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'����PPLICATION FO�c ���,�„ <br /> ,".`",°'"" CONSTRUCTION O <br /> cin or <br /> everett PERMIT <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDINO DEPT. <br /> 2b9•8746 ❑ COMBINATION ❑ BUILDINO ❑ MECNAHICAL ❑ PLUMBINO ❑ SI(iN <br /> OWNEB M�IL�O��11E88 CIfY iiP FNONE <br /> ��� ti� (t � ��� 1� U /)eR ( tx r �y�v..i �a.:-� J �E�c'�6 77� - r�� if, <br /> ePCN1tiLTORUFl�ONER MML�OOPflS CIIY iIP P ONE <br /> OENEA�LCONiPACfOR M�IL�UOREO! CItV SiP FNONE IIGENlE• <br /> C„G �z ��� i � ,., a�o2�•A�� � c �J� a,� ����- .�� �1F�C�lL 7E.E; S_7J4C�C� � rN�<< <br /> MECN�NIG�L CONIR�CtOB MAII�ODRE!! CIIY 21P P ONE l CFNlE] <br /> /�1��I� l <br /> PWMBINOCONiR�C10H M�ILADOREB! CIfY IIP PNONE I�CEN9E• <br /> CL�!!Oi WORR <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR �DEMOLI710N ❑ WOODSTOVE/FRPI..INSERT ❑ BUILDINO AELOCATION <br /> Vl1 W�IIDH Of WORM ICOlf Oi M�IF�i�l9 PLII]L�lOPo <br /> OE E WOPK <br /> i , , <br /> ue[orew�ou+a I HEFEBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP• <br /> PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br /> 1E01LDE9Cf11PtIONOiPPOPER1Y19NOWNBEIOWOR�R�CHfWRCOVIEB� PROVISION30FLAWSANDORDINANCESOOVERNINaTH18TVPE <br /> �1 OF WORK WILL BE COMPLETED WITH WHETHEH SPECIFIED HERE- <br /> �oTs!_e�oc�—or a��' ^� INORNOT.THEORANTINOOFAPERMITDOE9NOTPRESUME?O, <br /> ` \ OIVE AUTHORITY TO VIOIATE OR CANCEL iHE PROVISIONS OF <br /> �12�ev '�/1/1///���r /� - < <' `� � �- '� �� � OR THEHP RFORMANCE OF CO 9iRUCTIpN. �CONSTRUCTION <br /> ^I /�CA_ /g //w� � BI�NIITUREOFCONTR�CT�AUTHOBREUAQENT DAIE IV•� �t' � <br /> YL.// _I �//i � ✓ <br /> PROJECT�DD11f99 �PPLIG�N CIIY USNE94UCEN9EN <br /> 3 �� � c� � <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FIRTUNE FEE NO. TYPE OF EOUIPMENT FEE <br /> W�IEF CLOSkT TOILE AIR COND.UNITS—N.P.E�. <br /> •B�THTUB fiEFt11�ERAiION UNIT9—H.P.EA <br /> L�VATORY WA9N BASIN BOIL[R9—H.P. EA. <br /> 9HOWER OAS FIRED AC.UNITS—TONNAOE EA <br /> KITCHEN 91NK8�ISP. FORCEO AIR SVSTEM9—B.T.U. M EA. <br /> OISNW�SMER WALLHEATENS—B.T.U. M <br /> LAUNORYTRAV UNITHEATER9—B.T.U. M <br /> CLOTHES WA9HEP EVAPOi7ATIVE COOLERB <br /> WATER HEATER CLOiHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINNINO FOUNTAIN 11ANOE HOOD — <br /> FLOOR DRAIN AIR HANDLIN6 UNIT— GF.M. <br /> VACUUM BRE�NEPS STOVE <br /> ROOF DNAIN8—AAINLEADEf1S METAL FIREPL�CE 6 CHIMNEV _ <br /> 91NK SERVICE—BAR,ETC. WOODSTOVE/fIREPUCE INSERT <br /> 8UB TOt�I BUB T0TI1L • _ <br /> PEflM1T • PEPMIT � _ <br /> TOT/1L FEE � TOTl1l FEE � _ <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> iRONIBEIB�.:It AE�ASEIB�CN BIpEBETB�CN PL�NCNECkNUMflER PI�NG�EtnfEE <br /> fEE �ECEiPI HO <br /> U9E 20NE lOi�AE� y�C�NT 9iiE iF[� Y�L111710N �EF <br /> pYE9 ONO <br /> TYPEO�CON91. OCCUP�NCYGNOUP ND.OiDWElLIN011N1I8 <br /> BUILDINO f <br /> SiiE Of pL00 NO Of 510��E9 M�%.OCC 10�0 <br /> PLUMBINO <br /> MECII�NIC�L <br /> FIRE SPRINKLERS REOUIREO O VES ❑ NO OTNER <br /> PEN�LTV <br /> �PPLIG���ON�CC Bv �L�NSCnECNEOBV �PPR fOR�S9U�KGEBv <br /> TOT�L <br />