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. . � .M�.�.�-.�r��.... .. • . � i <br /> CltvfO/�� '•.:PPLICATION FO;� <br /> everett �ONSTRUCTION ��«�„ <br /> 269IBD45 DEPARTMENT PERMIT 0 <br /> TO BE COMPLETED IN INK• P�EASE PRINT <br /> O DEMOLITION []COMBINATION <br /> OWHEN O BUILDINO ❑ MECHANICAL <br /> Foster flell ""���ooacee ❑ PLUMBINQ O SION <br /> 4834 Alger Ave `'—^� :�P <br /> �RCNIfELfONOElIpNEq Et�erett 98203 %�ONE <br /> Mui eoon[aa 252-939� <br /> cin—�p <br /> UENEN��LONlp��pq PN(INF <br /> E1+erett Bldra. j��, M"��"oonEea <br /> 5606 EWergreen Way E c�ry Z1P <br /> MECN�MI[��CON/MpiOq Verett 98T.03 P'�ONE <br /> M�IlA00qE!! � 3$3—)161 C�.`I�ENnF• <br /> CIfY 21P ��•f��� <br /> RUMl�N�CONtM�fOq ONONE <br /> M�IL AODNE88 �K�NtE• <br /> CIfY IIP <br /> CL�lD Of�K F110Nf <br /> tKFYS!i <br /> ❑ NEW ❑ ADOITION (� ALTERATION <br /> WLWIIONOIWpqKILO�TOfMM[N,1L9PLU�L�101ry � REPAIR ❑ OEMOLI;ION <br /> ��DSfOVE_/FRPL.INSEqi ❑ BUILDINO RELOCATION � <br /> 31000.00 � <br /> uEac�is¢woa� <br /> Recoof exiaitng residence (2p e � �om�� e� el�inun � <br /> ��`a �01NO guttern, <br /> � • � <br /> � ` ' J I HEREBY <br /> EO�10f°CP1P1 M«P� Y�SNOWN iow' CERiIFV THA71 HAVE qEAO AND E%AMINED <br /> ����N�WR�O%(q PLICATIONANDKNOWiNEBqMETOBETqUEAND TH19AP• <br /> '�—_sia�o� PROVI910N8 OF�AWgANU ORDINANCE3 ppyEqry�jrQRTMl9 TYpE <br /> NORNOT�THEpR NTINOJFAPERMyITD E8NO7PpE8UME'Af0 <br /> OIVE AUTHORITV?O VIOI,ATE OR CANCEL THE PqOV1910N9 OF <br /> ANV OTHEq gTATE OR LOCAI,��yy pEQULATINO CON9fqUCTION <br /> OR rHE PERF�OqMANCE OF CON9TpUCiION. <br /> B�ON�TURE OF CUNtqACtOq Oq�UTMORI2ED AOENf <br /> X O�fE <br /> �xcr�ooncee <br /> 4834 Alg .., c.e �,��. . .�� �� r ` �-a -�� <br /> er Ave, �P°���Nraenraua�xEeeuccpa[Ho <br /> VM�INp <br /> �� TYM OR FIIITUIIt M�CNANICAL <br /> M_ATEHClOBEI TqLE F« NO. <br /> CATHTUB TMM�'�OUIM1� T <br /> IAVATORY WA9HeAgl AIqCOND. UNltB_N.-- R�� <br /> NEFRIpEHATION UNITB—M.p,EA <br /> lHOWEq BOILERS—H.P.EA. �_— . <br /> IfITCNFN 81N1(�p18P. <br /> DIBNWASNEH a�g FIqED AC UNITB-fONNAOE EA <br /> FCHCED�Iq 9Y8iEM9-B.T U. M--� <br /> IAUNDqY--� WA�L HEATER9-B.i,U. Id <br /> CIOtHE9 WA9HEN UNIl MEATEq--M <br /> WATEq NEATEq EVAPOMTIVE COOLER9 <br /> URINAL � <br /> DRINKINO FOUNTAIN CLOTNEB OHYER9 <br /> VENTILATION 1AN <br /> fIOOR DR�IN FANOE HppO <br /> VACUUM BAEAkER9 Alq HANULINO UNIT- <br /> �FORAINB-qA1NlEADERS 9TOVE QF.M. <br /> � SIN1I19EqVICE-BAH ETC. METAL FIpEPLACE i CHIMNEY <br /> � WOOD9fOVEiFIREFLACEIN3ERi <br /> �U�TOTAL <br /> /[11MIi � �U�iOTAL <br /> TOTAL FE! � P[IIMIT � <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT.`pERSONNEI <br /> . <br /> n�CK REARBEIBAC< <br /> 810EBEtBd�K P�ANCNECKNUMBER . <br /> lOf AqF� ��N LBEC�fEE <br /> V�C�Ni�IfE IFE nEtEPtNO <br /> 'ISI ' ❑YE� ONO I[q <br /> OCCUV�NCY(jROUP NOOi VLLU�f10N l!! <br /> OM'EllINO UNII! ' <br /> �� NO Oi gfORiE9 <br /> M�a UCC 10.1D BUILDINO � <br /> PLUMBINO <br /> IKLERS qEOUIREO O YE9 O NO MECNANICAL <br /> Oi/1ER <br /> �« �� PL�N9�NECkEOBv <br /> ���p�Oq 193UANCE BY PENALtY : <br /> iOTAL <br /> �� <br />