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k-�'PLICATION FOR ���,�„ <br /> '".E"ro"'" CONSTRUCTION 0 <br /> CI�Y Oi <br /> everett PERMIT <br /> BUILDING DEP�RTMtNT <br /> 259-8810 TO BE COMPLETED IN INK • PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINqTION ❑ BUILDING ❑ MECHANICAL O PLUMBING ❑ SIGN <br /> owNtn �uq �nnnt�:s rnv n�• r�c�ar . <br /> /Y�� l....� e 5..�.�' j'oBox 592 L.K ST��� 98�sS Gs'3-�02s- <br /> •ncw�rc�on o�swrrtn ��.n �nom ss — ��n :m r��oNi <br /> OkNEP1lLONIRACiOf� M111 �U!)IIISS r�.'�� J�I' PupN! IICUISE • <br /> Sa me M E,C a rn /gd P <br /> Mtrrur�¢u coH�n�r.�on M.�� �onness Un nr rv�ar�c ncfHsv. <br /> FLUTAflINOCON��If.lOfl �.���� �UO�IFSS Cilr JI�' hll•Hf UCfRSf • <br /> GL�95 f W0�• <br /> �EW ❑ AtlDITION ❑ ALTERATION ❑ (iFPAIR ❑ DEMO11110N ❑ WOODS�OVE/PRPI INSERT L� BUILDINfi RELOCATIOH_ <br /> v�iu�nor�or wanr�rn?i or n�+n A�+�a ri i�s i�nnn� <br /> Ny, �so' ------ - <br /> nrscn�n�.wnne T i�— p. �- —�—_�— L <br /> /L Pa� s,n�� FQ��, y N�.L1r�lsd�f_ �C?�u� �_l� 3 L- <br /> usror nunuwa I H[R[BY i;[R71FV THAT I HAVE FEAD ANG E�(AMINED THIS AP� <br /> PLICATIOPI AND KNOW THE SAME TO BE TRUF AND CORRECT.ALL <br /> icae�ofscemnnHn� ��acrvnnisa�.�wHnnnwon•n•cnri+vnrorns� pqpVISION50FLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> � 7G OF WORI<WILI.BE COMPLETED WITH WNETHE�R SPECIFIED HERE� <br /> io�Leioc�ur �d~ 5����' IN OR NOT fI1E GRANTING OF A PERMIT DOES NOT PR[SUA1E TO <br /> GIVE AUTIiORITV TO VIOLATE OR CANCEL TH� PFOVISIONS OF <br /> ANVOiHF:PSTATEORLOCALL .YREGULATWIiCONSTRUCTION <br /> — OR iNL PERFORMANCE OF CONSiRUCTION. <br /> smr��iunr �n cnrnnn�.�C,n nn nun�nnitFn n,rr�� n,iE <br /> �/3- //D �L, SE X� ������ � ��s`-/ �S 7 I <br /> oRO1EC��D011ES5 �- ��i•i�f�MiSf.irrtiu•:�NIStiuClbqyU � � <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE OF FII[TUNE OR ITEM FEE NO. TrPE Oi EOUIPMENT FEE <br /> W�TEP LLOSET�TOILET� ArC—A/MNOIG UNITS—H P <br /> B�THTUB RE�A�GEPATIONUNITS—MP EA � <br /> UW TORY IwA511 A�SIN� BOILERS—B T U�M P <br /> SHOWER GnSFInEOAC UNITS—BTU . <br /> RITCHEN SINN 6 OISP F0110ED Aill SYSTEMS �-B T U. M EA . <br /> OISHW�SHER WALL HEA1E�5 -B 7 U M �. <br /> I�UNORV fR�v UNIT 1'EATE115 -A T ll M � <br /> CIOTNFS W�SIIER (j [VAPOa�iIVE COOLFnS <br /> UAINAI CLOTHF.S OI1vEn5 i <br /> OPINNINO fOUNTAIN VENTILAtION iAN i <br /> fLOOA DAAIN ��NOE NOOD <br /> A�CMFLOW PREVENTE�S W�iFR NFAfE� , <br /> ROOF ORI11N5—R�INLEADEP$ WOOD STOVE ���. <br /> SINN�SERVICE—fiAfl ETC I META�fIPEPLIICE 6 f/11MNEY _ <br /> FlqE�I nCF INSE11i <br /> HEAtPVMP <br /> QAS PIPING <br /> ExHnU57FnN <br /> {U!TOTAL S �. !U!TOT�L <br /> PERMIT S �pM�t <br /> TOTAIFEE f TOTALFlE <br /> � �nunrSE�n�c� AE�ns[tP�c• s��E!s[iP�CK �'�ANCMECKNUMBEA FEE�7 � I RECEIPTNO <br /> GO� z 0� tl , �" /O' i+,i r � � �� v` I �� /V ✓ / � <br /> UsflONE �oun[� wr.eN�sn[ FEES VALUATION FEE <br /> _ 7uno ,54 F'T rnes �n�o <br /> flU4D�Nfi 1 B <br /> �rvrt Or f0 r OCC.UrANCv cnn�lc NO Or nwi luN6 uNrt9 I^ � <br /> _�j�/_ IQ—,3 � �'LUMf1�N6 VO <br /> Srt! Or 91f1�1 NO �II Sb nR5 M�� nc[ 1:1�0 l�'� <br /> � ���( � 'r_ MECH�NI(:AI. �/ <br /> /Z 3Z �vv,c�A � 'r _ <br /> — orr�en <br /> FIIiF SPRINKLERS REOUIR[D ll VES '�JO — ST�fE BUILDiN(i SURCI1AtICiE <br /> S1ATE EN[Rf3Y SUfiCL1aR(3E <br /> •VVI�I:�l�pq�fr Br n�erI5C1�ECnFOPr dPn�l �nn�aSil�qC1 II� <br /> ,� rupi.ic wonHs <br /> 'n(� /�+'�� TOTAL <br /> ��� <br /> PROPE�Tv f�WNERS��7f:�F.SPONSIBLE FOR OF.tERMINING ALL <br /> PfiOPER1V I INE IDC�TIONSAND RELAiEO EASEMEN75. <br />�__..�- _'�.`.s _.. .. .. , ... .. . �... . ._ ,__— • <br />