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�� .��T CONSTRUCTION <br /> ��T�oF <br /> everett PERMIT PERMITNO. 17856 <br /> 259 - 8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUII.DING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> oWNE!1 unn AUDREs:: Crtr p�n q�pq[ <br /> �eral I.Ja►ner ►�a� -�G�O�/ti�tSuJ �1a9 �v�eri�- 1`��r r�� <br /> ♦RCMREC incsir.vrn unnnnnnrss arr zi� rr�onc <br /> OFNERµGONTRICTON M�II �pp0Ec5 ry,TY 11V pMONE LIf.FNSE• <br /> ME�'H�NiGI CONiP�CiON MML�O�RESS gitV lIP PHONE �ICFNSE• <br /> A 4MPING CONTR�CTOR MI111 R1I1f1FS5 QTY Ilt' PIIONE I iCENSE• <br /> r.uns cr wonrc <br /> ❑ NEW O ADDITION ❑ ALTERATIO�I ❑ REPAIR ❑ DEMOLITION ❑ BUILDINONELOCATION <br /> vew�uoM ar wOnn <br /> { <br /> DESCiiPE W0 K� -f_- '_ ' O�� . <br /> NEl�isounrc r� <br /> ❑ ELECTRICITY ❑ QAB ❑ WOODSTOVE ❑ OTMER <br /> PROPOSED USE Of PUROiNG <br /> I HEREBV CERTIFV THAT I HAVE READ AND E%AMINED THIS <br /> _ APPLICATIUN AND KNOW THE SAME TO BE TRUE AND <br /> LEC�LUESCRIPTIDNOfVqOPERTYIS��OWAEIOWONITT�CHfOURCCPIESi CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> io* _x�ce� _ or GOVERNING THIS T`'�E OF INUFN WILL 9E COMPLIED WITH <br /> WHETHEfi SPECIFIEU HERF.IN OF NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR�LOCAL LAW REGULATING CUNSTHUCTION OR <br /> THE P FA�RMANCE OF CONSTRUCT ON <br /> JOB�OORE55 SIGN�I 1E i� ',ONTRA�ipR �Uf LEO .FN ' 1 OWNE11 1) E <br /> d >-/ S X ' �� � z I-�,�� s�l . <br /> PLUMSINO MECMANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATFA CLOSET�TOILET� A C A-HNDLG UNITS- H P <br /> PATMTUO REFRIGERATIONUNIIS�� HPEA <br /> LAVATORV�WASMPASIM DOIIERS- ATU�HP <br /> SNOWER pA5 FIRED A C UNITS - P T U <br /> NITCMEN SINN 6 DISP FORCE�AIR SVSTEMS - B i U M EA <br /> DISHWASMER WALL HEATERS -B TU M <br /> IAUN�BY TRAV UNI7 HEATERS �� B T� M <br /> CLOTHES wnSMER EVAPORA*IVE COOLERS <br /> URINAL CLOTHESORYERS <br /> DRINKING FOUNTpIN VENTIIATION FAN <br /> FI.00R ORnIN RANGE HOOO <br /> BACNFLOW PqEVENTERS WA�ER IIEATER <br /> ROOF DHAINS�- RAINLEAOERS NOOD STOVE <br /> SINN�SERVICE BAR.ETC� METAL FIPEPLAfE 8 CHIMNEV <br /> - FIREPLnCE INSERT <br /> NEATPUMP <br /> OAS PIPING <br /> ENHAUSiFAN <br /> !UB TOi11L f BUB TOTIIL <br /> VERMIT f PERMIT <br /> TOT11l FEE f TOT11L FEE <br /> inor�i SEtP�C� nE•n snnu�r sioE setxncK p�pN CHECK NUMAEP FEE RECEIPT NO <br /> usE20Hc ior�nE• �'.I�)Jf;i i1 :� ��Cl� Illljl.�IN'�, hil . <br /> v.uNr me FEEB VALUATION FEE <br /> �]vE5 IING <br /> TYPEOFCONST Offlli'�Nf.Y(1ROU0 NUUfOWEIUNfUNi15 BWLDING E���������� ����i <br /> PLUMBING p�lfh i�;hil' <br /> ��dE O!BIOG NO Of STOPiES M�x Off. LO�D ':,' I;''' � I . I <br /> MECHANICAL � <br /> INVFCTIGATIONFEE �,�rJ04�e� q �� ;1;1 <br /> FIRE SPRINKLER3 REOUIRED C]YES ❑NO i�,���i��.-�-- <br /> STATE BWIDING SUHCHARGE '' <br /> STATE ENERGY SURCHARGE k�����p.!�,,. . , <br />� �PPIICAl10NACC BY I�IPNSCMFCNEPflY �PPR (OlIISSIUNCfI1V <br /> ORNEWAVPERMIT ����' l .:l; '.lP' <br /> I <br /> TOTAL G <br /> — PERMIT V�LIO�TION <br /> WNF.N PPOPEFLY VAl10ATED IIN TMIS SPACEI TMIS IS VOI:R PEPMIi <br /> � <br /> �n <br /> � <br /> �' <br /> r <br /> V—� <br />