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f�;iPPLICATION FO`�`�" ���.�M <br /> Q`�'""" CONSTRUCTION O <br /> everett PERMIT <br /> BUILDINO DEPARTMENT TO BE COMPLETED IN INK• PLEASE PRINT <br /> 259-8810 <br /> ❑ DEMOliT10N O COMBINA710N ❑ BUILDING ��MECHANICAL O PLUMBIN6 ❑ SIGN <br /> pwr¢ � �UDntss � cnr � z�r nu�vr <br /> a r a f9��F.` ��'�T S�r1a i <br /> •11GIItECtOND!]MNER M��I • NfF9 C Y TIO � Hf <br /> OEME11 L ONIR�LIOR N�il �DOnE54 ���v l�n oupHE I�CE'ISt• <br /> �Fc,,� q,.,� (:,.✓sr��_.�,� ��;✓ ���cfr; 9�-�a� <br /> u.���oontss r,ur tiv MalNt �K� � <br /> MEf.N�Nlf.�l CON���G�OR yY1 e i <br /> � ; � s .�.�.�� sr�.- F,�<r. <br /> CvLd.✓/Z ��i�1�1�! 1 �L a� <br /> •lUMO�NOCONIN�L�Ol1 � / MMl� I�C55 C 1 2 V M l F lM 1 f <br /> 11.,� �i �,�dTs ��s.t'� <br /> Gl�ilM WO�R <br /> ❑ NEW ❑ �OO�tION J� AITERATION ❑ hEPAIR ❑ DGMOLIIIUN ❑ \VOUDSTOVEl�RFI.INSERT BUILOINO AEIOC�f10H_ <br /> v.w•nonwwon•,cos�rna.�nn�isnueuenm � <br /> wscM�w+M_ g t' � F � ' � . <br /> 6� � ♦ ' <br /> usc or e n o + • 1 HEREBY CERiIFV THAT I HAVE READ AND EXAMINED THIS AR <br /> PLICATIONANDKNOWTHESAMETOBETPUEANOCORRECT ALL <br /> «���p en W���E����SNO�'/NflLlO�'/OA����C��fOl111C0�•�ESi pqOVI510N50FLAW5ANDORDINANCES60VERNINOTHISTYPE <br /> OF WORK Wlll.BE COMPLETED WITN WHETHERSPECIFIEO HERE• <br /> io�_e1a,�_o, IN Oil NOi.THE aRAN?IN6 OF A PERMIT DOES NOT PRESUME TO <br /> OIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY p711Ef7 STATF OR LOCl1l LAW RE�ULATING CONSTRUCTION <br /> OR iNE PERFORMANCE OF CONSiRUCTION. <br /> SION�lUREO ON71UC7 411�UiHONiCO�i:CNi U�iF�_twt <br /> X _ � � �� <br /> CPp1EC��ObRE31� � _/ �PFLf.�Nf4G1IVBlISIN(Sy .IMRENO <br /> %,/ <br /> �I.UMSINO MECHANICAL <br /> 110. Ttl►E Of FIRTUIIE OR 11EM FEE NO. T'PE OF EOUIPMENf FEE <br /> NIITER CIOSET 11011Ei1 L A/C—�/NMDLO UNITS—H O. <br /> e11tNTU! NEFRIGER�TIOH UMTS—H P EA. <br /> UyATpp��W�SH0�51N� D '� BOILEPS—B.TU.MP <br /> �p�q 0�9 FIRED A C.UHItS—S.T.U. <br /> k1iCNEN SINK{DISP FORCED Mp 9YSTEMS—B.T.U. M EA. <br /> a��3�p WI1LL NEI1tERS—0 T.U. M <br /> UUqp11VTR11� UNITHEAtERS—B.TU. M <br /> ClOT/1ES w�51rtA EVAPOIVITIVE COOLEf13 <br /> V��� _ CLOTIIESOPYER9 <br /> pp�Mcllq fOIMtAIN � VENLIUTION FAN <br /> FIOd�OA��N — RANOE NOOD <br /> e�CRF�pW pqEVEN1E�5 W�TER HE�1ER <br /> pppF pp�INS—RMN�EAOE�S �MOOD STOYE — <br /> fN11t 15ERWCE—B�R EtC 1 MEi�I FIREPIACE�Cr��MNE� _ <br /> ' `/ , FIPEPUCE INSERT _ <br /> t' , � — NEATPUMP <br /> � pAS RNNO <br /> E%H�USTFAN <br /> / fUe?OUl f n ' fU�TOT L � <br /> rcn�r � � rc��nr <br /> TOTALfEE t y � rar��rcc ' <br /> �AUNISE�l�C1t ��f�NSEil�Clc ltDE6EIS�CM <br /> PI.AN CMECN NUMBER fEE RECE�PT NO. <br /> ur:r ronE i o��nu V�C�N�S�II FEES VALUATION FEE <br /> nves ���o s <br /> BUILDING <br /> tvvE O�CONSI rr:cur�NcrGnour NO Of OWELLINO UNIB '` <br /> PLUMB!t+0 7 Gd '-' <br /> S4EOi BIOU ����V� S10OiE9 Msz occ �oeo ME'�HANICAL <br /> OTHFp <br /> FIRE SPRINKLERS REOUIpED O VES O NO STATE BUILOINO SURCHAROE <br /> STATEENEROYSURCHAAGF. <br /> �no���qlpN�Lf, er ��inu5o•:;xcoer errn ronissu�Nceer p�eLICN/ORKS <br /> tOTAL <br /> PROPERTY LOINE LOC�I ONS AND REL�IED EASEMENi9�N0 RLL <br />