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IM EruO�esn �C O N S T R U�C T I O N everetl <br /> Gltt OF <br /> everett pERMIT � <br /> BUILDING DEPARTPnENT <br /> 259-8745 TO BE COMPLETED IN INK- PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING �$IGN <br /> o�vr�en ranaanoncss an nr PIIONE <br /> �ve.eGn�sh•v �s r nh� se.� 9 �'�e2 G�e�,� �n y �'v�,��rr 95=u 3 <br /> APCIIIIECfORDL51GNCfl MRIlA00qCS5 CIIY ZIP f+�ION[ <br /> G[NLML CONIOAGIOR MAIL FUf111C55 CIIY ZIP FIIOIlE LICENSE• <br /> /U GS' rve�yv S.� ,1 S�L 3.K��T�� Euz�t.s ri �J�lo I .3.�i•BSSS Ac�'n.�rr /.�'i.00 <br /> IJ[CIIANICALCONIlIACTOq MAIIA[]ppCSS CiIY 21P PIIONE ULERSE. <br /> PLUM�IN6 CONi11RCfOq hUIL AODflESS CIN ZIP PIIOIlE LICENSE� <br /> CLA55OF WOflN <br /> �I, NEW ❑ ADDITION ❑ 4LTC-RATION ❑ �F'iFPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELO(;ATION <br /> VNItIqTION OF WOI1K ICOST Of 1Aht4qIAL5 PWS LA90P1 <br /> �/sa a. °= <br /> oescniee woi�H I ],� �.. /� ,�7 �¢ .. <br /> rY o"6t-u.G,...� li�/m....� r1-11� � <br /> USE OF B ILD IG <br /> ' I li[REBY CERTIFY TIiAT I HAVE NEAD AND EXAMINED TIiIS AP• <br /> PLICATION AND KNOW THE SAMETO BETRUEAND CORRECT.ALL <br /> ieca� E RIPiIONOFP00PEflTY�SHOWNOELOWORAITRCNFOl1fiLOVIES� PROVISIONSOFLAWSANUORDINANCESGOVERNINGTHISTYPE <br /> OF INORK'NILL BE COMPLETcD WITH WHETHEfl SPECIFIED HERE- <br /> �or_o�acK—oF — IN OR NO7.THE GRANTING OF A PERMIT DOES NOT PRESUME 70 <br /> GIVE AUTIIORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PC-RFORMANCE OF CONSTRUCTION. <br /> sicr�nrun�or cor�rnncron on nuruoeizee acer�r onie <br /> X ,���¢.:-,.,,�,. L/ z/ ,f�j <br /> PROJECTAOOOESS PPPLICA :GITY! SW[SSLIC[N58N0 <br /> !; �.�r li.�-t , r � � t� Y 1�' 75 s— <br /> PLUM8ING MECHANICAL <br /> NO. TYPE OF FI%TUHE _ FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CIOSET(TGILEp _ AIR COND. UNITS–II.P.LA. <br /> 6ATHTUB ___ REFRIG[RA710N UNITS–HP.EA. <br /> — ' — _ _.__. --_.__""_.___' —_---__ —'—_ . ...— <br /> LAVATORI'I WA511 dASINI lJ011 Gf15–I�I.P.EA. <br /> SFIOWER GAS FIH[D AC.UNITS–TONN4GE E4 <br /> _ NITCNEN SIMK 8 DISP. FO(1C[0 AIR SYSTGMS–B.T U. M EA. <br /> _ DISHWASIIER WpLi IIEATERS-9.T.0 M <br /> La.UNORY TRAY UNIT IIEATERS–BS.LL M <br /> CLOTHES 1VASHER EVAPORATIVE COOLERS <br /> _ WATEfl HEATER CLOTHES ORYERS <br /> _ 11flINAL VENTItATION FAN <br /> OHINNING FOUNTAIN RAN(:E IIOOD <br /> _ FLOOR ORAM _ _�qIH IIANOLING UNIT— Qf.ld. _` _ <br /> _ VACl1l11A OR[AK[flS STOVE <br /> —"I'_ '_ <br /> ROOF UFAINS—RAIIlLEAOERS n1ETAL FIqEPLACE A CHIldIJEY <br /> SINK�SERViCE—BAR,[TC. WOODSTOVE/FIREPLACEINSEFT <br /> SUBTOTAL SUOTOTAL 5 <br /> PEflM1T 5 PERMIT 5 <br /> -- —__—_ <br /> --" _"____.—._ TOTALFFE '__ 5 _ ._—_"_'__"_ 'QT4LFEE S __"__ <br /> THIS PORTION TO CiE COMPLETED BY BUILDIiVG DEPT. PERSONNEL <br /> fRONi SEtDACN R[FR SEiBAGN !,IDE SET9ACK P�AN CIIELN NUM1I�ER PLAN C�IECN FCE <br /> rei mc�iri uo <br /> US[20NE LOi AREA ypCaNi SITE -- <br /> OYES ONO F[ES YALUATION FEE <br /> TVPEOFCONSt OLCUPANLVGf10UP NOOFpWE1LINGl1NIT5 <br /> Bl11LDING b <br /> SIZE OF OLOG 110 OF$IONES l.In%.OCC LOAD <br /> PLl1M1l01NG <br /> IdEC11ANICAL <br /> FIRE SPRINKLERS R[OUIRED ❑VES ❑ NO — <br /> OTIIER <br /> PENALTY <br /> APPIICAl10NACC BV PLANSCIIECNEDDY APPR fORI55UFli j� _ - _—_ -- <br /> � � TOTAL <br /> v�� �� �� —_ "-- <br /> ��Z7�� <br />