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';'r�PPLICAfION FO�:� <br /> '""""°'"" CONSTRUCTION °`� <br /> qTY OF <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> � 259•H745 TO BE COMPLETED IN INK- PLEASE PRINT <br /> . <br /> CI DEMOLIjION �` p COMBINATION ❑ BUILDIN(3 . �� O.MECHANICAL 0 BLUMBINa O SION <br /> �-- <br /> OWN R , ,.� • MMl�00NE95 CITY SIP PNONE <br /> �Ry/OR�1 /�'I���A�Sd� 3y��- /yz �S•LU ,�.y�tlitlu�o��'$037 �4�3- 6u6� <br /> MCNIIE TOROElIONER � M�IL�UDBE99 CI � !11` PNOHE <br /> �,��J�`1e <br /> OENEP�LCONTRACTON MML��OOE39 Wrv LP PNONE UGFHSE• <br /> ��� <br /> NECHINICQCONTMCTpq , , � M111L�OURfS9 Cirv 2�P P��ONE LICEN7E• <br /> PLV�OCON� • • , M�II�DURE90� C�TV 21> PIIUNE IICEN9E• <br /> C�vn�b� � <br /> cwe or woa� <br /> � � NEW �I ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOOD9TOVE/FRPL.INSERT ❑ BUILDINU PELOC�TION <br /> W W�IIOM Oi WOOK ICO 1 Oi M�fERULB PLV9 L�B0�1 <br /> l� � 278�.� <br /> OElCRIlE M'ORN n 1 <br /> Ad D �N,��oR-� A/�'c� Wr'c1 DdwS l�b'!�. �,a.,rJ Ap7yD.J <br /> U!E O UILDINO <br /> � I HEIif.BY CERTIFY THAT I HAVE HEAD AND EXAMINED THI5 AP• <br /> � CE PLICAiIONANDKNOWTHESAMETOBETRUEANDCORRECt.ALL <br /> lFOl1L0EBCRIPTqNOfVROFERi1'�lHOWNBEIOWOR�TT�.:N�WNCOPiEl� PROVI;:IONSOFLAWSANDORDINANCESOOVERNINOTHISTYPE <br /> S(Q �— �S OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br /> �or_s�oc�.or IN OR NOT.THE GfiANTINQ OF A PERMIT DOES NOT PRESUME TO <br /> � I � 61VE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OI' <br /> � � �� ANYOTHERSTAtEORLOCALIAWRE6ULATINOCONSTRUCTION <br /> OR THE PERFORMANf.E OF CON^uTRUCTION. <br /> SION�TUREOFCONTRACTORORAUIIIORIiED110ENf O�TE <br /> l¢BD e'� x h? �..�.�-, N-3 -a�z <br /> •IqJECT11DORflA �PV4C�Niet1 BU9INEBSUCEN4EN0 <br /> � 1 , �Y� 1 . \� � • <br /> � 1 <br /> 1 <br /> � rLUM�IN4 MECHANICAL <br /> NO. TYC!OF FIRTUII[ FE! NO. TYPE OF EOUIPMENT' ' iE[ <br /> WI1tEH CLOBET TOILE AIR COND.UNIT9—H P.EA <br /> � BATNTUB REFqIOERATION UNIiS=H P'EA. <br /> � LAVATORY WASH BA91 P,OILEP9—H.P.EA. <br /> j BHOWEP . UAH FIREO AC.UNIT9—TONNAOE EA •' '�� <br /> KIiCHEN 81NK S D19P. FORCED Alq 9VBTCM3—B.7.U. M EA <br /> OIBHWABHtH WALIHEATEPS—B.T.U.�"M <br /> � L�UNDRYTRAV UNITMEATENS—B.1.U. M <br /> CLOTHES WA9HER � EVAPOMTIVE COOlER9 <br /> WAiEHHE�TER � CLOTHE9 DRYERS <br /> URINAL' '• � ��. VENTILATION fRN <br /> DRINNINO FOUNTAIN RANOE MOOD <br /> FlOOROR�IN ` AIRNANULINGUNIT— QF.M. <br /> �ACUUM BREAKERB" 9TO�E <br /> ROOF DltAIN9—RAINL�AOER$ METAL FINEPL�C6 6 CHIMNEY <br /> ' 91N1( BERVICE—d�R,ETC.) WOODS OVE/FIHEPLACE INSERT <br /> 1• � ti .. <br /> �"' � ��'ti�'��SU!TOiAL 8UB tOTAL � <br /> . ' �� "P[IIMIt � PERMIT • <br /> TOTALFEE � TOiALFEE � <br /> THIS PORTION TO f3C COMPLETED BY BUILDING DEPT. PERSONNEL <br /> I'RONTlEIBIiCK REAqBEIl�CN YIOElE1p�Clt PL�NCIIECMNUMBEN fEEQ / / , �NAE[EIPINO <br /> �.1.P) � �7 -1r— <br /> U7E 20NF 10T11RE� <br /> ��. / /// � , 9 ][l�NO F[E� V�LU�iION F![ <br /> TYPEOtGONSf. OGGUP�VCYU�u`UP NOOiOWELLIHOUNII9 <br /> .� - rl h( _ � — <br /> eue or e�oa HO Oi BTOPIEB M�M OLC.lO�p BwioiNa f � Q,(�j <br /> � a.� / -�� PIUMB�NO aS <br /> MECH�NIC�L I � <br /> FIRE SPRINKLEHS FEOUIRED ❑VEB O NO <br /> OTNER <br /> PEN�LTY <br /> �PPLIC�I'OH�CCBr PlAHBCNECMEOBY �PPRfOf1199U�NCEBY <br /> �� /J TOT�L 7a <br /> r_ G .G . <br /> �i.` <br />