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�_ <br /> ; <br /> ,,PP'LICATION FO�. <br /> '�.`",°,"" CONSTRUCTION �`�� <br /> ��r o. <br /> everett IPERMIT <br /> TO BE COMPLEI ED IN BLACK INK— PLE�SE PRINT <br /> BUILDING DEPT. <br /> 259•8745 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAI ❑ PLlfM8lkl'a L� SIGN <br /> owHey' /' uen enoness � cnri `ti� T� ruon= �� <br /> C� ,�ZLN (/� ��j<-� , v ((/�. L��,.�_t-t�t�- il f'f� � �'! '_�_—_ <br /> �nc�a�ecronoFsiar+En ' ueiuunncss cin nr m�ou� "-- � — <br /> GEN[P�ICONtP�C1pR � M11 epOnE55 �' OJL,��U41 Gilv lrv VnO�rt �-�--��__-� In'!•4. <br /> ) ]]},�' ��- ��.� � 7 y/ �7- lJ 1 �'1 i � / 1 <br /> /`i�(L-L�-�T��C"�LLi-�.C.(._ L�')+1�it.Q{' /..�:�L j 7 j ��y.]l..! '� /d'.13 <br /> MECH�NICµpONlq pq MML�ODRE55 CI�Y !i1' PnUHC � 0!�.5{ � <br /> �WMBIHOCONIRICIOR MA��AOCAESS Urv Zil� M�ONC 1�'.t��`.1• <br /> CL�540f W011N �/ _-- �V-�-�--������_ <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION LJl R4PAIR ❑ DEMOIJTION ❑ WOODSTOVE/FRPL.INSERT ❑ ❑U'LD�N(. �S�.U�J�I�O'1 <br /> V�LIA�iON Oi WORN�C09I Of M�IENUL S PW S L 1180RI <br /> �]��� 006 l f� <br /> �ESGRiBE WO�1p ;.7 -__"__`_."".__ <br /> ,.'L ti.tt ^�'� L . A-CA+ —__..____.._...____ <br /> � <br /> usE or pURu�No � <br /> � ' � /� I HEREDV Ct RTIFV THAT I HAVE READ AND C:%PA�!'dE C 'i H�i AP- <br /> . ,.,�i_w!/ ..L4-_r+�u-..-�i PLICATIONANDKNOWTHE54MFTOBETRUEANDC J�diCC� ALL <br /> '�IFG�lDE9GRIP110VO�PAOFRIYISHOWNBEIOWOR�II�G��iOJPCO�'�E51 PqOVISIO�SOFLP�WSANDORDINANCFSGOVSRNit,(iTMI�jIYPE <br /> OF WORK WILL BE GOMPLE7ED W11H WHETHFR SPELIf�f:J rl!.�H6 <br /> ior_eioc�_or IN OR NOT.THE GRANTING OF A PeRh!IT DOES NOT PNF SUNF TO <br /> GIVE AUTHORITV TO VIOLATE OR CANCEL TH� PROVI.SIONS OF <br /> ANY OlHER STATE OR LOCAL LAW REGULATING CONSiRUCTION <br /> OR TI1E PERFORN..:NCE OF CONSTRUCTION. <br /> smNntum-orcoNrn�cronnnnumor,i�ro•run rn�e <br /> XC. / 1 -7 <br /> C 9�-c'L c.1�.� .;/� /l ��t�.��t..�) /n - �- 7f� .. <br /> PPOJECI�ODAE96 �l. �PPt�C�NBGIfY SINf.SSLIC[NSE'NU yy <br /> �f /��f /��{n' Cf-f�.'"E-1, ,ao 7 -f� /f"7 � <br /> ;K ��, ( fLftLKF '�`--�1 - lG � t.[�.(J�i [� )CI+ a� <br /> iLUM81N0 MECHRNICAL <br /> NO. riF!OF fll(TUNE FE! NO. TYPE OF EOUIPMENT FEE <br /> _ WAlER CLOSET TOILEO AIR CONb UNITS-11 P EA. __ ___ __ <br /> B�INTUB 11EfR10Lq�ilON UNIIS-11 P EA <br /> LAVAlORV�WASH BASIN� BOILERS-HP F.A � � <br /> SNOWEF GAS FIREO A C UNItS-tONNAOE E4 <br /> MITCMEN SINh 8 U19P. FORCED��R SYSfEMS-B T U M EA <br /> DISHWASHER WALL HF.A/EfiS- 0 i U M <br /> LAUNDNVTP�V UNrtIIERtEqS-BT�I M <br /> CLOIHES WASHER EVAPOF�/IVECOOLERS <br /> W�TER HE�iER CLOIIIES DRVERS <br /> URIN�I VENTIUTION f�N <br /> DN�NKINO FOUNTAIN NANGE IIOOD <br /> _. . ._— -__ '____—�--___'-'..__ �.._'_ "" <br /> FLOOR DRRIN RIR HANOLINO UNIT- C.F M. <br /> YACUUM BREANERS STOVE <br /> ROOF DR�INS-R�INLEADERS METRI FIqEPIRCE 8 C111MNEY <br /> SINN SERVICE-BAR,ETC. WOOOSTOVE/FIREPIACE INSERI <br /> _ ___'___ __ ___"'"__ "__"'_-' '-' <br /> BUB 70T11L BUB TOT11L f <br /> _ _ _ __—__"' -_'__' _ _.-_'__-__. __ <br /> VERMIT t PEHMIT f <br /> TOTALFEE t TOTALFEE f <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> fROH19EiB�CN RE�PBEIB�CN SIOESEIB�Crc �I�NGH[reNUMpFf� PI�NUfff.nllF <br /> �FE NI".CEIPINO <br /> USE20NE lO1�NE� --- --- - - <br /> WCWtSi}� F[[! V�W�TION �EE <br /> ❑nt9 [INO __- - <br /> �vv1iOFCON9T OGCUP�NLYQROUP NOOfOWELLiNOUNu9 <br /> BUILOINO S •���(�)� ,` <br /> S4F Of BL00 NO O�StOPiE9 M���.OCG LO�U �-�'�-"� / �O v <br /> P�UMBIN4 <br /> MECIUNIGL , <br /> FIRE SPIIINNLERS REOUIREO O YES ❑ NO - --� ��- <br /> Oi11ER <br /> rENsur <br /> �OP.IC�tION.1CC BY VUNSCI�ECKEO flY �PPR fON ISSU�NCE Ilv -- __- .--------.- --- -------- --� <br /> TOT�I � 7O S� <br /> L . � L . c _. ----__-_ _ __ ._ _ - -- <br />