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� i ti; .., .. .. <br />��,P�'LICATlON FO�;:-r <br />' �"TM�F°`"^ . CC►NSTRl:�710N <br />' everett PERMIT <br />BUILDING DEPARTMENT <br />259•8745 TO BE COMPLETED IN INK- PLEASE PRIN'i' <br />� DEMOLITION ❑ COMBJNATION ❑ BUILDING �MECHANICAL <br />j ownen MAILFOOBE55 SJ I l�c. 2-1 O cirv nr <br />� rUl RA ��e,�� l TI �S i icbl�r 2G ��rra S'r. 5�•rT� 4�l <br />everett <br />e <br />❑ PLUMBING ❑ SIGN <br />PMONE <br />c�/ 2z� 9�t6� <br />ARGNITECTOROESIGNEfi M�ILRODHE93 CItY ZIP f1�ONE <br />GENERRLLONIRAGIOfV MAIL�DDf1E55 GItY ZIP PIIONE LICENSE• <br />CpL�A,SS OF WOOR <br />61—NEW U ADOITION ❑ ALTERATION ❑ REPAIR ❑ OEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDINO RELOCATION <br />V�LUATION OF W ORK �LOST OF MR1EI11qL5 PLIIS LPBOR� <br />DESLf11�E WORK <br />' INSt-�c-t_ fkJ��. ; <br />USE OF BUILDING <br />E�t= fC E <br />LEOaL �ESCRIPIION Of PROPEPiV�5H0V <br />I ior_owc�_or <br />VPOJECTRDDPE55 <br />�ISC/� �(�,c�/� <br />WA7EN <br />VACUUM <br />SETBACK <br />use mne <br />� TYPE OF CONS <br />512E OF BLD�. <br />� FIRE SPRIN <br />i <br />8 OISP. <br />OBARACH <br />� C� 2v��s irJ F3`D6, �'E� �' <br />I HF.REBY CERTIFY TI1AT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAMETO BETRUEANDCORRECT. ALL <br />PROVISIONS OF LAWSAND ORDINANCES GOVERNING THISTYPE <br />OF WORK WILL BE COMPIETED 1YITH WHETHER SPECIFIED HEFE• <br />IN OF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TU <br />G�VE AUTtIORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE�,/PE��RFORMANCE OF CO�NjSTRUCTION. <br />SIQNATUr�c �CONTRFCTO�.Bji AUfy.i�yrZEO AGENT OAIE <br />`V OUSINE55 UCEN� <br />OI/ fl�"� <br />AL <br />TYPE OF EOUIPME! <br />:ON�. UNITS-H.P. EA <br />iIGEFA710N UNITS-H.P. E0. <br />EFS-H.P. EA. <br />FIRE� AC. UNITS-TONNAGE <br />:ED AIR SYS7Eh15-B.T.U. M <br />_HEATERS-B.T.U. M <br />HEATERS-B.T.II. M <br />TOTALFEE SI I I I TOTALFEE SI <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />flEAHSETBRCK SIOESETpACR �'L/NGHECKNUMOER PLANGIIELKFEE <br />,'EE (IECEIPI N0. <br />LOT RREA VACANT SITE <br />OYES ONO Fc'a �nlUAT10N FEE <br />OLCUPANCYGPOUP NO.Of�WE:LINGUNITS <br />IR�][�li <br />BY <br />�' V <br />BUILDIN� f <br />PWhIBING <br />MECHANICAL <br />/ OTHER <br />PENALTY <br />TOTAL <br />