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_ _ - a <br /> G E�,�� i�,PPLICATION f01� ���,�„ <br /> CONSTRUCTION O <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE CQMPLETED IN INK• PLEASE PRiNT <br /> ❑DEMOLITION ❑ COMBINATION C7 BUILDING O MECHANICAL ❑ PLUMBING ❑SIGN <br /> OWHEN �7 � M�Il�00AE55 LiTY PP PNONC <br /> �4tc� _ V/�'+is i�. ��/���P�../cv/ t�.[i J 8'J-�( 7. Si �/C � <br /> �NLHRELIORpE5i0NEN M�iI�DORE55 UtY t��` P40HC <br /> 6FNER�ICONTR�LIOR Mu1�DORE55 r,nv /.1� o��ONF I�CENSE• <br /> MELM�N,�,C`4 GONiR11LTOq M�II��ORCSS Ci1� I�P PHONC UClNS(• <br /> OWI (� <br /> PIIIMBM.CONTR�CIOR M��L�ODPE55 G1Y l��' PnpNE I�CLHSE • <br /> G1�550f WORt �/ <br /> ❑ NEW ❑ AODITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION l7 wOODStOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br /> W L W TION O�WOPe iC051 O!M�IE PUL 5 P11151�BORi <br /> pESLRiBE WOAK <br /> e� � wvo-� S�t <br /> wcos eunm•ro I HEREBY CERTIFV THAT I HAVE READ AND EXAMINEO 1NIS AP• <br /> ��� PLICATION AND KNOW THE SAME TO BE 1 RUE ANDCORRECT.ALL <br /> 1E4�1.0E5CRIPiIONO�PROPERiY15HOWNBELOWONI,il�C4lOURCOPiES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISiVPE <br /> OF WORK WILL BECOMPLETED WITH WMETHERSPECIFIED HERE• <br /> �or—e�ock—or__ IN OR NOT.iHE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV OTHER STATE OR LOCAL LAW REOULATING CONSTRUCTION <br /> pR TNE PERFORMANCE OF CONSTRUCTION. � <br /> SIQN�TpREO�CONiR�f.10ROf�UTNORI.'ED�GENi ❑�TE �-„Z �$'Y <br /> X £ <br /> PNOJECT�DDRE94 �PPL if.�N�5 CItV BUSME SS l iC!NS! <br /> �� ( <br /> /LUM�INO MECHANICAL <br /> Np, TYK OF flRTU11E 011 ITEM FE[ NO. 7YPE Of EOUIPMENT FE! <br /> WIITER CLOS'eT�TOILET� AiC-AiHNOLO UNITS-M P <br /> BIITMTUB REFR�GER�TION UNITS-M P EA <br /> UVATOHV�WASH BI151K� BOILERS-P T U M P <br /> SMO WER QAS FIRED A C.UNITS-B TL. <br /> NITCMEN SINK{DISP FORCE�AIR SVSTEMS-B T U. M EA <br /> DISIIW�SMER W�ILMEATERS-BTU M <br /> UUNDRY TRI1Y UNIi HEATENS-B T U M <br /> CLOTHES WASNER EVAPORAT�VE COOLERS <br /> URINAL CLOTI�ES�NVERS <br /> DHINNINO FOUNTAIN �ENTIUTION F�N <br /> FLOOR OR�IN HANOE MOOD <br />�. BACKFIOW P1IEVENTEH3 W�TER ME�TER <br /> RUOF DRAIdS-PIIINLEADER3 WOOD STOVE <br /> 91NK(4ERVICE�-BAR.ETC� METAL FIREPLACE 6 CNiMNEV <br /> FIPEPUCE INSERT <br /> MEATPUMP <br /> OAS VIPINO <br /> E%MAUSTF�N <br /> �ll�TOTAL { tU�TO��L <br /> /[IIYIT { P[MNT <br /> TOTALFt[ t TOT�Lr![ <br /> fMONT9E�BM:N RE�RBEIB�CR smEs[iMGK �NCHECKNUMBER �EE RECEIPTNO. <br /> uee ta�E �o�•nee vc.ei siTi FEES VALUATION fEE <br /> orrs uHo <br /> tYPEOif.OHST ppCUP�NLVGNOUP NOOfDWELLiNOUNITS BUILOING S <br /> PLUMBINO <br /> SUE Or oiDa No or StoRiEs NA1 OCC LO�G MECHANICAL <br /> OTHER <br /> FIRE SVRINKLERS REOUIFED ❑ YEB ❑ NO STATE BUILDINQ SUACNAA6E <br /> STATEENEROYSURCH�RGE <br /> �PVIIGIION�CC BV PUN9GHECKEOBY �PPR fORISSWHCEBY <br /> PUBLIC WOPK9 <br /> TOTAL <br /> PROPER7V OWNERSARE PESPONSIBLE FOR DETERMININO ALL <br /> PpOPERTY LINE LOG�TION9AND RELA7ED EASEMENTB. <br />