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���'PLICATION FOf�'.;� ���,�„ <br /> . '".E"'°`"" CONSTRUCTI(JN e <br /> pT/OF <br /> everett PERMiT <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK• PLEASE PRINT <br /> 259-8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING C-7"MECHANICAL �-FLUMBING ❑SIGN <br /> M�IL�ODRE59 GIiY 21P P110NE <br /> °��En-i�, �n�s �812 ('�c�2��2Q.uP &�� 98a0/ ���5-3s��� <br /> �pCMITE ORDESIONER M�IL�DDPE53 CITY ZIP PMONE <br /> OENEFAICONTP�GtOA M�IL�OOPE53 CI1Y ZiP PIION[ IICENSE� <br /> MECN�NIWLCONiR�CiON M�IL�ODRESS Gltt 1iP PHONE UGENSE• <br /> ����aNu�+4•Ll�.f+s�L'i�U7 ,P 1��'SE�C l�►.c.�l)iticl�Ol1, � /`�O/ �a8as/y% �n�i'�ES�lK� <br /> CUSS OF WONR <br /> ❑ NEW ❑ ADDITION II�ALTERATION ❑ REPAIR ❑ DEMOLIiION ❑ WOODSTOVE/fPPL.INSERT ❑ BUILDING RELOCATION <br /> V�LU�TION OF WORK ICOS�OF M�LERULS i'LUS LRBORI <br /> OE9CRIBE WO��� �� � G`�N^ ^� <br /> 7 /«�� <br /> USEf�FBUIlDINO ,(�,, �,�, I HEREBY CER Y THAT I HAVE READ AND EXAMINED THIS AP- <br /> �L���y!V/Y 1 � PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br /> LEU�LDESCHIP710NOFPROPE11iY�SHOWNBELOWOR�TTACNFOURGOPIES� PROVISIONSOFLAWSANDORDINANCESGOVEFNINGTHISTYPE <br /> OF WORK WILL BE COMPLETED WITH 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 O� <br /> � ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> � OR THE PERFORMANCE OF CONSTRUCTION. <br /> SION�TURE OF CONTRACTOR OR AUTHORIZEO AOENT DATE <br /> X ��� 7_/ - <br /> PRQIECT�ODNE9S � APPLIG�Ni5C1TY0U5WE53UCEN5EN0. <br /> �Af�1 E <br /> PLUMBINO MECHIINICAL <br /> NO. TYPE OF FI%TUPE FEE NO. TYPE OF EOUIPMENT FEE <br /> W�TER CLOSET TOILE AIR COND. UNITS—H.P.EA. <br /> � &1THTUB REFPIGERATION UNITS—H.P.EA <br /> � LAVATORV WASH BASIN BOILERS—H.P.EA. <br /> � SNOWER OAS FIRED AG.UNITS—TONNAGE E0. <br /> KITCHEN SINK 6 DISP. FORCED AIR SYSTEMS—B.T.U. M E0. _ <br /> DISHWASHER WALL HEATERS—B.T.U. M <br /> LAUNDRY7RAY UNITHEATEPS—O.T.U. M <br /> CLOiHE9 WASHER EVAPORATIVE COOLERS <br /> WATER HEAtER ' CLOTMES DRVERS <br /> URINAL VENTILATION FAN <br /> DRINKINQ FOUNTAIN RANOE HOOD <br /> FLOOR DRRIN AIR HANDLIN6 UNIT— C.F.M. <br /> � VACUUM BREAKERB STOVE <br /> ,� ROOF OMINS—RAINLEAOERS METAL FIREPUC 8 CHIMNEY <br /> -� WOODSiOVE/FIREPLACEINSER7 <br /> q � ' SINK SERVICE—BAR ETC. <br /> I -- <br /> I <br /> i <br /> - SUB TOTAL 9UB TOTAL = — <br /> � PEPMIT 3 � PEHMIT s _— <br /> � T0T11LFEE ! TOTALFEE s — <br /> ' THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> , <br /> 1 FNONTSE7B�CK !1E�RSETB�CK SI�E9ETB�LK PLANGNECNNUMOEN PlANC11ECNFEE <br /> � � . FEE PECE�Pt N0. <br /> � USE20NE . . . LOTARE� y�CANT5ITE FEES VALO�TION FEE <br /> OYES ONO <br /> � TYPEOFGONSi. OGCUPANCYCPOIIP NO.OFOWELIINOVNIT9 <br /> � • � BUIIDIN� s <br /> � <br /> 512E OF B100. NO.OF STOA�E9 i, M�X OGC.IO�D <br /> � � PIUMBINa <br /> I <br /> I . MECHANICAL <br /> j FIRE SPRINKLEPS REOUIRED ❑YES O NO OTHEfi <br /> 1 � � PENALTY <br /> � 11PPLIC�I��N�CC.BY PIAN$CHECNEOBY APFN.FORISSU�NCEBY <br /> � TOT�L <br /> 1 <br /> � <br /> � <br />