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' in�Ewryrr�n i�,PPLICATION FOI. �i ,��z �-��.,,, �= sa�, ���� ���,�n <br /> �,TM�F CONSTRUCTION -�; , � �-,.��� -,e, ,e�, 0 <br /> everett PE�tMIT � � �,�, <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK - PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PWMBING ❑ SIGN <br /> �wHen e�•n �nnnrss r�i. n�� ruaHr I <br /> ir �(,,;,t i� .l-�,T,� 371 NC lol�h �{- � L2.12 �'cc�i�tur«( I��(��I�'n5L �J'�1l.� <br /> PCM1E UA'1lSiliNEll � M�il 4)O�1F5$ Cil♦ )In PpUNt <br /> fiENF11.1lCONIM/�QO� M�i1 �UU111'/.5�� U'�° I'�� 9��qNf UCEIISE• <br /> �A'1 l'[m`�� ��F'�'7 n.� Tr�r t.U.YIIC L1,0 /�,�7t•U�. ���I f�� ( �. I? e ��� <br /> Mrou �Lf.ONin�C�nq M��� Mrnn[s5 l.i�v br rupNF uc[NSt . <br /> PIUMP�N�iCONIN�LIOP M��I �OVPE55 LIIY lIP PIIONf lICU15E • <br /> CU550! NORM <br /> � NEW ❑ �DOITION ❑ ALTERATION Q REPAIR ❑ DEMOLITION ❑ WOOOSTOVE/FRPLINSERT ❑ BUILDIN3 RELOCATION <br /> WlU�hpNUrWO9;i;l'OSIOrp�,HfnulF�•1u51�Br)q� <br /> �tv,��.x� (�`l, 7on <br /> orscnixl� l..`�� ------'— <br /> P c_ '�/Z <br /> os[o�emi o�Na <br /> (����'\ � . (� I HERGBV CERTI�V THAT I HAVE REAO AND E%A!v!INED iH15 AP <br /> NU.y� AA Y PLICATIONANDKNOWTHESAMEiOBETFUEANDCORRFCT.ALL <br /> lW DES�noNo�oN�)nEn� �s��owNoe�ow� ���unounr �riesi PROVISIONSOFLAWSANDOFDINANCESGOVEFNINGTHISTYPE <br /> OF WORK WILL BE COMPLETED WITH WIIETHER SPECIFIED HERE� <br /> io��_e�oc�_or IN OF NOT, iHE Gi7ANTING OF A PEFMIT DOES NO1 PRESUME TO <br /> GIVE AUTVIORITV TO VIOLATE OR CANCEL TI1E PROVISIONS OF <br /> A�IY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> —•— OR TNE PERFJRMANCE OF CONSTRUCTION. <br /> 51ON�1 [ U 'pNInnC10 n rHomlrOnGlNI n�lE <br /> X � 2 • � � 'g� <br /> PnOiELI eD�RE55 , � •� �• � f.���Pu:V ' •�O <br /> q.�.) - IIU �"� p �5E .�,�1.�,�{ -�A �r � �L �-$ '�`� I <br /> � PLUMBINQ MECHANIC I <br /> ' NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE O�EUUIPMEFIT FEE <br /> W�TER CLOSET�TOI�ET� A�C—A�HNOIC UNIfS—H P <br /> I7�iHTVB � 9EPnIGE�AT�ONUNITS—IiPE� <br /> �, ../1VATONY IW�SH B�SIN� r 801LERS—B T U rN P <br /> SHpWER y GASFIRF��� J\�S-8T�1 <br /> KITCHEN SINK 6 OISP � FORCED Plf.SYSTEMS—B T U M EA <br /> DISMWASHEN WALL��EATEPS—B T U M <br /> LAUN�RY TR�Y UNIT 11EATEAS—B T U M <br /> ' CLOTHESWASHE� EVAPORAT�VECOOIE�S <br /> URIN�L CLOTHES O��ERS �� <br /> ' DRINNINCFOUNT1IN VEN'�ILATIONfAN <br /> ' FLOOR OR�iN AANOE NOOD <br /> � BACKFLOWPREVEN7ER8 W�TERHEMER ' <br /> � ROOF ORAINS—R�INLEAOERS WO00 STOVF. IL(C.(l.i (1Q �'j�• <br /> ' S�NN�SERVICE —B�R.EiC I MEiAL FInEPIACE 6 Ct1IMNE� <br /> FIRE�IACE 1115ERT <br /> NEAlfUMP <br /> OAS f II'IN6 <br /> ' ERIIAt157 MN � <br /> lUSTOiAL 1 �� lUBTOtAL <br /> PERMIT ! - P[RMIT <br />µ�� . � TOiAI FEE f C tOT�L FEE <br /> � � �nu�+r5viyer. aF�nnnq�rK emranP�cK �'������N %KNUMPEfi �EE PECEIPTNO <br /> ��.' c _ (i� �`l N �.)_��-' �� J <br /> y� , �ise tuNt inr�nu y�f.��11 Si�E FEES �AIUATION FEE <br /> �_�. � �('_� 7,.�� q u.rs neo <br />�� n'�EOfCONSI f�Cf.11P�NCYG1101 j NOO�DWFlUN6UNi15 BU�LDWC3 S �p�r, � L f <br />� �.��N �' 3 I PLUMBING � � <br /> A�lf O�B�pO� NO Uf S�OPif9 M�Y OCf. ID�O <br /> � �q�7 na��{. ,__ MECHANIC/1L _� <br /> y6/ 9?l�oaL c <br />��- � /N�� OTHER Q � � p L <br />� . FIRF SPRINKLERS R�OUIiiEO L] YES �� __ _ STATE BUILDIN(i SU(ICIIAliGF � <br /> , STnTE ENE�GY Sl1RCHARGE <br /> � �PViiUIiON�lftl� � 1'I�NSCNEf.nFOPv 11PPOfO�i35O�NLEBY <br /> ; � 1 ru3uc wonKs <br /> � p/�// I'� TOTAL <br /> ��. <br /> ! PROPERiY OWNERS ARF RESFONSIBLE FOR DETERMININOALL �{'Y� <br />�� , Pf70PERTV LINE LOCATIONSAND RELATED EASEMEN79. <br />_.��.��.�.�.._�_.-,�.. . .. . . .. .. .. . ... . . . .. �'_r' . ...�_ . _ . . . ...... .. . .. . . <br />