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IMFr+qrMn '>�.PPLICATION FO`�.� �,�.,� <br /> ��ry°� CONSTRUCTION O <br /> everett PERMIT <br /> BUILDINd DEPARTMENT <br /> 259•BB10 TO BE COMPLETED IN INK • PLEASE PRINT <br /> O DEMOIITION ❑COM8INATION ❑ BUILDINO ❑ MECHANICAL O PLUMBINO ❑ BION <br /> • N R� M�I1�00 f94 /V� �! C�IY !IV PNONE <br /> �. NV-�� �Fs w� �iUin 51�,� �12.1 sF C�,,�y� �Szo� 3ss s7.a �j <br /> •PCIII�ECIONpi4iONER M �ODRE89 - �IfY � i1P PMONE <br /> �i1111R�1 COMIMf.�00 M�II�bfIDfJY Gtv tiP vupry[ llt[N!E• <br /> MfCluNlf.�l CONIR�GIqR M�II�OOREl� CIIV ll� PNONE lIC[H!E• <br /> U`.'"n('c'll- . <br /> n�UMSMOCONIR�GIOR M111 �OONEl9 GIIY TIP PIIONF IKEMlE• <br /> cL�390I WORM <br /> ❑ NEW ❑ AODITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLIiION �WOODSiOVE/FNPl.IN9ERT ❑ BUILDINO REIOCAIION <br /> 'l�l U�I�OH Uf WOOK If.091 pl M�IEPI�lB PLkY I�BORI <br /> �fSCPiBE WJ�M <br /> US q1lWLO�HO • <br /> I HEREBV CERTIFV THAT I HAVE HEAD AND EXAMINED THI8 AF� <br /> PLICATION AND KNOW THE SAME TO BE TRUEANOCORRECT.ALL <br /> �cauor CRiP1iONO�PROPERfY�SMOWMOEIOWON�It�CMiOURCOPiEe1 pqpVIS10NSOFLAW3ANDORDINANCE300VERNINOTHI9TVPE <br /> OF WORK WILL BE COMPLETED WITH WHETHEp SPECIFIED HERE• <br /> �o�_eiocK_or IN OR NOT. THE OHANTINO OF A PERMITDOES NOT PRE9UME TO <br /> OIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVI310NS OF <br /> ANV OTHER STATE OR LOCAL LAW REOULATINO CONSTqUCT10N <br /> OR THE PERFORMANCE OF CONSTRUCTION. . <br /> �ION�IUR Oi CONIR�CIOR OR�UTNORi1E0 AOFNT D�IE <br /> x \..��o �� , � ��'� / <br /> PROlECT100A[E! ^ �PRIf.�NT9CIlYSUSIHFSSIICk lENO <br /> � I �/ <br /> PLUMSINO MECMANICAL <br /> NO. TYPE O►flllTU11[OII IT[M /[[ NO. rY►[OF[OUI/M[NT F!! <br /> W�TER CIOSET�TOILET� 11iC—AiMNOLO UNITS—M P <br /> BATHTUB FEFRIOENAiION UNITS—h P EA. <br /> LAVATORY�WI1SH BASIN� BOII.ER$—B T U M P <br /> $MOWER OASFIRED�C UNIT9—BTU <br /> tl1iCNEN 91NN 6 DISP FOACEO AI11 SY9TEM9—B i U. M EA. <br /> OISNW�9HE11 WI1LlHEATER3—BTU. M <br /> IAUNORY iRAY UNIt HEATER9—B T U M <br /> CIOTNES W�SHBR EVAPOR�TWECOOlER3 <br /> IIRINA� CLOTNE9 ORvERB <br />� DNINNINO FOUNTAIN VENi1LATION FAN <br /> FLOON ONAIN RANOE HOOD <br /> BACkFLOW PNEVENTER9 WA7ER NEATER <br /> ROOF ORAINS—RAINLEAOER9 WOOD STOVE <br /> SINk(SERYICE—BI1R.ETC� METAL FlAEPUCE�CHIMNEV <br /> FIPEfM_ACE INSER� <br /> NEAT%JMP <br /> QAS PIPINQ <br /> EMM�USTF�N <br /> /U/TOTAL 1 �U�TOTAL <br /> K11MI� i K11YIT <br /> T0T11L�![ i TOTIIL r![ <br /> �nnq�lHp�fr RF�N6E�S�CK SmE1E1s�0.� ��N�HECKNVMBfR FEE AEClIP7N0 <br /> u5t /UNE LOf�pE• y���Nt silE FEES VALUATION FEE <br /> ❑YFb OHO <br /> IvoF Of�ryq�t OCCUP�Igv ONO��P NO O!'OVIFlL�NO UNrtS BUILOINO S <br /> PIUMBINO <br /> 4itF o!11�0 NO O�lIORIEe Me�p�C l(Y10 <br /> MECMANICAL <br /> otHEa <br /> 1'IRE SPRINKLERS HEOUIPED ❑VES ❑NU 9iATE BUILDINO 9URCHAROE <br /> STAiEENEPOYSJRCHAROE <br /> O'VIIG/ H�� PLIN9CMlC11EDeY �PPRi091BEU�HGElY <br /> PUBIIC�'/OHKB <br /> TOTAL <br /> PROPER7V OWNER311RE RE9PON91BLE FOR�FTERMININO I1LL <br /> PROPERTY LiNE LOCA710NBAND REUTED EASEMENTS. <br />