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� <br /> k�r'PLICA�ION FOR ' <br /> `°.E",°'"° CONSTRUCTION P�P, <br /> �,n oF � <br /> everett PERMIT � <br /> TO BE COMPLETED IN BLACK INK- PLEASE PRINT <br /> BUILDING DEPT. <br /> '. 2�_ 7� r ��� `p ❑ COMBINATION � BUILDING ❑ MECHAN�CAL ❑ PLUMBING ❑ SIGN <br /> ��wr,��n u>itnnnnFsc �'.nr n�• rn�� � <br /> �� Hr,��l, •��e� �iha,✓ �- ��+C � f'r�?�o �/ "�G'�6 <br /> •OG�^J EG OPDE5�4NER M�IL�DOIaF.55 UIV 'iP PIVINI <br /> [•C1,1l��r6, �. ¢��n.� c'0 « o ���n �-c s ��n��r� �e,P �/SO_�6 � ? S�-3$�/ <br /> ^�ENER�IGOH�P�CiOn 4ML/ NF55 i1V vuOqF rt'FibE• <br /> �� �n. �� X IS� 1� LLnJOo� C�D,��S �t /�0�U/� <br /> �ECN�NIC�.GON RAGTOq M�IL PD�RESS Y 2iP 1'110�1[ UCtNSE� �G <br /> ' i1/�,# ��c�. 07—OQ^ $� <br /> �'lUMOiNGC NI �CiOH MMUODRE55 Lilv IiV n� nF UCFNSE• <br /> �LA55Of WOAR <br /> ❑ NEW ❑ AD��TION ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODS70VE/FRPLJNSEFlT ❑ OWLDING �ELOCATION <br /> A0.0 �OHO�M'09aiO$fOfM�T RUl5PLV5L�BON� J <br /> �Q � cen-�o •s ',v �/S�!S—i'�l.bu��_P_.�� U r/c� <br /> Uf Sf,nIFlE WOAK <br /> y�i.ir,�r, ��s ,��r. ,`a.� rr°n,o � .u��.� _P_�_�L�c.la��—�� <br /> ^sr nuaon�c <br /> � 1 }�EREBY C -RTIFY THAT I HAVE READ AND [XAMI� D THIS AP- <br /> � AIC PLICATIUNANDKNOW1�f�lESAh1[TOBETRUEANDCORRECT.ALL <br /> �ir��nescamuor�ovannv RtY�SHON B OWORAlIACIIi0UR1:OV9CtB pqOVISIONSOFLAWSANDORUINANCESGOVERtJINGTFIISTYPE <br /> Of WORK WILL BECOMPLE7ED WIIH WHETHER SPBCIRED HERE <br /> �or_e�oc�_or IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORIIY TO VIOLATE OR CANCEL ThIE PROVISIONS OK � <br /> �T/1c A�YOTHER STATE OR LOCAL LAW REGU;ATING CONSTRUCTION '� <br /> OR THE PERFORMANCE OF CONSTRUCTIpN.� /S�� <br /> smi+mm�c rcoamnc�onor+nm��nniz[ n ,.nr on�� <br /> X -� <br /> i'l1UJECI�DDRE$$ AFI ...ANtAC1IYf1U':INISiIJf'f.N5.11r ' <br /> s � n e a <br /> PLUM9ING MECHANICAL __ ______. ___ <br /> NO. TYPE OF FIXTURE FEE NO. TYPE OF EOUIPMENT __ � FEE <br /> WATERCLOSET�TOILET) AIRCPNDUNIiS-HP. EA _.__ ____ <br /> BaTHTUO f1EFRIGCRAIIOWUNIIS-fIP_EA_______ .______ ! <br /> LAVnTORY�WASH BASIN) �OILEi75-H P.C:A � <br /> - ' _ "_'- _ _. _ __ ' -_-'___"'__'_'__ ... _ ."_ __"_ __ I <br /> SMOWER GAS FIHCU A C UNI7S-iOtlRAGC F.A. <br /> _ __ _ _ '__'__ -'-"'_._'_'_'___'_--_ __ '____. . ___. .. _..... . ._.__ _ . <br /> KITCHBN SINK 8 DISP. �ORCED Nn SYSICh15-0 f U h1[n � <br /> - _- ._'__'____'-___--__'__'_' __"-_'_ __-'__' __"_ _'__ _" <br /> DISHWASMER WALL HEA7[RS_�T U_ M <br /> LAUNDi7Y TRAY UNI11/EATERS_(1 i U M _ <br /> CLOTHES WASHER EVAPORATNE COOIERS _ <br /> WATER MEATER CLO/IIES DRVERS _ <br /> URINAL VENTIL�TION�AN ___ <br /> DRINKINGFOUNiAIN RANG[HOOD___ ______ ____ <br /> FIOOR OFAIN AIR IIANDLING UNII-_C�.M. _ _ � <br /> VACUUM BREAKERS S70VE ___ <br /> ROOF ORAINS-RAINLEADEFS M[TAL FIREPLACE d CIIRd1JL� __�_ ______ i <br /> S�NN SERVICE-9AR ETC. WOODSTOVE/fIREPLACEINSERi_________ ____ I <br /> �- SU9 TOTAL -- -_' __.— "'-SUI7�TOTAL ___ _ . ..5 _ __ " _ ' -- <br /> ..-_ —_ - _ _ � <br /> PERMIT 5 PENMIT S �. <br /> .._ ' _'-_. ____"_. _..._. . ._. _ _. __ _ _.. ._ _ _ _ _. _. .._ '_ _-_._' <br /> TOTAL FEE f _ ____,___TOTAL FEE __ 5 � <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL I <br /> �"BONi5E16AG8 PEANSETH�LN SIOESF.I6�CN PL�NCHEC1tNUMl3[R !'IPIIG�FGN(fF � <br /> fIF Nff.FIV1110 � <br /> uSEtONE LOT�RE� ------'�--- ------- " " ------- � <br /> ������'��� fEES VRLU�iION FEE � <br /> IJICS IINO _ ----- — <br /> �YPE O�CONSI. OGGUP�NCYGROUP NO.OL DWELLIMO UNIIS � � <br /> OUILD111G S �� f� <br /> Sitf:Of O10+ NO.OF StOA�ES M�x OCC LO�D — — —�----- . <br /> PLUM91NG <br /> MECIIANIG�L I <br /> FIRE SPRINKLERS RE�UIFED ❑ VES ❑ NO -�- — <br /> OINEr1 � <br /> ' PENALLY ------ --_-� i� <br /> q�FUC�110N�LC8� PLANSCNEC�FOOY AFFflfCPI55UANCEOY -- � - ------' � <br /> TOTAL <br /> �� ___-_-. _.'_____'-'_ '__'__ ; <br /> i <br />