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,�.EHro�.� `��PPLICATION F0�1 �,�,�„ <br /> ����� CONSTRUCTION 0 <br /> everett PERMIT <br /> BUILDING DEPAFiTMENT <br /> 259•8745 TO BE COMPLETED IN INK• PLEA3E PRINT <br /> O DEMOLITION ❑COMBINATION ❑ BUILDINO O MECHANICAL �PLUMBINO ❑316N <br /> �y �q . M�II�DORE89 CIfY 2�P PNONF <br /> �2f�-wt�Q���l1L {� ��X r.'L2C �..�-Irli������� .UJIJ��3Cr 7%�-� -_rn i 6 <br /> •RCNl(EC��OEltONFN M��L�DONE6! CIIY ZIP PnONC <br /> QEMER l GONIR�GIOA M�II�DO 80 CITY IIV FHOM1i 4CF11lE• <br /> =f-�(: � •_,•) '',p � c Z- , 5 �ir �NL^ . _ . .�. <br /> MECN�M�C4 CON�P�CIOq MML�OOREE! LItY L�F VrONE�'j OW EnSE• <br /> Vl <br /> PIUMl�NOGONIA�CIOR M�R�ODRE6! CifV SIP P��ONE l¢F.NSE• <br /> PieU P�Pd2lut_ �3�2� S� 2�� Q� . �'J�y�u'�� i.t�u9Etx�; (-NI43 �,E� PII��PI ISCrK,� <br /> LU SOfWOBM <br /> �NEW ❑ ADOITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FFPL.INSERT ❑ BUILDINO RELOCATION <br /> �V�W� IONO�WONM�60510!M��E1111LSPWSL�BOR1 <br /> �r{ri <br /> bE iBE WONI( <br /> i�� ����v�,�� c� ��LJt a�v��. <br /> use or euno�Ha /� . I HEREBY CERTIFV THAT I HAVE READ AND EXAMINF.D THIS AP• <br /> pC _. `_ � �I� PLICATIONANDKNOWTHE3AMETOBETRUEANDCOHRECT.AIL <br /> IEO�LOF6LN�F110NCFPROPERfv�9NOWNBEIOWOB�iT�CNfWAGOPIElI PROVISIONSOFLAWBANDORDINANCESOOVERNINOTHISTVPE <br /> OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br /> io�—eioc�_or IN OR NO1.THE 6RANTINO OF A PERMIT DOE9 NOT PRESUME TO <br /> OIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANYOTHEH STATE OR LOCAL LAW REOULATINOCONSTRUCTION <br /> OR T11E PERFOHMANC O ONSTRUCTION. <br /> BIONAT EOFCO iR CTOR � 7 R12EDAOENf �ATE <br /> X � � —;� —�( <br /> PPOJEGf�DDAE9! �PPLIC�Ni9G1i NiE S �CE H <br /> ` , �1 V11'� <br /> PLUMlINO MECNANICAL <br /> NO. �YPE OF FI%TURE FEE NO. T'PE OF EOUIPMBNT FEE <br /> W�TER CLOSET TOILEn AIR COND. UNIT9-N,P.E�. <br /> Bl1lMTUB REFRIOERATION UNITS-M.P.E�. <br /> LAVATORY�WA9H BASIN� BOIlER3-H.P.E�. <br /> SHOWER O�S FlRED AC. UNIT9-TONNAQE EA _ <br /> KITCHEN SINK 8 DISP. FORCED MR SVSTEMS-B.T.U. M EA <br /> DISHW�SHER WAllME11TERS-B.i.U. M <br /> L�UNDAYTR�Y UNITMEAiEH9-B.T.U. M <br /> CIOiNE3 WASIIEP EVAPONATIVE COOLENS _ <br /> WAIEF HEATER CLOTHE9 DRYERS <br /> UAIN�I VENTILATION FRN <br /> DFINNINO iOUNiAIN RANQE HOOD _ <br /> FIOOR URAIN AIR MFNDLINO UNIT- CF.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF ORAINS-R�INLEADER9 METAL FIHEPUCE 6 CNIMNEV <br /> SINNISERVICE-BAR,ETC. WOODSTOV&FIREPUCE INSERT __ <br /> BUB T0TI1L . !UB tOTAL 1 <br /> PERMIT t PERMIi • <br /> TOTAL FEC • T0�I1L FEE � <br /> THIG PORTI: N TO 8E CUMPLETED BY BUILDING DEPT. PERSUNNEL <br /> fnONtSEI9�LK �E��SE�B�GK BiDESEIBACM PL�NCIIECMNUMBER FL�NCNEtafEF <br /> fEE AECE�PiNO <br /> USE LON! LOi�IIE� y���Nf 811E <br /> �E�� V�LU�TION �EF <br /> ❑YES ONO — <br /> IYPEOfCONSI OCCUP�NGYGI100P ��OOFOWElLINOUNII9 <br /> BUILDINO f <br /> i12[Of BI DO NO OI S�ORIES ���K OGC LO�O <br /> PLUMBINO <br /> MECHANIC�L <br /> FIRE SPqINKLENS REOUIRED ❑YES ❑NO <br /> OTNER <br /> PEN�I.TY <br /> •Vn1�C�t�OM�LG Pr Pl�NSf.��ECKEOBr �FI'R fOR�59U�NCEBx --- — — ---- --' <br /> T0T11L <br />