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� ._:PPLICATION FO:.' ���,�„ <br /> fMEnqrwn CONSTRUCTION 0 <br /> cm or <br /> everett PERMIT <br /> TO BE COMPLETEO IN BLACK INK-PLEASE PRINT <br /> BUILDINO DEPT. <br /> 2b9•8745 � COMBINATION ❑ BUILDIN(i ❑ MECHANICAL ❑ PLUMBINO ❑ SION <br /> OWI�lA / MML�DONE88 CITY 21P VNDNE <br /> �jIGNAs��� � i��ia 7 ..� { ��f15!',atJP v)i?iui.. /.t�.•.T.iA'�Y. (� :C. �h*ZD � <br /> AR T[/CT�OROEltONER M�/IL�OOREl9 / CIfV IIP FHONE <br /> _!� l�On..n.^ 'i �F��N! (n....1. ./ ✓i' 7��/I�' /-i.i�oP/.i7��iN Lw.i /'t� 'l�:.r� �1dT*� 3�5��• 77ct� <br /> OENFMLCONiMLi011 M�IL�ODRE98 CIIV LIP � VNONE �Y IICFNSE• <br /> y..JNN C/O3�% <br /> MECNMlM.11LfANTi1�GTOq M�IL�ODREBB GItY 21P PNONE LICENlE• <br /> YIUMlINO CONTMGi011 M�IL�UOPEBB Gltt ZIP VIIONE IICENBF• <br /> C�LA!lOFV/ORN / �� <br /> 1f7 IIEW O ADDITION � ALTER�TION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPl.IN3EHT ❑ BUILDINO RELOCATION <br /> V�W�TION Oi WORK�G06TOF M�fEHIALB PLU91�901q <br /> �.i <br /> �l�^�UU <br /> DEOCRIOE WONR <br /> (;��i.,., �r,._/ iF� :�.� C� - �� r4— rL e..�. ", �/,o�irr.• /aT/J <br /> uee or waouro <br /> 1 HEREBY CEFitIFY TNAT I HAVE READ AND CXAMINED TH18 AP <br /> ��ir��A✓ F-o�•.� �i/ �l d"s��+'-r�' PUCATIONANOKNOWTHESAMETOBETRUEANOCORRECT.ALL <br /> LE011LOLlCRI NOiiPOPERTY�ON NBEIOWOR�1tI�CNiWPCOPIEy pqOV1310N90FLAW8ANDORDINANCE900VERNINaTH13TYPE <br /> v�,•� /< <,,,,,,c ti„���. OF WOFK WILL BE COMPLETED WITH WHETHER 9PECIFIED HERE <br /> �of'��swc�—or IN OR NOT.THE ORANTINQ OF A PERMIT DOES NOT PREBUME TO <br /> ' CiIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OK <br /> � '�I ANYOTHERSTATEORLOCALLAWHEOULATINOCON9TRUCTION <br /> � OF�THE PEqFORMANCE OF CONSTHUCTION. <br /> �v�' s`jVf / '�/ �� _ � ` 81(�NAIURE F CONTR�CTOR OR AUTIIOR12E0�OENT UATE 1S � 7—�� <br /> x� `?�' <br /> ' , <br /> MOJlCT�DDN[!! �PP4C Ni8 CItY BUbI EBS LICEN9E NO. <br /> 7 c��z� c,�s�.�a.� n�,,: <br /> rL11M�IN0 MECMANICAL <br /> MO. TY�[OF FI%TU11E PE! NO. TYPE 01'EOUIPMENT F[E <br /> WATEH CL09ET TOILE AIR COND.UNITS-H.P.EA <br /> BATHTUB REFRIOERIiION UNITB-M.P.EA <br /> LAVAiORY W�BH&181 BOILERS-M.P.El <br /> � BHOWER OA9 FIREO AC.UNIT3-70NNAOE EA <br /> � KITCHEN 91NK 6 DIBP. FORCED AIP SYSTEM9-B.T.U. M EA _ <br /> � DIBMWII9HER WALL HEATERS-B.T.U. M <br /> LAUNDRYTRAY UNITHEATERB-B.T.U. M <br /> i CLOTHE9 W�9HER EVAPOMTIVE COOLERS <br /> WATER NEATER CLOTHE9 ORYEfi9 <br /> � URIN�L VENIIUTION FAN <br /> DRINKINO FOUNTMN RANOE NOOD <br /> � FLOON DMIN Alil MANOLINO UNIT- C.F.M. <br /> VACIIUM BREAKER9 BTOVE <br /> ROOF ORI11N8-RAINLEADER9 METAL FIREPUCE 6 CHIMNEY <br /> 91NN BERVICE-BA ETC. N'OODSTOVE/FiREPLACE IN9ERT <br /> 6U�T0T111 sUB TOfAI �-fZ7 <br /> PlIIMIT � VENMI7 � <br /> TOTIIL FEE • T0711L iEE t <br /> THIS PORTION TO BE COMPLETED BY BUiLDING OEPT. PERSONNEL <br /> �RONT![TlACIt PE�RBETB/�CN BIpElETB/�Cll R�NCNEC NUMBER ^�R�NCHECItiEE <br /> av � 6 O/--� I L1 r�^\ FEE I/��CJ�. RECEIPi NO. Qy_/�2 <br /> U!E iONL lOT�NE� O� / ! �3� ��l l l(�� v�� .� <br /> V�GN ! E «�� V11LU�ilON �!! <br /> �� ,/ aQ� OYE! 0 (�� <br /> T'YEOFCON��� OCf,UC�YOR�P NO.OFD IIIINOUNIi! "� <br /> � " � �5 � ���� <br /> eucofe�ou NO.OFliOPIEe M�FOCC.LMD BUILDINO + � <br /> � I N„(; . PLUMBINO �S � <br /> MELH�NICAL (�gL <br /> FIRE BPRINKLEF9 REQUIRED O YE8 ��NO _ <br /> OTHEN <br /> PEN�LTY <br /> �PP4CIITION�CC.BY PlANBCMECREDlY APPRfORIlBU�MCEBY <br /> � TOT�L <br /> L . G. <br />