MECrIRNIGL CONTR�Ci08 M�I!�JpRE55 Cliv ZIP PIIUNE IJCENSE� <br /> ^�S �LUMNiNGCONTP�CTOR M�II��Df1E55 CRY ZII` MIONE IICENSE� <br /> �� _ <br /> CUSSOI WOPF _ <br /> , ' <br /> Cl NEW ❑ ADDITION O AITEpATION Ll pEPAIR ❑ DEMOLITION O BUILOIN6 RELOCATION <br /> v�,uenor+or wonx <br /> f <br /> oesc�iee won � <br /> mOb��P. �DrNL' r i1 C�n �jG��ih <br /> rE��sounr.[ <br /> ❑ ELF�'TIIICITY ❑ OAS ❑ WOODSTOVE ❑ OTMEH <br /> .�' nPOPOSEp USE Oi BlLlO�NO <br /> + I HEREBV CERTIFY THAT I HAVE READ AND EXAMINFD Th115 <br /> �\i iea�iocscHionoNormovcn.v�s��owneiownn�tuc��rnoncoaicxi APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> � � .or�niocr ` or GOVEFNING THIS TVPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORIT� TO <br /> VIOLATE OR CANCEI THE PROVISIONS OF ANV _ lHEfl <br /> 1 STATE OR LOCAL LAW REGUL4TING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> � �oa snoness ,i,r�nri E or eoNrnneron nun�;imz reNt on owNen o�iE <br /> 1�{a � -•/00� ,Sf SLCJ X - -�/�/� <br /> PLUMBINO MECHANICAL <br /> ��� NO. TYPE OF FIXTUHE OH ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> �.' WATER CLOSET�TpILET� A�C- A NN�LG UNITS� H P - <br /> 94TMTU8 PEFflIGERA7lON UNITS- M P EA <br /> LAVATOiiY�WASH BASINI BURERS -fl T U+1 P <br /> SHOWER GASFIREUAC UNITS- �TU <br /> KITCl1EN SINK 8 OISP FORCED AIR SYSTEMS- 0 T U M EA <br /> DISHWASHEN WALI NEATERS-B T U M <br /> l4UNDRY TRAV UNIT HEATERS - 0 T U M <br /> I <br /> GLOTNES WASHER EVAPORATIVECOOLERS <br /> r UHINAI CIOTHES DRVERS <br /> '� DHINKING FOUNTAIN VENTILAiION�AN <br /> FLOCR ORAIN RANOE NOOD <br /> BACNiLnW PREVENTERS WATE(1 NEATER — <br /> ROOf DRAINS - qAINLEADERS WOO�$TOVE <br /> SINK�SERVICE -AAA ETC� MEiAL FIFEPLACF 8 Cl/IMNEV <br /> � FIRE�LACE INSER7 <br /> MEAi PUMP <br /> GAS PIPING <br /> E%MAUSTFAN <br /> BUB fOT11L { <br /> BUBTOTAL <br /> PERMIT f <br /> PERMIT <br /> TOTAL FEE { <br /> TOTALFEE <br /> rnoNrsEteeCrc aennsE�enr,n snEstrMcn P�ANCh1EU<NUMBER FEE RECEIPTNO <br /> USEIONE iOt�RE� <br /> v�C�NTSrtE _ <br /> ❑res 11No FEES VALUATION FEE <br /> TY{`E Of CONSi Df,CUP�NCY GROUP NO Of pWEIIING UNIiS BUILDING s <br /> s¢EorB�oc �wo�ornmet P�UMBING � <br /> raqM or,r, ioeD <br /> _ MECHANICAL �^ <br /> INVESTIGATION FEE N�9ge��W(� <br /> FIPE SPRINNLEPS REOUIREO YES NO <br /> S7A7E BUIL�ING SURCHARGE ��UOOtE•0��� <br /> STATEENERGYSURCHARGE " t � <br /> MPIIGtION�CCpY Pt�NSCNECME00Y qPVR{O�ISSU�Yf.EfiY <br /> DRIVEWAVPERMIT (1i11[_F.' <br /> m � � TOTAL ,_,��,, <br /> PENMIT VALIDATION <br /> WMEN PROP[iiLY VALIDATEO pN THIS SPACE�TMIS IS YOUF FERKIT <br /> �� <br /> Q� <br /> �� <br /> L` <br /> r� <br />