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^ ,.�,., <br /> ,�.Ew,o,,,� Ar'P i.ICATI O N FO R ���,�„ <br /> ��ry�� CONSTRUCTION O <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259•8810 TO BE COMPLETED IN INK - PI.EASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> nwain u.n .umnss c�n, :e• rv�nvr.-- <br /> y/,t'�C �-� /J7 f! ���.J/� /�G' � X <5 %: .C/E' �/�� r., � �:155 C: ;"�'..7t.2.�- <br /> .m:�u _r.�namscHrn r�•n �nnuiss c�n �u ���oN� <br /> GtNEn�l Ll>N�MCrOn M�rt rtlpn[55 prv bP nuONl uct4Rf . . <br /> .�G .n e M CL uiJ� � �5"�� /' 'J I <br /> MIO��NiUI WNiP�f.��N M�it �D[IRftiM1 Cil� !'I• Pr�nN[ I�CIh51 • <br /> PIIIMfl�N�iCONIR�CIUR MNL�DD�f55 fl�\• (iP P��UNI IilI1Kf • <br /> a•Ssoi wnn. <br /> � NEW ❑ ADOITION ❑ ALTERATION ❑ HEPAIR ❑ �EMOLITION ❑ WOODSTOVE/FRP�JNSERT ❑ BUILDING RELOCATION_ <br /> v��u�boN ilr wOnr�cOSt Or rA�11 ni�i`,r�uSl�Paai <br /> �O <br /> ' / -�I� <br /> nr scniat won. L� <br /> Ji�7qiCP / �� 's�� /V h—i5 �Q �i� J�.>�, � �� �' <br /> use or eunom� I HEREBV CEFTIFY THAT I HAVE READ AND E%AMINED THIS AP� <br /> ���n�� PLIGATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br /> icneio[scairunvurcaonenrv�sHawr�nriowna�n.cninuncor�ts� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYP[ <br /> ,.f � 4,� _�� ��G f�, OF WORK WILL BE COMPLETED WIiH WHETHER SPECIFIED HERE• <br /> io���xioc�—o� � IN OR NOT THE GRANTING OF A PERMIT DOES NOi PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE UP ^.ANCEL TI1E PROVISIONS OF <br /> ANV OTN[R STAiE OR LOCAL LAW REGULATING CONSTRUC110N <br /> OR THE PERFORMANCE OF CONSTRUCTION <br /> .,i,nan�nl ,n �.iri'NVti,RUnnLir�Oni2foACV1r I�nr( <br /> � <br /> 1`>�a - �o y sr s,E, X '' ��,��� <br /> � �,� G .�k � <br /> nuo�f.cr•onuese .w��„ .��r,�.�nmitiva�si+iHsi tin <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE OF FIkTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FE� <br /> W�TEP CLOSET ITOILETI U A'� -A�NNOL6 uN1T5-H p <br /> BATHTUB RF.���GFPATIpN UhITS-hl P EA <br /> q LAV�TORY I W/.SM BASINI AOILER$ -A i U�H P <br /> $HOWER GASFIRE�AC UNITS-BTU <br /> � KITCHEN SINK 6 DISP �"(� FORCE�AIR SVSTEMS-B T U M EA <br /> � OISMW�SMER _ � WALINEATF��-BTU M <br /> LAUNORV TRAY UNIT MEATERS -B T U � <br /> � CIOTME5WA5MER 0{/ EVAPO�Ai1VECOOlERS <br /> URIN�I � CLOiMES[7NYER5 � <br /> DRINKING FOUNTAIN VENTILAiION FAN <br /> F�OOPDRAM HANGE��OOD Z <br /> BACNfLOW PREVFNTERS W�TER MEATER Z <br /> ROOF DRAINS-R�INLEAOEAS WOOD SiOVE <br /> SINK�SEPVICE -B/R.ETG 1 METAL FIREPLACE!CHIMNEY <br /> fiREPUCE INSERT <br /> MEA7PUMV <br /> GAS PIPING <br /> EXMRUSTfnN <br /> sue ror�� s S J sue rora .� S� <br /> PEpM1T f PERMIT — <br /> T0T11L FEf f TOi�I FEE f � <br /> vinN CNEfN NUM9ER FEE AECEIPT NO <br /> �nu rSt�BMr RHFSEreeCn S�nESEtB�cn ��IZ` <br /> ' 20 ' � � � � s'��o3 <br /> ust roNt io��nr♦ yAC�NI Srtl FEES VAWATION FEE <br /> IZ�I 7cJI�S "Yl5 'JNO <br /> l 6UILDING S � ^�t.� <br /> fVPE 01 CONSI OCLpP�NCV f.ROJP HO Of DWILING UNiiS <br /> ✓'� � ' 3 I I+��'MBING 5 �/r <br /> Si2E U�tli t�ti Nu o�SioniES M�� OCC 10�0 MECM/NICAL <br /> l r ` '�A o,,,ER — <br /> FIRE SPRINNLEPS REOUIRED ❑ VES ❑ NO g7�TE BUILDING SURCMAHGE <br /> STATEENERGYSURCHARGE 5 �,kJ <br /> 4VVI�� 1�I11NAi'._ P� 1'I�NSC�IfCKLDBY ��'PR FORISSII�rI��.l H� �� <br /> P119L1�WORNS <br /> /� /� TOTAL <br /> Ife• <br /> - __ �______—_ __ <br /> �----- �- -"--— PROPERC�OWNERS ARE RESPONS18LE FOR DETERMININ <br /> PROPER7Y' ME LOGATIONS AND RELATE�EASEMENTS <br /> i <br />