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r,PPLICATION FOl. <br /> '"'E""'"° CONSTRUCTION (",�n <br /> CIA OF <br /> everett PE R M I T � <br /> BUILDING DEPARTMENT <br /> 759-BB10 TO BE COMPLETED IN INK • PLEASE PRINT <br /> O DEMOLITION ❑ COMBINATION bZBUILDING ❑ MECHANICAL ,7 PLUMBING ❑ SIGN <br /> nw«en +�u� .nnnn-;s1 rnr :�(r� � nnn.�r <br /> ��Q/�(.0 _ I ( �� _.'V 11r ��'�0 � O�(\ _ �/Il��ll .. •��t�� �Gl/� <br /> ♦BGutlClpRDlS�GN(q 111i� �pPllftiG U�Y li�` P��OL: <br /> S�w�. <br /> 6[NCR�lLO4iP�C1011 II�i1411�OL55 f.�M1 IiP rv�ONI tlCl.NSC� <br /> S itr� �ran�l + 99�� <br /> MI f.N�N�UI COHiN�f.itlq M�tl �pOR1�5 f.i1Y !�P P�IONE I�CENSf• <br /> PW IIiN�C(1NIP�(IOq M�ii �DMi1.tiS Gi�Y I�V PnONF UCI�+S[ • <br /> �iµ,�o+ ��+�r �l,�,l�u� <br /> Ci�S50f wnnr <br /> C� NEW ❑ ADDITION ❑ ALIERATION ❑ RFPAtN ❑ DEMCII.IIION ❑ WOODSTOVE/FRPLJNSERT I� BUILDING RELOCATION <br /> vuwnoH or wonn irost nr r,ur[aui s w us i�n�ni <br /> � J�� nnt� — – <br /> nE scnie[wone <br /> �, r-,�.,�.�,�a;,� a , c Pl-�,v ad _ <br /> usc or xwi.n�acI' I HEREBV CERTIFV THAT I NAVE READ AND E%AMINED THIS AP� <br /> µ7�c1•� PLICA710N AND KNOW THE SAM[TO BE TRUE ANDCORRECT.ALL <br /> trr,��o[5enirnoNa��nor[ntrisnowHnetnwonnuo�roua[on�fsi PRQVISIONSOFLAWSANDORDINANCESGOVERNINGTNISTVPE <br /> II1,il UAA� S OF WORK WILL BE CUMPLETE[1 W17H WIIETHER SPFCIFIED HERE• <br /> io��e�ocK—_or IN OR NOT. TNE GRANTING OF A PERMIT DOES NOT PFESUME?O <br /> GIVE AIJTh10RITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV Oi HER STATE OR LOCAL L4W FEGULFTWC CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. I, <br /> 91(iN�li�RlIIIC�111111�fIGRORAUf11�1l112EDAG�Nf 1�4IF � <br /> ` ' I <br /> X ���r �GE L6 �� <br /> vHolf c1 ennaEss ♦rr�if u�rti C�ir o� sihV 5x�ifUi.F 4�� � <br /> PLUMBIN6 MECNANICAL <br /> NO. TYPE OF FI%Tl1RE OR ITEM FEE NO. IYPE OF EOUIPMENI' _ FEE ��i <br /> W�TEN f.LOSET ITOILETI �J '� l ��C -AiMNULO UNITS-H P _ ' <br /> B�TH7UB REFqIGEMTION UNITS-N P EI iI <br /> UV�TORV I�MASM BASINI BOIlERS-B T 11 nl P I <br /> $HOWER G�SFIREOAC UNITS-BTU ' <br /> � NITQIEN SINN 6 OISP �� FORCEO AIR SVSTEMS -B T U M EA � <br /> DISHWIISHER � W�LL MEATERS�-�B i U M <br /> LAUNORY iR11Y l,�rt HEATERS-B T ll M <br /> CLOiHES WASHER 7 EVAPOP�7IVF.COOLERS <br /> UpINAL CIOTHESORVERS <br /> ORINNINGFOUNiM�' � VF.IITIIPiIpNFAN <br /> FLOOR ORAIN � NANGE HOi��. <br /> B�(.�:iu:VPREVENTEAS I W�TfFHE�TEN <br /> NOOF OR�INS-RAINlEA0E95 WO00 STOVE <br /> $INK�SEflVICE �-OFF ETC� ' METAI CIIIMNEY <br /> FIREFIA�E INSEi1T <br /> MEATPUMP <br /> GAS PIPINfs <br /> E%H�USTF�N <br /> 6U01 OT�L t �.�) !Ufl TOi�L , <br /> PERMIT t _ _ V[PMIT <br /> 70TALFEE t . � TOT�LiEE <br /> �nnN�sF10��� nE�ASF�e�cK SiOEs[�B�r,n ''�^�+�-��ECnNUMBER FEE -- AECEIPTNO I <br /> 7a ' ��., ' C � c1P'}/l! �J 7U R(5rtl �}-.)YC <br /> utitt�n� ior�nr� wi.u+�tiiie FEES VALUATION FEE <br /> �' I � /n ;y :.r {. r[5 rINO . ` <br /> �� BUILDING S � <br /> �YI E bl N51 Of.f11P�RCY GP0111` NO O�DWfI l MG v�UlS <br /> � /� ��� � PLUMBING <br /> ..J� <br /> 51lEOf B�l1a NO 01 S�OP�PS M�� OCC if4D , <br /> / . / �y MECNANILAL t <br /> � M iT <br /> ���t �,.��.Y �.�Q OTMER � <br /> �� <br /> iIRE SPRINHlERS REOUIRED ❑ VES NO ST�TE BWL[1�NG SUNCMARGE ,. <br /> STATEENFPGYSURCnAPGE I � � <br /> �POIiCR1iO114fqv Y1�N51:11FCME0flY �PPR �011195U�NLlBv � <br /> PIIBLIC WORNS <br /> u� (�/) � � TOTAL � <br /> �VI /�� � <br /> PROPERTV OWNERS ARE RESPONSIBLE FOR DETERMININO ALL �, <br /> PROPERTV LINE LOCAI IONS AND REI.nTED EASEMENT9, <br /> � <br />