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�.:iPPLICATION FO►�' ���,�„ <br /> '"'E"`°�'" CONSTRUCTION <br /> �,�of e <br /> everett PERMiT <br /> BUILDING DEPARTMENT <br /> 259•8745 TO BE COMPLETED IN INK- PIEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWN[R MMUDDRE54 Cltt IiP PMONE �3 J—II�� <br /> i�a-� I/f.c_J� � - �-rre ' �iu'� �- EV 1Ba -��, <br /> �HLHrtEG10RDE510NEP M�IL�DDRESS GITY 21P �NON �y 7 <br /> i ,� '�o�—�C.�"�(v <br /> OENER�LGONTIUCiOR M�R�DOPE54 LiIY 2iP Qt1 LiGENSE� <br /> �1�`-��2� <br /> MECN�NIC�LCONTR�CTOq M�II�DDRE55 CITY ZIP PNONF UCENSE� <br /> PLUMlIMOCONTR�CIOR MMI�ODPE98 CitY ZIP PHONE LiC[NSE• <br /> I <br /> CUSS OL WORIt <br /> ❑ NEW ❑ ADDITION �. ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br /> V�W�TION Of WOAK IWST Oi Me1CR1AL5�LU9��BORI <br /> � �000 <br /> OE9CRIfiE WORK <br /> �}'evhov� 3�,i)c..L - ctcl ol �- �;a-;ow �.cs <br /> USEOf BIIIiLDIN6 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> J " C�LD 1 PLICATIONANDKNOWTHESAMETOBETRUEANDCOHRECT.ALL <br /> LE6�LDEBCPip110NOFPROPERtY�SMOWNBELOWORATI�CHFOURCOPiE9� pROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> OF WORK WILL BE COMPLETED WITH WHETHEF SPECIFIED HERE� <br /> ior_e�oc�—oF IN OR NOT.THEGRANTING OFA PERMITDOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> — OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNqTUflE OP CONTRACTOR OR AUTHORRED AGENT D4TE <br /> � /� S�/ -� - � <br /> PROJECi�D�HESS �PPLIC�NiS CITY BOSINE53 LILENSE ND. <br /> 3a0 (3 0 �u.�dL � �vere-�d' <br /> PLUMSINO MECNANICl1l _ <br /> N0. TYPE OF FIXTURE FEE ND. 7YPE OF EOUIPMENT FEE <br /> WRTER CLOSET�TOILEn AIR COND. UNITS—H.P. [R. <br /> BATHiUB REFRIGERATION UNITS—H.P.EA. <br /> LAVATORV(�'�'pSM BASIN� BOILERS—H.P.EA. <br /> SHOWER GPS FIRED 0.C. UNITS—TONNAGE E0. <br /> KITCHEN SINKB DISP. FORCED AIR SVSTEMS—B.T.LL M EA. <br /> DISHWASHER WALL HEATERS—B.T.U. M <br /> LAUNDRV TRAV UNIT HEATERS—B.T.U. M _ <br /> CLOTMES WASHER EVAPORATNE COOLERS <br /> WATEF NEATGF CLOTNES DflVERS <br /> URINAI VENTILATION FAN <br /> DRINNING FOUNTAIN RANGE HOOD <br /> FLOOli DRAIN �IR H�NDLUJG UNIT— CF.M. __ <br /> VACUUM BREAKERS STOVE <br /> ROOF ORAINS—RAINLEADERS METAL FIREPLACE 8 CMIMNEV <br /> SINK(SERVICE—BAR,ETC. WOODSTOVE/FIREPLACE INSERT _ <br /> SU9 TOTAL SUB TOTIIL f <br /> PEPMIT t PERMIT f _ <br /> TOTALFEE t TOTALFEE f _ _ <br /> THIS PURTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> lRONTSEtB�CN PEARSEIB�CN SIDESETB�CK PLANCHE KN�UM�BE)P �'ANLHELNfEE ,.y // / <br /> /j/f1- •VA- �G��- g� 6 p�l� 1 ree���'y2. ncceirr HoC1C�7�/� <br /> ��, � <br /> WEZONE IOT�REA y�pANTS1iE V�LU�TION FEE <br /> FEES <br /> C�� OYES YNO <br /> TYPEOFCONST. OCGUPRNGYGROUP NO.OFDWELLINUUNIT9 <br /> �^� �� ' Z � BUILDINO S�/i�• <br /> 512E Of BLDG NO Of STOAIES M�%OCC.10�0 <br /> �IiS D � 2 Z PLUMBINO <br /> �/�/p� R�� MECHANILRL _ <br /> FIRE SPRINKLERS REOUIRE� O VES NO <br /> nT11Fq <br /> PF.NALTV <br /> APP�IC�110NACC BY PL�NSCNFCNEOBY APPR.FON�SSURNC9BY - -- <br /> � TOTAL ___ <br /> � L , c. , <br />