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!' <br /> , .PPLlCATION FO�. ���,�„ <br /> ,".E"ro'"" CONSTRUCTION 0 <br /> ��n o� <br /> everett PERMIT <br /> TO BE COMPLETED IN BLACK INN- PLEASE PRINT <br /> BUIIDING DEPT. <br /> 259-9745 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWHFIII �:1� II.'IAi. M�II�DUNE54 I Uh I�P 1`III�NI�. . <br /> 1 .' �� .� . .�! JZ �'� I .� r G'�: J 1 - iC i �� /1: � 1�;_:.�..�i.� '�r� ..�� , � (. ,� . • � � <br /> nR]HRECIOnUES10NER M�Il�0URE9S GIM1 111' PnON! <br /> OEM�IULCUHiR�CtON M�ILApORE54 f.i1Y li� PIIONf IIG[NSE• <br /> MFGH�N�ULLOHiR1OOfl M�Il�00PES5 Cirv J�� nuUn[ ��C[i�tiE <br /> '�• ( f� fil� bP'-- I�nu1�1. 1i6t11!d • <br /> PWMflINUWNiflsGION MUL�000E53 <br /> ' •.� �� <br /> GL�590i W011lt / _ <br /> [] NEW CI ADDI710N ❑ ALTEFATiON ❑ AEPAIR ❑ DEMOLITION ❑ WOODSIOVE/FRPLINSERI ❑ BUILOING �ELOCA7IUN_ <br /> ML W I�ON Of WONN ICO51 O�NQEPI�l9 VIUS I�BUm <br /> ����'� '��. � �� j .. � <br /> �ESCRiBE WONK � �� � <br /> I. .l�J�.� �i , i 7 � h-T� � i . . i/, �.� _ ,I . �n 7: . � _T_-1 <br /> uscorewiuiea � ' I HER[BY CERTIFY THAT I HAV[ READ AND f%AMINED THIS AP• <br /> f (' �' (� ; ��, I. �i � PLICATIONANDKNOWTIIESAMF.lOUBTRUEANDCORRECT �LL <br /> LEO�lDE9CRiftiONO1PROPERIY�SNOWNBEIOWORATi�LHfO11ACOP�E51 pROVISION50FLAW5ANDORI]INANCESGOVERNINGTHISTypE <br /> i OF WORK WILI.BE COMFt.ETED WITH WHE111Fft SPECIFIED HERE <br /> ioT�Leice�—or � � � '��" �� ` IN OR NOT.TH[GRANTING OF A PERMII DOES NOT PRF.3UME TO <br /> . ,. �� �_- �• ,�� ��. J..,1 GNE AUTHORITY TO VIOLAiE OR CANGEL 7HE PROVISIONS OF <br /> � ANY OTIIER STAtE OF LOCAL LAW REGULAtING CONS1RUCilUN <br /> / OR iHE PERFORMANCE OF CONSiRUCTION. <br /> c..i � 7 . 13 � 1 �. <br /> siaNewr�eoreoNm�croaon�un�oai7eneuem nare (,. (_ .S / <br /> � <br /> X"�� �.�.� t��' `l /1 ';� �; • <br /> PPUJEC�AODRE9$ �PPI¢�N 1'S CIIY OUS��iL'iti 1 iCLNSE NO .� <br /> / _'� _ <br /> PWMOINO MECNANICAL , . <br /> ' _ _'_-_"___'-'__"". " ____--'_.. <br /> . _.—_._ .'_ _.._ _ _ . _ _ - � <br /> NO. TYPE OF FIKTUNE FEE NO. _ T1'OE OF EOUIPMENT _ _ F <br /> __'"_'___ "__ ._ _ _.. _..___' _ " . __ .._t'_-_ <br /> WALER CL09ET(TOILET) _ _ 4u�COND UNIIs-I�P.EA ______ . _ <br /> � /7A'fiI�ERAT�ONl1Nli5-NP EA _�� �Q <br /> B�iNTUB -- ----- - - <br /> � LAVAiORVIW�9MBA91N) � _ BUILERS-�1P_EA _'__ ___'_ '___ _ <br /> SHOWER OAS f117ED AC UNIfS-tOHHRGE EA _ ___ _____ _ <br /> NITCHEN SII�K 6 OISP. FU�7:E0 A�A SYSICM$-B T.0 M E� ____ <br /> DISHW�SIILR __ WALLHEAlEN5=0T_U_M _.__"__ __.___ _ <br /> L�UN�RYTR�Y _ UNIIHEPIERS-HTU M______ ____ ____ ___. <br /> CL07NESW�5HER EVAPURAINEf.00LERS ________ ______ _ <br /> W�TER HERTEN CLOIHES DRVENS . _- ___ <br /> URIN�L bENiILAfION��N_ _ _"_ _____"_ __ <br /> D�7INKIN�iOUNTAIN OJ RA���!�_��VOU_ ___._ _______ __- <br /> FLOOfl ONAIN O AIR HR4OLING UNIT_C F_M ___ ______ __ <br /> VACUUM BRE�KERS __ _ STOVE_ -_-.- <br /> ROOF DR�INS-RAINLE�DERS MCTAL RREPLAC[6 CNIMNEY - <br /> � SINN SERVICE-BAF ETC. _QO _WpODSNVVf�NCfUCE INSCRI __ _ _ __ _. __ <br /> _ @.�Lf'1_�-Lyl�.L14�t��___ '__-'_" -'- <br /> i I/t� f d_J_�J(1':�.SS��1._.___- '-'""'_ __ ' <br /> _ /�vi' �'�LI.�L'�'__i.J_�r�___ '__'— _-_ <br /> '/•:L'1--.'a�1L_f��__�_�.-�__L-__" _._' _ �/ _ <br /> 8UB TOTAL � —_"__ -Bl1B 70T11L _._._._.- f � --_JS7.- �'_ <br /> PERMIT t - r'-- <br /> _ _____.__PEPMIT__'_____ -� ' __ "__ <br /> ____TQ�AI FEE ___� "__"�P-. _U._- ____ . . . 70iAL FEE. . . t . .��1`�... <br /> THIS PORTIOPr TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> �AON�BEIB�CIt AE�RSEiB�CN "OESEtB�CIt �UNLrILCMHVMHCn �Pl���bifl:kfif <br /> 3 nE�iirrNo <br /> � � rcr/(J � <br /> ��___,,�>_y� - <br /> USE 20HE L01�RE� v�f.�Ni 911E fEE6 V11LU�TION -" --_f!E <br /> ❑YE9,(1N0 ------ <br /> rvPEO�CONSI OCGIIPnNCYOROUf NOOFDWELLINOIINIi9 _ ____�_ ___ <br /> � � �� e�aoiNc 3 '�/ CCO � ��'7 00_ <br /> SitE 0�9lUO /� NO Oi S�OIUE4 Mea OGC LO�D --- —L-- <br /> .aL �v`/_1/ / _ 3� PLIIMBWO._—_ __.___ -'.��" _O. <br /> MECII�NiGL _�y QQ <br /> FIRE SPRINKLERS FEOUIRED ❑VES O NO � - ---- — <br /> O111E0 <br /> PEN�UY <br /> �PPI�L�IiON�Cf. BY P'.�NSCNECNEUBY �PPPfORISSU�NfEBY -------- ""� '�'-- - '1 <br /> iOi�L <br /> J�f- <br /> -----1 ------ -- --3/_�_ °�_ <br />