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fMEwrOnm '���-� ARPLICATION F'+riR '���—�,�„ <br /> ����F CONSTRUCTION Ip� <br /> everett PERMIT � <br /> TO BE COMPLETED IN BLACK INK-PLEASE PRINT <br /> BUILDINO DEPT. <br /> 268•8746 ❑ COMBtNATION `� BUILDtNq ❑ MECHANICA4 ❑ PLUI�1BINa ❑ SIpN <br /> avNen �i�o;iEss nM S c�rv ��'rE �1i �yN%w�N,�Lvo WA `�8�a <br /> �,RAmor�F i Nc.. , �w�s,��:_ <br /> I'1f,NIlECTOPDE6IUNEP M�iL�DDREB� CI�Y ilo PIIONE <br /> �-�w+�u�Q��ti DEs►GN Qsscds 423� Iq0�r1, SrS.W. LyNNWA��, 9��0 74I•23oo — <br /> OENEI�LCONfP�CWN MML�ODRE9! CRY 2iP PI�ONE IICEN9E• <br /> UN�cNow�J <br /> MECN�NiLQ CONTR�GION 1.1ML�DDRE!! CITY IIP VNONE L1GENlE� <br /> UNKn+owa <br /> PLUM�IHOCONLR�CIOR M�IL�DDR!!! CIIY IR iMONE lIC[N![• <br /> VNrNowu <br /> c�BNEW p❑ ADDITION ❑ ALTERATION L� REPAIR ❑ DEMOLITION ❑ WOODBTOVE/FRPL.INSERT ❑ BUILOINO RELOCATION <br /> V�1U�110N Of WORk Iw9T OF MAtCRUl9 PW!I.�BORI <br /> 22,20D 56t.PT. �'j�{pPP�Nb GENi ER <br /> OElGRIBE WORN <br /> P�rAi� SFbPANC� c�nrreR <br /> uee or em�oixo <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED iHIS AP• <br /> f'LICATION AND KNOW THE 3AME TO BE TFUEAND CORRECT.ALl <br /> LEO�lDEBCRIPT1040iPHOPERTY�9NOWN6ElOWOR1RACNFOURGOMEW PROVI310NSOFLAW9ANDORDINANCESOOVERNIN�THISTYPE <br /> OF WORK WILI BE COMPLETED WITH WHETHEH SPECIFIED HERE• <br /> �or—e�ocK—_or IN OR NOT.THE ORANTINfi OF A PERMIT DOES NOT PRESUME TO <br /> �IVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF' <br /> ANY OTHER STATE OR LOCAL LAW REOULATINO CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSiRUCTION. <br /> SION�TUREOFCONTR�CTONORAUTMQRI2EO�OENI UAtE <br /> �.� . �, X � � <br /> PROJECT�UUPEH! �PPLIC�NTBCITY BU91NE894CENHE NO <br /> �,2 0 � a - � a/ <br /> PLUMSINO MECHANICIIL .___ <br /> HO. � TYOE Of FI%TUR! FEE NO. TVP[OF EOUIPMENT _ _ FE[ <br /> l� VlATER CL09ET TOILE O RIRCOND.UNITB-H.P.EA <br /> BATMTUB REFRIOERATION UNITS-H.P.EA <br /> l L�VAIORY WI19H BA91N BOILERS-N.P.EA <br /> BHOWER OAS FIRED AC.UNITS-TONNAOE EA <br /> NITCHEN 91NN 6 UISP FORCED AIR SV9TEM3�-B.T.U. M EA. <br /> 019NWA9HER WALL NEIITERS-B.T.U. M __.__ <br /> LAUNDRYTRAY UNIiNEATER9-B.T.U. M <br /> CIOiHE9 WA9HER EVAPOMTIVE COOLCR9 <br /> � WATER HEATER CI.OTHE9DflVERB <br /> URINAI � VEN7ILATION FAN , Q <br /> URINKINO fOUNTAIN _ _ RAN4E HOOD <br /> FLOOR URAIN AIR HANDLINO UNIT- C.f.M. <br /> VACUUM BPEAKER9 STOVE —_ <br /> ROOF DRAINS-RAINLEI10ER9 __ MlTAL FIREPLACE 8 CHIMNEY _ <br /> SINN 9ERVICE-BAR,ETC. WOOU9TOVE/FIflEPLACE IN9ERT <br /> BUBTOTAL �! BUBTOTAL ._ � �d <br /> PGRMIt t PERMIT � <br /> TOT�LFEE � TOTALFEE _ • <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERS�NtJEL <br /> iRONflE1B�CK AE�f15E1B�CN BIpEBEIB�CIt PI�NGHECNNUMBER VL�yfNECKfEE <br /> .�.� �-� �� �S/ S� I fEE � � S I1ECEi1`t����� <br /> USE tONE LOt�flE� e –o / y�CANT BR . ��— <br /> C� �')/�. Qt�OGO �r OYEB � F[L! V�W�TION f[[ <br /> 1YPE Oi CON9L OGCUPAIItCY 6110UP N0.Of DWELLINO UNit9 <br /> �� �7�� BUILDINO f¢� � � <br /> �IlE l I BLOU NO Of 910RIE6 M�%.00C.IO�U <br /> ' Z� SF , SS� PLUMBINO D� <br /> MECNAIlICld � Q <br /> FIRE SPRINKLERS REOUIRED Ll VES C'RO —"'� <br /> OTIIER <br /> PEN�LTY <br /> •PPIIC���ON�Ct BY PUNSL�IECKEDBY �PPR fOR199U�NCEBV <br /> � ,� � TOT�L � <br />