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,�,E»ro,�� �.PPLICATION F0�1' ���,�„ <br /> ��ry�F CONSTRUCTION 0 <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259•8745 TO BE COMPLETED IN INK- PLEA:E PRINT <br /> ❑ DEMOLITION ❑COMBINATION ❑ BUILDINO ❑ MECHANICAL [7 PLUMBINO ❑SION <br /> OWNER M�il�UONE9B CIIV i1P PNONE <br /> /S 'aA�(J/�/l, �l/„'/_•// `3100 Z/4��5�l1� �QiiiA%4 9S03L 7�� �r��J� _ <br /> 1PCNIIEGTONUEl�ONfR M��L�OONE!! CRY 21P PNONE <br /> kC!/fP+�/i.lC/1ACN��I�'S 9�q� //iccYLAn��L M.Sn�P� l�.:eer �%.p0/0 �� T _ (iSZ T <br /> OENEML CONIRSGIOA M�R�0011ES! GIIY ZIP �PNONE �Jf,EN9E• <br /> MtC1UNIG�'.CONf1Ut10R M�I111000E6! CIIY EIP P110NE VCCbSF• <br /> OLUMliNOGONiR�OON M�Il�OURElB CitY IIV P��ONE tICENlE• <br /> GI�SSOi WORR -- <br /> ❑ NEW ❑ ADDITION ❑ ALTERATtON ❑ REPAIR ❑ DEMOLIiION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDINO REIOf,AT10N <br /> VqU�l10H Of WORM IC091 Of M�ICIU�L9 PL W ll1lORI <br /> �, r�d U <br /> oEscaiee woan <br /> L. ,f. /�f�s '�v G �� ��'r���!'M-Tih h�n"!T /"O�l G/�.�L /! L'N f/�%!�G S�n Z � <br /> uae or aunoiNo I HEREBY CEH7IFY THAT 1 HAVE READ AND EXAMINED THIS AP• <br /> PLICAT.�N AND KNOW THE SAME TO BE iRUE AND CORRECT.AlL <br /> IEO�L�ElCA�PIIONOippOVEHIYIlHOWNBEIOWOR�iT�L11i0UNCpPIE81 ppOVISION30FLA\YSANDORDINANCES60VEHNINOTHI9TYPE <br /> OF WOFK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br /> �o�—e�ocK—or IN OR NOT.THE ORANTI NO OF A PE RMIT DOE9 NOT PRESUME TO <br /> OIVE AU7HORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV OTHER SiATE OR LOCAL LAW FEOULATINO CONSTRUCTION <br /> OR THE PEiiFORMA�CE OF CONSTRUCTION. <br /> 810N�TURE OF CONTRAC70R OR�UTHORRED�OENT O�TE <br /> r � ` <br /> X ����rr<<. � <br /> iROJECT�OUREe! �^ �PVUC�NTBCIIYBU9ME9llICENSEHO <br /> �C� 1 1 /�A''�••fv i-o.� sor•v <br /> l C, �F-1Ji,J �� <br /> PLUMlINO MECHANICAL <br /> NO. TYPE UF FIIlTURE FEE NO. TYPE OF EOIIIPMENT fEf <br /> WAIERCLOSETITOILE AIRCOND.UNIT9—H.P.EA <br /> BATHIUB REFRIOERATION UNIT$—N.P.E�. <br /> LAWTORY W�9N BASIN BOILERS—H.P.E�. <br /> SHOWEP OAS fIRED AC.UNIT9—iONN�OE EA <br /> NITCHEN 91NK!OISP. FORCEO AIR 9V8TEMS—B.T.U. M EA. <br /> OISHWASHER WALI HEATEIiS—B.T.U. M <br /> L�IINDRV TRI1V UNIT HE�TER9—B.T.U. M _ <br /> CLOTNESIV�SHER EVAPORATIVECOOLERS <br /> WATFR HEATER CLOTHE9 ORYERS <br /> URINAL VENTIIATION FAN <br /> DRINKINO FOUNT�IN RAN�E HOOD <br /> FIOOR OA�IN AIR H�NDLINO UNIT— C F.M. _ _ <br /> V�CU�M BREANERS 9TUVE __ <br /> ROOF DA�INS—RAINl.EA0ER3 MET�L FIREPLACE 6 CHIMNEY <br /> SINK SERVICE—BAR,ETC.) WOODSTOVFlFIPEPLACE INSERT <br /> BUBTOTAL BUBiOTAL t <br /> PERMIT � PERMIT f <br /> iOT11L fE[ � TOT�L FEE � <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> �AONISEIB�CK �E�RS`f�/1��LN 91DE6ETB�CN PL�NCNEC/IcJ�UM/B�ER/, / �R()�NG��ECKlEE <br /> N . A. �/ I �/ '�/ YYJ fEE A —� PE IH � f <br /> Y' J <br /> U9E 20NE ,.� LOI�11E� • � . y���NT_�ItE <br /> Nry OYES /�0 F[!! V�LU�TION f[[ <br /> Tb•E Of C NSi OCCUP�NC"GR011P NO OF OWELlINO UNII� <br /> � tJ • �'2. � ew�oiNa s5 <br /> SIiE Oi BlflO NO Of S�OPIE9 M�II OCC LO�D <br /> 1^ 5� IL� PLUMBINO <br /> .�� <br /> MECNANIC�L <br /> FIRE SPRINI(LERS PEOUIRED O YES NO <br /> OTNER <br /> PEN�L7V <br /> �PCIIC�IION�Cf. 0� ni�NSC��ECnEDBv �^np iOPiaSU�NCEBv - -- <br /> .a..� ,-- 1— <br /> s�- �,�. � , � - <br />