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,�.E�.,o,»� ;`��;PPLICATION FO1,_' ���,�„ <br /> ��ry�� CONSTRUCTION 0 <br /> everett PERMIT <br /> BUILDINO DEPARTMENT <br /> 259•8745 TO BE COMPLF.TED IN INK• PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION fil'�UILDINO ❑ MECHANICAL ❑ PLUMBINO O �ION <br /> OwnER /� M�II^URF!! CIIY tIP PIIOHE <br /> �JRA/11o12E �N� Y' � �Soi 6i�- � �.�..�,�aw n .1.H 9fin��, 'll�l•OO�i F <br /> •nG���llCIU�UEliONE� ' Mui�OOOE!! pA 21P VNONE <br /> �a a . �.�.,�N�,.�� ..,� 9L��,� �» , . Z3� <br /> OFNEMVONf1UGi011 M��L�U�BE6! C�tY tiP oNONE \ICFN!!• <br /> /- �c- r-� /-�c /�"Li� i�G^• h .4 �.i.,.o,u...Uc �k 9Ga�s� �bG �,�� Cvc.c�� .r�ryr�$ <br /> M[CII�NM.�L CONIIU1CIOq /,M!R�COnE!! CIIY L�P PIIOMF 11�ENlE• <br /> L�+ „iQ�•H��a.�.Cs�1'—�t�tL+S/ .vr=2Gr���. � "i'"), e."'�'Ja-- '��A -u8o <br /> �IUMBM(ICONIOICIO�A M,11L�D011E95 GIIY 21V FIIONE IICENSE• <br /> / aaL4t.J J{��Eti�o cAt n�cibH �,� �f��nt .w�13 (e�z-ii4o <br /> cue rwone ' <br /> �EW ❑ ACUITION ❑ ALTERATION ❑ REPAIR ❑ DF:MOLITION ❑ WOODS70VE/FRPL.INSERT ❑ BUILDINO RELOCMTION <br /> v�tu�ilon or WO�n�co9t of�A��F N�L]otu!L�Bon� <br /> �' �-�U, t�-r� <br /> DESCt1�BE WO�K � <br /> TivA.� � /.y. ,)�c�✓r-ivil; <br /> uaE orew�oiNo �- I HEflEBY CERTIFY THAT I HAVE READ AND E%AMINED THIB AP• <br /> �(- �C� �/7�I-f � . . PUCATIONANDKNOWTHESAMETUBETRUEANOCORRECT.ALL <br /> lEO�LOFSCRiPIIONfi�PNOPERi Il110WNBELOWOA�iI�CNiW�COPlE01 pROV1910NSOFlAWSANDORDINANCE9�OVERIJINOTHISTYPE <br /> OF WORK WILL BE COMPLFTED WITH WHETHER SPECIFIED HERE• <br /> io�_eioc�`—or IN OR NOT.THE ORANTIN(1 OF A PERMIT DOES NOT PRESUME TO <br /> 61VE AUTHqRI7Y?O VIOt.ATE OR CANCF.L THE PROVISIONS OF <br /> ANYOTHER S7ATE OR LUCAL LAW REOULATINO CONSTRUCTIUN <br /> OR THE PERFOHMANCF.OF CONSTRUCTION. <br /> BIONATUOEOICONIP��TORO�'�UTN�RI2EO�OENi O�IE <br /> �/ / <br /> [� � C- ' //�� /� // � � ' ) <br /> !Y U 1� � � I ' ���� �Y�"� f�l N O /�\ 1 . �• • <br /> oqOlEC1�DD�ElS � 11PFjIC�N�SCIII`9NE UCENDE i � ; <br /> / <br /> PLUMSINO MEC/IAh'CAL <br /> NO. TYPE OF FIK7U11E FFE NO. TYPE OF EOUIVMENT FEE <br /> WAIERCLOSET TOILE �IRCONJ UNITB-M.P.EA <br /> B�TH(UB REFRIOERIf!ON UNIT9-H.P.EA <br /> LIIVATORV 1Y�9H B�91N � BOILER9-NP.t�. <br /> 9HOWER OA9 FIREU AC.UNi!8-tONN�OE <br /> NITCNEN SINK 6 D19P. FOR:ED RIR SYSTEM9--B.i.U. EA <br /> DISIIWI1511ER WAILHEAlERS-B.i.U. M <br /> LAUNDRV TRAY UNIT HE�TER9-B7.U. <br /> CLOt11ES WASMER EV�POf7l1TIVE COOLEP9 <br /> WATER HEATEA CLO�HE9 DRYERS <br /> �if11NAL VENTILATION iAN <br /> OAINNINO fOON V 1N� P�NOE HOOD _ <br /> FLOOR UP�IN AIR NANOLINU IT- CF.M. ___ <br /> V�CUUM BRE�NEf1S 9TOVE <br /> ROOF OR�INS-R�INLEII�ER9 METAL FIREPUCE 6 CHIMNfY _ <br /> SINN SENVICL-P�B EiC. WOOUBTOVE/FIREPUCE IYSERT <br /> o�AI .J nM•. �".•c C . <br /> C �t <br /> BUBTOTAI _ BUBTOiRL f <br /> PEPMIl � PEPMIt • <br /> TOT�LFEE � TOTIILFEE � <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONfvEL <br /> �AOMIRIOI�C�I �E�nlFtB�CN SIOIlEIUCM PI�NCNlCItNUM!!R o��HCNECe1lt <br /> �A ' � �7Y�' sEE �. t�= PE�EIo�� <br /> USE tONE LOI�OE� y�C�Nf BIIE ,7' <br /> C .�� ��Q, OYEB �!O ��E� VALU�TION /[L <br /> h��E O�l%f.ON3(1� OCCUIMNGY 0110UP NO Of OWEllINO UNII! t <br /> �Ji�/`i ���' � BUIl01N0 S-.�CY/.� y�/ <br /> 9�tE 01lL00 NO Of SIOIUE! MeS OCC 10�0 <br /> / Z� PLUMpINO � <br /> 0 j' - <br /> MEGH�NIC�L <br /> �IRE SPRINKLERS REOUIRED U VES NO <br /> OTNER <br /> PEN�LIY <br /> ❑'PtIC�110N�GL BY PUNSG�EGMEUBY ��P11 iOf119SU�NC:9Y <br /> ,T� J�,� �, . G. .oT.� <br />