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,�,E�ro,�� . �PPLICATION FOK ���.�„ <br /> ��n�f CONSTRUCTION O <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259-8e10 TO BE rOMPLETED IN INK - PLEASE PRINT <br /> ❑ DEMOLITInN ❑ COMBINATION ❑ BUILDING �'(.MECHANICAL ❑ PLUMBING ❑ SIGN <br /> owr�en u.n �Df1R1i'i CIIY ru• rr�nHc <br /> �"fYl 19.� I IlS�C�t�) "Z7.fi i i (i�� d i io , y'i•�6�4� �7`l��C•?�_ �j�j�^C�?�� <br /> .nuurir.iono�sia��rn u�n �nm+ros arv ru� nrinr�� <br /> fifNCRLLLONIR�CfOR M41 ��filif£I t��Y liP �•uONI ��CEIISC• <br /> Mf1:11�NiG�i CONiH1f.i(lq 1.Nn 4�ONlY] bIY 11P PllOqf IICLNSf • <br /> T � � �� � <br /> I �-11� bL\l'�Fl�`�hi�ll'�>�lY �t'�'�l'7 �1�1i �, l��y�11lA�rr� lfX3G• �Ef:3��.3! /�/1�`7HL-T/�li�b <br /> "IOMpMOCONiR�LtON M�II �OO�RSS f,ilY l�V PUONf IiCLNSf • <br /> C1�550f WORM <br /> (I�_NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIF ❑ DEMOLITION ❑ WOOOSTOVE/FHPL.INSERT ❑ BUILDING AELOCATION <br /> vu wrrow or won.ir.osr or r.ui�niei s�v us i�nnn, <br /> ISC�D�� - <br /> or scn�xc woa. <br /> a-�STNw F �� <br /> ust or euuoir�u I HER[8V CERTIFY THAT I FIAVE READ AN� �9)fAMINED THIS AP� <br /> j � PLICAiIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br /> l(Ml0E5CRiPfiONO��ROPER1Yi9NOW�0ELOWOR�1�Af.��lOpflf.OPlEfii PROVISIONSQFLAWSANDORDINANCESGOVERNINGiHISTVPe <br /> t�►/ OF WO/iK WILL 9E COMPLETED WITH WHETNEq SPECIFiEO HERE• <br /> ioi �Y�xioc�—or. IN OR 1.0T THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHOFITV TO VIOLATE OR CANCEL THC: PROVISIONS OF <br /> ANV OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PEFFORMANCE OF CONSTRUCTION. <br /> s�cN.�une ur cnr�m.c�on u��•uuion�rvo�cc�a n�re <br /> X `� �Cl - Z� C-IC.J � <br /> � <br /> ra0�tf.r soDnE55 �rvur�H13 Crtr NlrS�Nt 55�icl risF Nn i <br /> (�Z — cF�� �L ! <br /> PLUMBINO MECHANICAL �, <br /> NO. TYPE OF F�%TURE OR ITEM FEE NO. TVPE OF EOUICMENT FEE � <br /> W�iEP CLOSET�TOILETI ��G—��MNOL6 UNITS—H F I <br /> B�THTUB REFRIGERAiION UNIT$—H P E� <br /> UVA�ONY I W ASM B�SIN� AOILERS--P T U/F1 P <br /> SMOwER fi�S FIRF.O A C UNITS—fl T IJ <br /> KITCNEN SINN l OISP FOPCEO�IR SYSTEMS—B T U M EA <br /> DISHW�SHEN wM.L ME�TEf15—B T U M <br /> LAl1NDRV tA�Y UNIT ME�TEHS—B T U M <br /> CLOTHFS W�Sh�ER EV�POR�TWE COOlERS <br /> URIN�L CLOINESONVEPS � <br /> DRINKING FOl1NiAIN VENTILATION F�N <br /> FWON ORAIN R�NC!��OOD I <br /> BACNFLOW PNEVENTERS W�TER 11EFTER �I <br /> ROOF ORAINS—AAMLEAOERS WOOD STOVE I <br /> SINK�SF.RVICE—B�R.ETC� METAL FIREPLACE 6 CMIMNEV '� <br /> FIPEPLACEINSER7 � <br /> IIF.AT{'IIA1P <br /> GAS PIPING <br /> EXH�USTFPN <br /> SUS�OTAL f SUB�OTAL <br /> VERMA { P[RMIT <br /> TOTALFE! f TOT�LFEE <br /> ruUq15EIB��-� u[�HSfIB�Cn S�Of5l19�Cn <br /> - rq AN�MCCN NUMBER FEE RECEIPT NO <br /> utittaH[ �a����� yAC�NI51R FEES VALUATON FEE <br /> urts u�+o S <br /> BUILO�NG <br /> fVP(Olf.ONS� OfC�IP�NCYf.f10UP NOOfI1WfIlMGIIN�IS <br /> PLUMBING '� <br /> s�rc or ei na Nn or sroaEs M•. occ �o•o � � <br /> MECMANICAL , <br /> O7HER <br /> FIRE SPRINHLERS REOUIREO ❑ VES ❑ NO STATE BUILDINC SUPCNRRGE ' <br /> I <br /> STATEENERGYSURCHARGE : <br /> c19•�i.::IIOH�i�f flv PluNSINECMFOBY ♦�'�'PlJnR;u�N[1 Bv �. <br /> � A PUBLIC'NORNS � <br /> V' I <br /> TOTAL � <br /> PROPF.RTV OWNER9 AAE RESPONSIBLE FOR DE7ERMININO ALL <br /> PROPEFTV LWE LOCATIONS AND REUTEO EASEMENT9. <br />