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rrPPLICATION �'0►:� <br /> tM EwrprNn everetl <br /> CITYOF CC)NSTRUCTI(�N <br /> everett PERMIT e <br /> BUILDING DEPARTMENT <br /> 259-8745 TO BE COMNLETED IN INK- PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION O BUILDING ❑ MECHANICAL �7 PLUMUING B'SIGN <br /> OWNEfi MRIlA00RE55 CIl! ZiP PIIONE <br /> ��avr��i2 /�an�� /c�i2/ �r i=,zt,2�r�,<vr�i1 ��rrE'1•�i�X� , �v��2�Ti ]_'� � ��7/ <br /> •RCNiIECiOR0E51aNEO MNLAOORESS CITV � ZIP PIIpN[ <br /> %����-�c��i,�� f�� i�'�t�����l�i lt�G��iT �Z�G ,��l�vSrG ����Ur?{ti'zG����Sf/�/I <br /> MECHRNICR�CONIMLIOq MML POOR[55 GIY IIP Vi�ON! UCENS[• <br /> PLUMBINGCONIRACiOR M�IlA00BE5S GITY ZIP PIIO, S LICENSE• <br /> CLAS F WOPK <br /> NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br /> V1 U�IONOfWORI(�LOSi01M�lEOIALSPWSUBOP� <br /> ����UU. vv <br /> pESCRIBE WORN <br /> /N��I"I�'Gt� 2- %-�J x 1-��-0 �t1G�/�-�/C N5 t` — �X G � D G i�� >rVv;��EiuT Srt � <br /> useo uanu+c <br /> � � HEREBY CERT�FY THAT I HAVE READ AND FXAMINED THIS AP- <br /> i�N� PLICATION AND KNOW THE SAME TO BE TRUEP.NDCORRECT.ALL <br /> IEGAL��SCBIPT10NOFVROPENiV�5M0V/NOELOWOR�ITRCHFOURCOn�E�� pqOVISIONSOFLAWSANDORDINANCESGOVEaNINGTHISTYPE <br /> OF WORK WILL BE COMPLETED 4YITH WHETHER SPECIFIED HERE- <br /> �or_e�oc�_or IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. � <br /> - SIGNA7UREOFCONiqACTOROBAUiMORIZEDAGENT DATE <br /> X Z�-��.�,,:u.,.. s�� �� <br /> PPOJECt�DOPE55 APPLTCANTS dIY pUSWESSLICEFISE ND. <br /> /or�i ��>2h�1 .� .�-i� ��rr� ! y � � _ <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FIXTUflE FEE NO. TYPE OF EOUIPMENT FEE <br /> WAIERCLOSET�TOILET) AIRCOND UNITS—H.P.EA. <br /> BATHTUB AEFRIGERATION U�71T5—H.P.EA. <br /> LAVATORV�WASH BASIW BOILERS—H.P.EA. <br /> SHOWER GAS FIRGD A.C. UNITS—TONNAGE E0. <br /> KITCHEN SINK 8 DISP. FORCED AIR 515TEM5—B.T.U. M EA. <br /> DISHWASHER WALL HEATERS—B.T.U. M <br /> LAUNORV TRAV UNIT HEAiEFS—B.T.U. M <br /> CLOTHES WASHER EVAPORAiIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> 11RINAL VENTILATION FAN <br /> DRINKING FOUNTAIN f7AYGE HOOD <br /> I FLOOR DflAIN A�R HANDLING UNIT— QF.M. <br /> VACUUM BREAKERS 570VE <br /> ROOF DRAINS—RAINLEADERS ME7AL FIREPLACE 8 CHIh1NEV <br /> SINK�SERVICE—BAR,ETC. WOODSTOVE/FIREPLACE INSERT <br /> SUBTOTAL SUBTOTAL S _ <br /> PEHMIT 5 PEHMIT S _ <br /> TOTALFEE S TOTALFEE 5 _ <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> FqONT5E10ACN REnNSELpACK SIDESETOACN PLRNCHECKNUMBER PLRNCHECHFEE <br /> FEE PECEIPtNO� <br /> USEZONE LOTARER ypL.1NTSILE <br /> FEES VALUATION FcE <br /> OYES ONp — <br /> ttPEOFCONSi. OCCUPANGVGROIIP NO.OFDWELLINGUNITS <br /> 9UILDING E <br /> SIZEOFpLOG NO.OFSIOWES MAAOCC IOFD <br /> PLU�.�BING <br /> MECHANICAL <br /> FIRE SPRINKLERS REOUIRED ❑ VES ❑ NO <br /> — OTNER <br /> PENALTY <br /> PPPLICAiIONRCC BV PIANSCHECI(EDBY RPPR.FORISSUAN�p4E�/g�� — <br /> �/`�y�� TOTAI. <br /> C✓� � S�IW "'�.O '�vC �� �U <br /> F�-wa.� P�rx�� <br /> �.,w.� � Su-tkf'c p c�-�A�.►CE. T���xcae"i, <br /> T,v P�� OP�st�v��'-� <br />