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f::_�PPLICATION FO:.� �,�,�„ , <br /> '".`".`°'"" CONSTRUCTION 0 <br /> CITY OF <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259-8745 TO BE COMPLETED IN INK- PLEASE PRINT <br /> O DEMOLITION W COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑SIGN <br /> pW�NE+R MAILAODRESS CIfV IIP PMpNE <br /> ( JVVA lti - C� � �N �s �i.vui�r.��.� �f474-F�^5�.�7�. /`>�R,���,�/le t�99fi�� L.�S'yf.3� <br /> •ncNn[c�onoEsior+[n M�aeoon[ss cin zm �ar+[ <br /> GENERstGONfR�C10R M�IL�UDRE55 CIT.' 21P P��ONE LICENSE• <br /> fc/inF� � L •- ,y ys1G-k'•�,5� »E f7�R,is�,<cc u�/) 9F-� ��� c.�-: -vf.�v NoN� <br /> MECN�NIULCON�MLtOfl M�IL��Oii[59 LI1Y 21P 1`NONE UCENSE• <br /> VLUMpINOCONiR�GIDB MML�O�PE9S CITV 21P PI10NE LICEHSE• <br /> CL�55 Of WO�K rA <br /> ❑ NEW ❑ AD�IiION ❑ AL7ERATION py AEPAIR ❑ DEMOLItION ❑ WOODSTOVE/FRPL.INSERT ❑ BUII�ING RELOCAIION <br /> v�w���or�or wonn icosr or unn:n�•i.rws uoom I <br /> df' 'J u UJ `'° — -��'�reyH- <br /> otnscn�e[wonK / • <br /> „P/tn.i7 .S�A'u���•;•f. n�uniUinGCrlu d�'�i.t•� [.l •iPe�A'�e.fe.�v.e'�/efs�/•jAh� ��tt.•R: Qua�!"i.v5 QS �X[nfa.e./ <br /> / <br /> use or amio�Na I HEREF�Y CERTIFY THAT I HAVE READ AND EXAMINED THI,q AP• <br /> �� �,�y�,� �,� ` 7-�v�•Kni,l PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br /> ieouoescmrnowoFnnorcmrrsnowr�oEtowonen•enrouncorics� , PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> OF WORIC WI�L BE COMPLETED WITH WHETHER SPECIFIED HERE• <br /> .or—eioc�—or IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIQNS OF <br /> ANYOTHER STATE OR IOCAL LAW PEGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNRIUNE OF GONT�R/ACTOR OF AUTNORIZE�AGEN� DAIE <br /> '7 ^ /f.�'ILCl7T:'�L1Ju�,i�'�e-�_ �.Z./�7/S/o <br /> � — <br /> PROJECf�UO�E59 �CPIIGPNT9 CIiY BOSW E55 L�GENSE ND. <br /> / 3 3 / �3 ,r��„�«�q� - <br /> PLUMBIN6 MECHANICAL <br /> NO. TrPE OF FI%7UHE FEE NO. TYPE OF EOIIIPMENT FEE <br /> WATER CLOSET�TOILEn AIR COND.UNITS-HP.EA. <br /> BAl11TUB REFRIGERATION UNITS-H.P.EA. 6i+�G- _ <br /> LAVATORY�WASH BASIH) �GILERS-H.P.EA. <br /> SNOwER GAS FIPED A.C.UNITS-TONNAGE EA <br /> NITCHEN SINK 8 DISP. FORCEO AIR S�STEMS-B.T.U. M EA. _ <br /> OISHWASHER n • WALLHEATEHS-B.T.U. M .IGf.._St.nt <br /> LAUNORY TRAY „ UNIi NEATERS-B.T.U. M <br /> CLOTHES WASIIER EVAPORA7IVE COOLERS _ <br /> WATER HE�TER CLOTHESf1RVER5 <br /> URINAL / VENTIUTION FAN D R o•vJ <br /> DRINNINO FOIINTAIN RANGE HO00 <br /> FLOORDRAIN 7ei� A�R��AN�LINGUNIT- C.F.M. <br /> VACUUM BPEAKEHS STOVE _ <br /> HOOF DRAINS-HAMLEP.UEflS MEtAL FIREPLACE 8 CHIMNEY <br /> S�NK SERVICE-BAR,E1G)/(�h �� � /�1a`/+ WOODSTOVE/FIREPLACE INSERT <br /> p�t��i/J/ S _ <br /> ��/A rr � : - ' .LS _ . <br /> SUB TOTAL SUBTOTAL S <br /> PEfiMlt f PERMIT f <br /> TOTAI.FEE f TOTAI FEE 3 <br /> THIS PURTIO�I TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> IRO�I�SEIOACN 11f.Ap$[IBACK SIOESfIP�LK 1'L�NGMECNNUMOCfi PL�NCII[CNFEE <br /> fEE �ECEIPf NO <br /> USE 20N[ l01�f1U y�C�NT S�fE V�LU�tION FEE <br /> FEE9 <br /> ores r:.0 <br /> tvrEorcous� xcurnr¢rcnouv NOOFOWELlIN6VNl19 ' �� S� „ p � SO <br /> UUILDING = Vv <br /> S�IE O�OI�U NO OF S10RiE5 M�%ACC.IO�D <br /> PLUMOINO <br /> MECIIANIC�L <br /> FIFE SPRII�KLEHS REOUIREb O YES ❑ NO <br /> OTHEA <br /> PENALTY <br /> PPPLICA�ION RCC �Y 1'UNS f.�IECRED�Y AFP0.FOR ISSU�NCE BY <br /> tOT�L <br /> ����� L . C; . -- <br /> � <br />