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i� .'PLICATION FO��� <br /> `�.E",°`"" CONSTRUCTION �v°`°" � <br /> CIfY Of <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259-8745 TO BE COMPLETED IN INK- PLEASF PF11NT <br /> O OEMOLITION ❑ COMBINATION �1 BUILDING ❑ MECHAN�CAL ❑ PLUMBING ❑SIGN <br /> OFWy��/+� ^ ' MMLeU0PE45 �{b C�TY �c LPNONE � ��� <br /> J�Ic.1� ` —I i� t t ua,� �(� �rx'C S% �- /_'17�'-lC «S' �Z/ <br /> �R MI1ECl OESIGNC� T—_ M�II�ODRE55 Gltt Zip vNON[ <br /> �A.��c._ <br /> 'JENEPA��ONI G10R Mu��pORC33 CIIY Zlp pMONE LICENSE• <br /> MECN�NiUt Ct 4iRIGiOq M�RADDRE55 CIiY iip PNONE UCENSr. <br /> �LUMBINOCOi� H1Cf0� MAII�DDRE59 CI�V 21P p110NE lIC[NSE• <br /> cuss or won, <br /> ❑ NEW ❑ A�DI110N �ALTERATION ❑ REPAIR ❑ OEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br /> I{�yL.WIIpNOf WpqKIC03��MME111AL5PlUSL�90A1\ J � <br /> 1�/� f� �L���J � �"I�1r_-I/ . <br /> OE WOnR Cr n <br /> �C�-��vL7C_�- /�SI+�T' r'J 17-1[.�'.''YZ✓C/Crtl� �_.L.�£J (Ci7'?�'„��' <br /> USEOF nDn�O <br /> I HEREBY CERTIFY THAT I NAVE READ AND EXAMINED THIS AP- <br /> ��S/i��.%Jil� "" pLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.A�I <br /> LFO�LDC9CM1�1•IIONOfPRCPER1Yi511UWN8[tOWOR 1�C11fOORCOR[SI pROVISIONSOFLAWSANDORDINANCESGOVEFNINGTHISTYPE <br /> �'� �_ � ��� �� �� y,J OFWORKWILLBECOMPLETEDWITHWHEiHERSPECIFIEDHERE• <br /> �o _eioc or IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> � GIVE AUTIIORITY TO VIOLATE OR !:ANCEL THE PROVISIONS OF <br /> ANYOTHER ATEORLOCALIAWREGUTATINGCONS7RUC710N <br /> OR RFO ANCE UF CONSTRUCTION. <br /> 5� �lUOEOFCONi ACTOROB IIIORIZEpqG[NT DAiE <br /> c�.�—�--- 3�z-� � <br /> i'AOJ[Cl�Db1�E55 �PAIIC�Ni9 CIIY BUSME59 LICENSE HO. <br /> c`5 �l� Coc.c?> �cJ�'" <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE OF FIRTURE FEE NO. TYPE OF EOIIIPMENT FEE <br /> WAIEP CLOSEi(TOILEI� AIR CON�.UNI7S—H.P.EA. <br /> BAINTUB PEFpIGERATION UNItS—H.P. EA. <br /> LAVATORY�WRSH BAS�W BOILERS—H P.[A. <br /> SNOWER GAS Fl(i[�Af, UNITS—TONNAGE EA <br /> YI1(;H[N S�NK 6 OISP. fORCE�AIR SVSIEMS—O.T.U. M EA. <br /> O1511WqSHER WRLLHEATERS—B.T.0 M <br /> LAUNDRY TRAv UNIT HEAtERS—B.T.U. M <br /> CLOTNES WASNER EVAPORATIVE COOLERS <br /> WASER HE�TER CLOTHES DRYEFS <br /> URINAL VENiILAT10N FAN <br /> ORINKING FOUNTAIN RANGE NOOD <br /> FIOOR DRRIN AIR NANDLINO UNIT— C.F.M. <br /> VACUUM BREANERS S70VE <br /> ROOF DRnINS—RAINI EAOERS METAL 1'IREPLACE 8 CNIMNEY <br />� SINN�SEflVICE—BAR.ETC. WOpDSTOVUfIREPLACE�NSERT <br /> 6UB tOTl1l 9UB TOTAL f <br /> PERMIT { PERMIT ! <br /> _ TOTALFEE t TOTALFEE ! <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> 90N15EIB�Ctl nE�R5E1BaCM SIDESEt6�CN PL�NCNECKNIIMBEfI PI�NLHECNfE[ <br /> 9 () :.:� /l �S� U7 ��] �QL, iEE /'� aecEirrNo���o� <br /> 5E 20NE lOT�RE� yACI1NT SIIE ���_ <br /> � ' I G'- �1!) (� OYLS t)HO �EE! V�LU�TION FEE <br /> � <br /> vPEOFyp�Si OCCUP�NGVGnOUP NOAFOWEIL�NEUNlt3 <br /> �— �� �P-3 �� a���o���o f,P�. � _ <br /> ��ze or oioa No or sioair.s M�z occ iwo <br /> ���.� I —� PLUMBINO <br /> MECHRNICAL <br /> -IRE SPRINKLERS REOUIFED O VES ❑ NO <br /> O1NER <br /> PENRLiY <br /> oALIC�11011�1:C BY PLRHSGIIECNEDBY I1VCB.fORI55U�NCEBY _ <br /> � TOTAL <br /> �,� �� G -c. <br /> . ,,,m. <br />