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APPLIC�4°�t� ?J �'�� ���STI�IJCT �RJ PE�MIT - � <br />� TO BE COMPLETED IN BLACK INK—PLEASE PRINT ��rr <br /> BUILDING DEPARTMENT HEATWG SYSTEM: ❑GAS U ELECTRIC i,� ____ _—� <br /> 259-8810 <br /> DEMOLITION I i COMBINATION �BUILDING i MECHANICAL i � PLUMBING i I SIGN <br /> or�n-n /� �j MAILA�DRE55 �L � cirv /� zir r��oNe -- <br /> f[�• yi�/h �lZ[ S'/ �7�/ ���(/ Uli�/�rT �ii� %S'fG�/ _ <br /> MqILADDRESS GIiV ZIP PHONE <br /> .Sf�•o_�� ('�l�oii�el� /J%C� %/f E� ��� G�/} �b'.zU/ .� �9 3rS'"�p <br /> 4FCHITECTOROES�GNER MAllA00RES5 CITY 21P PHONE <br /> i <br /> ��� 1dAILA�DPE.,S GTV ZIP PHONE <br /> C STFTE LICENSE u <br /> �./ i �'%i2�i����� F!�'i�1`L 7 j'-���' "�' <br /> l.1FCHANICALC PA�TOR MAIL�D�RE55 CITV ZIF PHONE 57ATEUGENSEa <br /> ��C�l�� <br /> PLUMBINGC NTFFCTOR tA�ILA�DRE55 CITV ZIF PHJNE ST�iELICENSEp <br /> CONiR.\CT PRIGE OF WOjjR <br /> sbr ��� 6't' <br /> UESCR�BE WORK AND SOU�RE FOOTAGE INVOLVED GONTACT PEFSON M1N�PHOIJE N0. <br /> C�/d G '� /(lw��/ �!/!J/'iiG // �,�/ JO l/} <br /> � � HEREBY CERTIFY THAT I NAVE READ AND EXAMINED THIS <br /> PROPOSED USE OF BWLOING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> � - F ._ PROVISIONS OF LAWS AND OflDINANCES GOVERNING'fH15 TYPE OF <br /> LEGALDESCRIPTIONOFPROPE �SHOWNBELOWOIIATTACHTWOCOPIFS) WORK WILL BE COMPLETED WITH WHETHER SPECIFfED HEIiEIN UR <br /> �oT eiocK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> _ /�/v Y/.Jf �vfi�f�- W� OTHEfi STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. THAT i AM AUTHORIZED BY THF <br /> OINNER OF THIS PROPERTY TO PERFORM THE 190RK FOH :7FIICH <br /> — APPLICATION IS M�DE AND I COMPLY V1il"FI iHF SiATF <br /> rnace�Tnx i.o.Nuraoea CONTRACTORS LAW 18.27 RCW AND 296200 N1AC. <br />� CONSTFUCTION LOAN LENDEH,FD�RE55.TELEPHONE NUM�ER � <br />. PROJECT ADDRESS �� � S �� . m �`� , ��� - 'C <br /> � ! �—. <br /> � cirv ousinss uo.�.:,r uo <br />� PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EdUIPM:NT FEE <br /> WATER CLOSET(TOILET) A�C—A!HNDLG UNITS—H.P. <br /> BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> I � <br /> SHOWER CLOTHES DRYERS —�— <br />� KITCHEN SINK& DISP - VENTILAT!ON FAN � <br /> � DISHWASHER RANGE HOOD <br /> LAUNDRY iRAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br />� URINAL � METAL FIREPLACE(WOOD BURNING) <br />� DRINKING FOUNTAIN � FIREPLACE INSERT � <br /> � <br /> _ FLOOR DRC.IN � HEAT PUMP ,r— <br /> BACKFLOW PREVENTERS ' GAS PIPING � <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> SIP1K lSERVICE—BAR.ETC.! � , <br /> � <br /> � <br /> � <br /> � <br /> � <br /> � � <br /> SUB TOTAL $ SUB TOTAL � <br />� PERMIT $ PERMIT S <br /> TOTALFEE $ ; TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> FRONTSET�ACK' REAqSLTBACK, SIDESETBACK Pl4NCHEC NlJl.tAER F[E R[CEIPTNO. <br /> � I� O� � � �C� G� 2�J � )�l 2�� <br /> usezo'�` LOTAREA VACANTSITE FEES VALUATION FEE <br /> J^ �. ❑ YES �NO pUILDING .Z��.O �� a` ��r!� <br /> iVPFOFCONS� NO.OFSTORIES ppWrnNcv IA.OioYrEmh.cun5 <br /> �;j'� � 1 c5o� � pLUMBING i <br /> _�;/V I <br /> SIZEOFBLDG. FlRESPRINKLERSREO'D BASFMENT --�— <br /> � PdECHANICAL ' <br /> fL7J�- f��arnr.nu iUo ❑ ves No ;�.�- <br /> OCCOPANCY IOAD FIRE ALARId REOD HEIGMT LIMITATION ADDITIONAL PLAN CHE(.�. <br /> N /+ No 3�' <br /> FEASON OTHER � <br /> SiATE BUILDING SURCHARGF. � ,�� <br />' INTANE BV PLpNS/�PPq0VE08V CITY OF EVERE7T PU�LIC WORK$ i <br /> M LOCAL SALES � <br /> oaTe �:� l✓ . TAX CO�E IS 3105 TOTAL I � � , , <br /> f�-�t <br /> _ —_ . - <br /> -, ,�9....� ,�. � ' � � , <br />:��>, . . ��,, .,�-�✓*`-� . .,�- :Zes�t.�y,�".n`.�+,6�Ys�,s_- _ ..--' . , k_,. <br /> . � .�. � .. . � '�"a :,'i�n^�n'_ti�����1��1. "`,'Y" .�!if.� <br />.y�r+�eN... �� .:. '� �.� i`.'w..�1.- ...--- ' -- .. , "'��+: ..-.' s�.z . , <br /> a.y _ <br /> � �°h�HS ^wn4y yV .. � l^�!'^ . . .. � +. �y`'�y, ll �.�� <br /> � .... ' . . w. . .. �, i�. . .�.. . ... .� . <br /> \ -- <br /> _��_ <br /> s <br /> ..... �.��.. . �'S'�� F . . , iµ ...-. . �..�n - .. . . . .."����� . <br />