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� <br /> , <br /> <�;:, ;�: <br /> aPPLICA��lON FOR �verett <br /> '".E""'"" CONSTRUCTION �7 <br /> LITY OF <br /> everett PEI�MIT <br /> TO BE COMPLETED IN BLACK INK— PLEASE PRINT <br /> � BUILDING DEPT. <br /> 259•8745 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING � SIGN <br /> MAILAODRESS f,IIY 2iP PllflryF <br /> ���,�/Ea � I wII ,,1,� I' �,� ' t� ( `I R,e,�4-�- `t�'}� �3 35S- 75c,c <br /> 1\ll�lN I N'K./'1 ��1.1-) �-V��]�Ce'1� �i] CIiV ZIP VHON[ <br /> •q�HiiECtOADE5IGNEF M�IL���AESS ,� �. _ ,- L <br /> • '7 El,e� rzr,. uY z�•roc}► �i► ';o , 33 , '.�E: y / .� <br /> C.� �- � S�Sr. �<���� '-�J�J S <br /> MAILADDRESS CIIY ZIP F��ONE LIGCNSE• i <br /> GE4ERAL GJNLR�CiOR 313 3� <br /> S��C �,1x�� <br /> MEGH�NIULGONTH�CTOH MMLADDRE55 GIiV 21V PI�ONE UGENSE� <br /> PLUMBING CONTMCIOR <br /> MAIL��DRE55 CIIY ZiP �HONE UCENSE• <br /> :LASS OF WOAK <br /> �NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INS[RT �UILDING RELOCATION <br /> VA�UATiOkN OF WORK IbOST OF M�TERI�LS P�US UBORI <br /> —E��S O�� — <br /> pESCRIBE WORN <br /> �L'S�a11a�'cn a� Ne�,J �shS — - <br /> USE OiBUILDING I HEREBY C[RTIFY THAT 1 HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO B[TRUE A1�0 CORRECT.ALI_ <br /> IfG�l0E5G�IPTIONLFPHOPEPTYISNOWNBELCWOAA�TACHFOURC'JPIE51 pROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> OF WORK WILL BECOMPLETED WRH WHETHERSP[CIFIED HERE <br /> � LOT_BLOC�I�OF IN OR NOT.THE GRANTING OF A PERMITDOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL i f1E PRUVISIONS OF <br /> ANY OTHEfi STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> UR THG PERFORMANCE OF CONSTRUCT!ON. <br /> SIGNA1UflE �NTR C10RO�pU�MO1�IL[D GLNf DATE <br /> X l� 1—�a' �'S <br /> , <br /> nP1't ICAN�5 f,11Y BUSI4F titi IICF NSE 1U f <br /> �n0.1[cll.00nEsS ' <br /> G' �Vc rc e-✓ �,l� . _ �� UU� <br /> PLUMBIN6 MECHANICAL __ -- <br /> NO. TYPE OF FI%TURE FEE NO. TYPE OF EOUIVMENT_ ___ __FEE <br /> WATER CLOSET TOIIET) _ AIR COND UNIIS-HP.EP. <br /> BATHTUB REFHIGLRATION UNITS-H.P_EA <br /> LAVATORYIWASH flASIN� _ BOILERS-H P.EA. _ ._ <br /> SHOWEA �_ GPS FIRFO AC. UNITS=TONNAGE EA___ _ <br /> KITCHEN S�NK 8 DIS0. _ FORC[D Alfi SYS1EId5-D.T.0_�d EA____ ._ __ ____ <br /> DISHWASHEF WALL HEATERS_0_7U_ M ___,_.___._ -- <br /> LAUNDRYTRAV UNITHEATE�7S-B.I.U. M ___. <br /> LLOTHES WASHER EVAPORAINECOOLERS _ <br /> WATEFHEATEii CLOINESOHYF.(iS ,___._.- --- --- <br /> - VENTIIAIION FAN - <br /> UR�NAL - <br /> DRiNKING FOUNT�IN RANGE HOOD <br /> FLOOR ORA�N _ NiR HANDLING UNI7-_ C F M. ___ _ <br /> VACUUM BREPNERS SIOVE ____ _—_—.--- -- <br /> ROOF DFA�NS-RAINLEAOERS _ ME1AL flfiFPLf.CE d CHIM1INEY _____,.__ _-_._ — <br /> SINK SERVICE-BP9.ETQ WOODSTOVE/FIREPIACE INSER�__.__ _ — <br /> SUBTOTAL ____ SUBTOiAL___. _s --- - <br /> PERMIT f _ ____ PERMIT____' _ S - — <br /> TOTALFEE S ___ TOTALFEE __ 5 - <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> SIOESETpACK PlANC11fCNNUlAOCR PI>N�lIfSNlEI. , <br /> i�ONT SE1B/�CK RE�P SEtBPCK , <br /> �E� nF.CElPtriO <br /> a <br /> USE20HE ��t�pE� VACANTSITE FE[5 �A�UATION FEE <br /> pYES O40 <br /> 1YPEDFCONST. OCCUPANGYGROUP NO.OFOWELUNQUNIIS r � <br /> BUILOING S � 0 � <br /> Si2EOFBL�6. NO.OFSTORIES �hA.OIX:.l0A0 <br /> PLIIMBING <br /> M1IEGMak�C�l <br /> � FIRE SPRINKLEFS REOUIRED ❑ YES ❑ NO --- — � <br /> onien I <br /> rErvn�rv <br /> �PP4GATIONeGG BY PLAN�CHECItEOBY APPR.FORISSWNCEOY �C I <br /> TOTA� � I <br /> � t <br /> � �� ' <br /> 1 <br /> � <br /> � - <br />