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,�.F..ro,,.,, APPLICATION FOR <br /> ""°` CONSTRUCTION '°"`" <br /> everett PE R M I T e <br /> BUILDING DEPARTMENT <br /> ��o-B810 TO BE COMPLETED IN INK - PLEASE PRINT <br /> ❑ DEMOIITION ❑ COM8INATION ❑ BUILDING ❑ MECHANfCAL ❑ pLUMBING ❑ SIGN <br /> yW�� ��•�i .m�u��.; �nv m� arma� <br /> J . �.��si'�w 1y,2 � - �r� S.V E�,z.-e rT 9vz�y <br /> �I�i ��i.l i 1 I F.� i�rll N M��� Rl:llli!i• <br /> �t�• . Prr)NI <br /> 1'�''1=1P. �,.�1��0 I��.l vllllfll':� �. '� l�l' <br /> � ��NI <br /> S✓��I ,Y1�11fr%G6GU-?S�'N� "r/.? S Q.�-�iK� ��„ 9pZ13 � 5� 6PP6 SC HN�G,��y� �G <br /> •n�.�.. . �„ iu�. �, �� uui �nt�n�s—_—�' .. r. rr nnnr�� — <br /> ur.i.�ti . <br /> i=��,un�ri,..�.�iu,� vu� M.n ,nnn�:�. � �n. nr ruu.a — <br /> �n�rr . <br /> C1�'.� '. KJI�� �� �_ <br /> � NEW ❑ ADDITION ❑ AlTEN4TION ❑ REPAIR ❑ UEMOLITION ❑ WOODSTOVE;FHPI INSERT ❑ BUILDING RELOCAIION <br /> v.�uu�,i��r -os���rM�qn��isnius �n�,n. '_ <br /> r 52 �� <br /> U15Cni11l N.�q« <br /> 1>e�.k e l p�,-f ��� — <br /> ,,, "���,�,���- -- <br /> I HER[BY CENTIFV TNAT I HAVE READ AND E%AMINED THIS AP- <br /> PLICATIONANOKNOWTHESAMETOBETRUEANDCORqECi ALL <br /> u:,a nrsra�ononoraaovcnrr,y»owr�ntinwoa�naonouncooits� pqQVI510N50FLAWSANDORDINANCESGOVEHNINGTHISTVPC <br /> ""-�+���`«��� � � �LI�f �� ', NFORNOTNiHFGRHNTINGOFAPERMIT00ESNOTPRES�UMETO <br /> GIVC AUTHORITV TO VIOLATE OFi CANCEL THE PqOVI510N5 OF <br /> ANVOTHERSTqTE OR LOCAL LAW REGULATINGCONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> si.;H<ruar�nina�i�n�.r.r�unnur,�bn�rrnac.tNi ;�nrt <br /> VHl�lf(.it'1()NfGS / I J O/ <br /> �. . '� t �Pi•r.u:�rrt'tiLit�PUS�N1.a�.i �N�.l y�� <br /> / .� 7 - U S. �. `��,?U <br /> PLUMBIN6 MECHANICAL <br /> NO. iYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMEN7 FEE <br /> W�TER ClOSET�TOILET� ArC -F�MNOLG UNITS-M P <br /> B�TMTUB REFRIGERATION UNITS-H P EA <br /> LAVATORY�WASN BASINI 901LER5-B T U�H P <br /> SMOWER G�SFIREOAC UNITS-BiU <br /> KITCHEN SINR 6 OISP FONCEO AIR SVSTEMS-B T U M EA <br /> DI$MWASNER WALL HEATERS-B 7U M <br /> LAUNORY iRpY IINI f HEATERS-B 7 U M <br /> CLOTHES W45MER EVAPORAiIVECOOlEPS <br /> URINAL CLOTHESORYERS <br /> nRINKING FOUNTAIN VENTILATION FAN <br /> FLOOA OAAIN pANGE Hppp <br /> BACKF�OW�iEVENTERS WITENHFA7ER <br /> AOOF ORRIN i -FAINLEADEfi$ WOOD STOVE <br /> SINK ISERVI[E -BnR ETC 1 METAL FIREPLACE!CHIMNEY <br /> FIPEPI,ACE INSER7 <br /> HEAT i'UMP <br /> GAS w1'iNC <br /> E/HPUSTFAN <br /> !UE T07AL f SUS TOT�L <br /> PERMI• ! PfRM1T <br /> TOT�Lf[E f TOTAIfEE <br /> ��� ..�sr�n��.. / � � uf�4 st�B�c. sro 5 �cn �1 ��AN�-H((IK NUMBE� FEE ��� RECEIPT NO _ <br /> !C� � / � _,�nl vr� , . I� . , - , � � /l(". ,_ Ii/ y ��)`7 <br /> .,.I :tl•11� �UI�RE� . <br /> wur� snc FEES VAlUl1TI0N FEE <br /> _vE5 O <br /> ' �� ntzu��Ncrcpnup qournwrLu4n��Mrs BUILD�NG S�- \ <br /> � • �� ��/ � / <br /> PLUMBING <br /> �� NO U�5�qRifS Mu Of,f. �O�O <br /> � / ♦ / r1 MECHIINICAL <br /> /V/Y <br /> OTHER ' � I � / � <br /> +' L <br /> f IRE $PRINkLEHS REOUIRED ❑ YES J� NO $TpTE BUILDIN6 SUACMIIRGE � G� �� <br /> STATEENER�iYSURCHARGE <br /> ..�- . i��- P. . �,� r�t�.nFDP. u•ru �nu�.o-un��iti� <br /> I� J �� PUBLICWf,qNS <br /> • �'" � ��� TOTAL j <br /> _ _ '.__. .___�___—_--_"_1___--______._- � <br /> Pf�OPERTV OWNERSARE RESPONSIdLE FOR LIETERMINING ALl <br /> Pf�OPEATY LINE LOCA�IONSAND PELATEO EASEMEMTS <br />