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A�:�PLICATION fOR—� e��,�n <br /> '".`"ro"'" CONSTRUCTION 0 <br /> CIP/OF <br /> everett PERMIT <br /> TO BE COMPLE7ED IN ULACK INK- PLEASE PRIN1 <br /> BUILDINO DEPT. <br /> 2b9•8746 � COMBINATION ❑ BUILDINa ❑ MECHANICAL ❑ PLUIWBINa ❑ SION <br /> owN[n Mu��ooness cirv zir rr�oHc <br /> General Telephone Co. P.O. Dox 1003 Everett, 9320G 25A-5321 <br /> encmrecronoteiaHEn M�neoonEss cm zir mwNe <br /> Gary Parkinson, /+rchitect 527 Medical Dental t31d9. F•,verett, 98201 252-2153 <br /> OF.NER�LCONIO�CIOR <br /> M�IL�OO�F.9S CIiV IIP PIIONE LICFNSE• <br /> To be determi.ned by I3id Openin9 — <br /> MECII�HIL�LGONIP�CtOq <br /> M�il �OORE39 Orv Ii� �HONE IICEN9E• <br /> same as above <br /> �LUMBINO GONIR�CIOR <br /> M�IL A0011h5S C11Y EIP P��OHf. IICENSE• <br /> same as above <br /> CL��lOf WORK <br /> ❑ NEW ❑ ADOITION ]rIC AITERRiION ❑ PEPAIN ❑ �EMOLITION ❑ WOODSTOVE/FRPL.INSERT BUILOINO RELOCAiION = <br /> 0 <br /> WLU�fION Of WONN�C09i Of M��EIIUL9 PW9 UB0111 � <br /> Twenty four thousand five hundred dollars ($24 , SOQ.00) � <br /> m <br /> OESCPIBE WORK •• <br /> Remodel approx. 480 sq. ft. of 2nd floor r�strooms to handicapped specificati.on <br /> — .. .. <br /> uscor ewion+a I HEREBY CERTIFV THAT I HAVE READ AND EXAMRJED THIS AP• 1 'n <br /> Telephone equipment PLICATIONANOKNOWTHESAMEiOBETRUEANDCORRECT.AII <br /> LEO�lDESCRIPTIONOfPAOPFRtv�9NOWNBEIOWORl1TT�GHfWRCOPIE51 PROVISIONSOFLAWSANDORDINANCESGOVERNINGtHISTYPE v�m <br /> OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br /> iot_eioc�—or IN OR NOT.Th1E GRA�'TINC OF A PERMIT DOES NOT PRESUME TO m C� <br /> QIVE AUTHORITV 70 VIOLATE OR CANCEL THE PROVISIONS O� <br /> ANVOTHEFSTATEORLOCALLAWREGULATINOCONSTRUCTION oc� <br /> OR THE PERFORMAN-CJE^OF CONSTRUCTION. � <br /> SIONRTURE Of CONiRnCTyn Uil�U1H �2ED ROEN7 D�TE ///�/C�[� _ � <br /> 7 a , m <br /> H <br /> / l d G z <br /> � h� y -I <br /> e ceHr s '99tiCEH9EN0 r x <br /> PROJECI�OUNE88 �+� <br /> QZF Casino Ra. � Gverett, W� < N <br /> � <br /> PLUMBINO __ ___ MECHANICAL — - �p <br /> NO. TYPE OF FIXTUIIE FEE NO. TYPE OF EOUIPMENT FEE i <br /> AIfl CON�.UNITS-H.P.EA. ��f <br /> WATEP CL09ET�TOILE _ <br /> HEfRI�ERAiION UNiTS-H.P.EA_ m� <br /> BATHiUB — � <br /> ] L�V�IOFV W�SH B�91N) BORERS-HP.EA_ <br /> 8HOWER 4A5 FIRED AC. UNITS--TONNM3E EA C N <br /> NITCMEN SINK 6 OISP. FORCED RIR SYSTEMS-B T.U. M E�. S V1 <br /> W�LLMEATERS-B.i.U. M F� <br /> D�9NWIISHER �m <br /> LAUNDRY TRAY UNI111EATEFS-B1 U. M <br /> CIOTHES W�9HER _ _ ___ EV�PORAIIVE COOLER9 — ,�p <br /> ______"-_'_'-"--"—'— _ ___ GI.OIIII!i UIIYI'O�. <br /> wnirnn[nan .- .--_- ------- ----- --- ...� <br /> ' URINAL --- --- � _ VENTILAiION FAN �-�' �'-��'- p <br /> DRINKINO FOUNTAIN _ �7ANOE HOOD Z <br /> FLOOR ONAM � AIR HAN�LINO UNIT- C.F.M. ..{ <br /> SiOVE — o-=. <br /> VACUUM BREANERS — N <br /> __ ROOF DMIN -R�� INLEADER9 METALV'IREPLACE6 CN�MNEV _ _— — <br /> SINI ERVICE �B�R..F_� � WOO�SiOVE/FIREPUCE INSERT � <br /> --1 <br /> Re-ali� exis�g du m <br /> ork an <br /> BUB TOTAL � _ SUB TOtAL _� .�1 u <br /> PERMIT • --��/�� ' PEPMIt _ � — <br /> TOi11L FEE � -(i[r� �OTAL FEE _ � . <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> iRON19lEt�9=Clt RE�NSEiP�C Si0E5E1B�CK PUNCHECnHUMBER <br /> PL�N GHECNfEE <br /> N tis y� �� .EE��o�a aE��J',�i�� <br /> / <br /> 119EIONE LOI��E• WC�N�9ii$ fEEe V�LU��ION ��� <br /> G` I O�ES vtfb <br /> IY�EOfCOH8/ OCCUP�NGVfPOUP NOUfOWElUN0UNI�S __ — <br /> � - I �fZ .�Z Nlh _ euaoiNo 'Z �QQ � <br /> 34E Of B104 NO Of StONES MAR OCC LO�� �^ — <br /> ��n %,t; ,}, I .IA PIUMBINO (� _ <br /> �.i <br /> � � MEC���NIC�L <br /> FIRE SPRINKLERB REOUIRED �YES ❑ NO oi��eR <br /> rEN�ur <br /> �PPLIC�IION�GCNY P1�NSCNECNEDBY �PPPfOR159UANCEBY 1� � QO <br /> / TOT11L <br /> S�(J ��CU l")) L • � — ---- — -- -- - <br />