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. <br />� <br />Ih� EwrprN� <br />CITV OF <br />everett <br />� BUILDING DEPT. <br />259•8745 <br />APPLICATION FGrt <br />CONSTRUCTION <br />PERMIT <br />TO BE COMPLETED IN BLACK INK — PLEASE PRINT <br />❑ COMBINATION ,Q BUILDING t'� MECHANICAL <br />MALL ADOPESS CRY 2iP <br />everetl <br />e <br />❑ PLUMBING ❑ SIGN <br />MECH�NILALCOMH�GiOR Mnl/ �DDHE55 CICY ZIP PnONE LiCEHSE • <br />PWMBIN4GONiNnG10N MMLAU[1NF55 LiTY ZiP VMONE u�ENSC� <br />CL�SS OF WOHN <br />❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br />V�LUATIONOFWLHK�GOSIUfMAIlliul5PlU5UBOR1 _ �J�\Cn <br />r�4�� �r� rxiS�iNt� CC,v,Fxsr�`' i�sta!/ souuoF �c�� <br />DESCRIBE WOHn —r ��— <br />.�DPsv r.n✓aqC C�a(/ �Ta �,va✓�or7" <br />use or ewiou+c <br />L��Y' �k+Y�E� �1✓ � <br />ICGAI pESGHIPIiON Oi VROPI:N�vISnOWN P <br />�oT—aioc�—or <br />URINAL _.. _ "___ <br />ORINKING FOIINTAIN <br />FLOORORAih '---'-_ <br />VAGUUM �REANENti � <br />TVPE OF CON51 <br />_'___ PEpM1T'_' _ <br />� I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BETRUEAND CORRECT. ALL <br />cnrouacoa�es� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE� <br />IN OR NOT. THE GRANTING OFA 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 CONSTRUCTIO�. <br />SIGNRIURE Of CONiRACTOR OH AU MORI2ED AGENT U/.Tk�� �� <br />X � �� , � <br />AVPI�CANi GILYtlU51NE55LiCLHSENO � ` <br />REFRIGEqAT10N UNITS—M.P. EA. <br />BOILEflS—H.P. EA <br />GAS FIPED AC UNITS—TONNAGE EA <br />FORCE� AIR SYSTEMS—B T.0 M EA. <br />WALLHEATEFS—B.TU. M <br />UNITHEATERS—BT.0 M <br />EVAPORATIVE COOi ERS <br />CLO7HE5 ORYERS <br />VENTILA710N FAN <br />RANGEHO00 <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />� �YVUG�OONPCG UY <br />SlIB�GM �SIOFS[iBACh <br />I <br />OCLUV4NGY <br />ANS <br />I <br />( <br />YACAM SIiE <br />(:vLS lINO <br />�1P NO Of DWCIlIN4IIII1IS <br />MA% OCC LOAD <br />7 NO <br />py AFI'N 1 OP ISSUANLF �Y <br />� 7\ 1: <br />F[E RlCbNi NO <br />FEES V�LU�TION FEE <br />BWLOING S <br />PLl1MAING <br />M[CMANICAI <br />OTMEF <br />PLNn1.TY <br />TOTAL <br />� <br />z <br />0 <br />-i <br />n <br />m <br />«. .. <br />—1 T <br />�--� ---� <br />N 2 <br />m <br />cv <br />m� <br />O 3 <br />m <br />-i z <br />s -i <br />m <br />.. <br />.o z <br />c <br />n -i <br />rx <br />�� <br />< y <br />T <br />O v <br />T T <br />=m <br />m �-+ <br />N <br />O <br />o r <br />c-> m <br />� y <br />N <br />'m <br />2 fl <br />—I r <br />� m <br />n <br />z <br />� <br />x <br />a <br />z <br />� <br />x <br />.. <br />N <br />z <br />0 <br />--I <br />C'l <br />m <br />