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� ut �� <br /> h�PPLICATION f0l�-' ���,�„ <br /> '".E"'°'"" COfdSTRUCTION 0 <br /> CITY OF <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259•8810 TO BE COMPLETED IN INK - PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION �I BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> owNcn �uq eonnts= n�r nr ruoHr (� 7 _7 ' — <br /> �er� / oNr��u��ion C.. 2hc1 d a/s -,� Y�S7�• 4t//�1�0�7 Tf�2� _ <br /> �PLIIIIEGI!)(1[lfil0llfN M�Il �Il011f9S t��♦ l�f` I�Ilfl�ll <br /> .— rvinNl I '�/ .NRf('• <br /> ���Yl �r��n�c�ONS�tfif�/OM �:�uiTti�C�� � 0 /� ' .�N �;5�,�� �(�/N ��r 1J � <br /> MEr.���r��r•i cor�in�r.inn � M+i� •nnatsr ,�,i� -��;,L ��,�„�1,,,'}�vE� C /G1.?Yd� <br /> ,��/7�/r 1'C+YA4C1 [ "iPh�L Sli�' 7o�y LG�ICI�< 116 l.�� <br /> rwMn���nmNm.unn � �N " .r.o���,. "�• 7 S�I�-9s'37 - „��/liL�� $r �'y�GZ' <br /> N�! /�.►,L _ <br /> l� Or wOn. <br /> ❑ NEW ❑ �DDIiION ❑ AIiF.R/.TION ❑ �7F.PAIR ❑ OFMOLIIIUN _❑ rYOPDSIOVF;�f7Pl INYF.RT ❑ BUILDING l7FLOCAiION_ <br /> vqu inN�vwun.irnvp� r.uu.nu�sru�,�u�nn <br /> � � ��) � � �-�� � <br /> / J_ __-- _ <br /> DF9CP BC� )�w <br /> /�/�W LrOnuLt�/l�/S�7`�'i��� Gti`4�P -------------- <br /> u-.r or ounou /_ / I NEf;EBY CERTIFV i11AT I HAVE HEAD ANU EXAMWED THIS AP� <br /> Ih �c F<I��/ S/GrlNl PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br /> icne�ocsca��noN nnoncmris�owNnci:+wonuucnrnunr,rr�rs� PROVISIONSOFLAWSANDORDINANCESOOVERNINGTHISiYPE <br /> 1 a}�� �QY` OF WORK WILL AE COMPLETFD WITN WHETHER SPECIFIED HERE <br /> ioi�A�or..—or- IN OF NGT. THE GRANTING OF A PERMIT DOES NOi PRESUME TO <br /> GIVE AUTHORITY i0 VIOIATE OR r„ANCEL THE PRnVISIONS OF <br /> ANVOTHERSTATEORLOCALLAWqF:GUI.ATINGCC .&TRUCTION <br /> OR THE PERFORMANCE OF CONSIFUCiION. <br /> — svN�i�nn/�Y/nnnur�cm rn.r,r��� n4�e <br /> 2-//—� <br /> onaecr�onncss •^�1'�N f5 f.l1Y pUGiN{551 iC1114F NO <br /> PLUMBIN6 MECHANICAI. I <br /> HO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> Z W��ER ClOSET�TOiLET� '� MC -AMNULO UNITS-H P <br /> B�THTUB )� NEFRIGEP�TIONUNITS -MPEA <br /> LAV�TORY IW�SM BASIN� � POILE�S--A T U�N P <br /> SHOWEA QAS FIf1E0 A C UNITS-P T U <br /> _1 I(ITf.HEN SINr S OISP � �' / FO�CED�i�Sv5TEM5-B T U M EA � <br /> � OISHW�.3HER - W�IL I�EATERS �-B i U M <br /> LA'IN7RY TRRY UIUT HEATEnS-0 T U � <br /> CIOT�lES WASHER C� EVAPO�AtIVE COOLERS <br /> URIN�L CLO1H[S OfiVF�S <br /> pRINKINC FOUNLAIN VEN�ILATION fAN � <br /> FLUOR O�AIN � �p�lGE HOOD <br /> B�CNFLOW PPEVENTERS WATER MEATER i <br /> ROOF ORAINS -F�INLE�OERS WOOD STOVE <br /> SINN ISERVICE -BAR.ETC 1 METnI FIREPLACE 8 CHIMNEV I <br /> FIREPV�CE INSERT <br /> HEAf PUA1P � <br /> CAS f9PINli ��, <br /> ENNPUSifAN i <br /> 9U!TO1AL S � "' -� 6UB T0111L <br /> PERMIT f F[PMIt <br /> iOTAIfEE f - - TOT�LFEE <br /> �nn.�rSFrn.r� nt�nsnn�r.� sinrsnP�ce �'IANCHEGkNUMpEfi FEE RECEIPTNO <br /> �°�' <br /> �° � �" ��' /956z da� '� Ss3 <br /> USf lONk �ti���F• v�cnn sn[ FEES VALUATION FEE <br /> �_� "7��� rE5 11N0 � � � <br /> . 8 aui�oiNc yj"� �1 J � � <br /> rvne or crn�s� ncni���Hrv rnoun No ur nwrw�n ur+ns - <br /> ��-N �7`� / _ _ �C� <br /> PI.UMBINC <br /> SiTE O�BIOU NO UI SIORIES M�� nl:f. If�� <br /> �� / � MECMANICAL <br /> ��/^a� sF G�R ����FR <br /> FIRE SPRINNLERS REOUIRED 1� VES �NO ;7ATE BUIL�IN6 SURCNIIRGE f r� <br /> ST�TE ENEl1GY SURCMARGE � . <br /> •PGIICAl1U11�ff, Bv Pl�N5C11ff.MFI1fl♦ �PCRfC�115511W1LP♦ <br /> � PUBLIC WORNS <br /> � /,�. � TOTAI � �.. �� <br /> /V' <br /> PROPERTY OWNEfiS ARE f7ESPON5IBLE FOR OETEHMININO ALL <br /> PROPERiv UNE LOCATIONS AND HELATED EASEMEN75. <br />