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`';�PPLICATION FO►��, everetl <br /> ^•EvrOINn CONSTRUCTION <br /> ITT OF � <br /> everett PERMIT <br /> 7UILDING DEPARTMENT <br /> 59-8745 TO B[ COMPLETED IN INK- PLEASE PRINT <br /> I DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑SIGN <br /> ��pgp M�ILADIlRE55 CITY 21P PHONE <br /> "lames I: . �"ahl 171�1 100 Lh nl se Evcrett 98704 337-4�FU5 <br /> CNIfECTORO[SIGNER �uIL��011E5S GTY 2�P PNON[ <br /> ��CIULGONiReC�OA M41lPpORE55 CI1Y 2�p PIIONE LICENSE <br /> "'�hl Consl rncPi on `iame 337-4405 lYi\IIL**7_49cp <br /> f.��ArvIGI CONtR�CTOq M�IL np011E55 CITY 21P PHONE UCENSF• <br /> I'.��r����� SLate ShceLmeL-al 341.1 Haves Evcrrtt 252=3114 <br /> UMBIN7 CONIR�CiOR M�IL�D�NE59 CItY 21P PIIONE IICENSE• <br /> ��P1V ��PG ;f�(�f1l�P __ ___ <br /> ♦SSOf WORN <br /> � NEW ❑ ADDITION ❑ �LTERATION ❑ R[PAIF ❑ DEMOLITION ❑ WOOOSiOVEIFRPL.INSEFT ❑ BUII�'I:;' REICI:ATION <br /> !tleilON Oi WORN ICOST OF M�l ERULS PLUS UBOR� <br /> ���10 �l'� �O�L9 '��— _ <br /> sCniee wonK <br /> d � m <br /> e ar ew�on+a <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> Ilr.�^ R Idrnc � PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br /> i�L0E5CRiPTIONOi�'ROPERtYiSNOW�PELOWOR�II�GHFOURCOP1E51 PROVISIONSOFLAWSANDURDINANCESGOVERNINGTHISTYPE <br /> () CCeSCtvoocl OFWORKWILLBECOMPLETEDWITHWFIETHERSPECIFIEDHERE• <br /> r�BIOC�—OF IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ��T /O GPEST( oon C � ' O � ANYOTHERSTATEORLOCALLAWREGULATINGCONSTRUCfION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> �r�'T ¢I�L�BC O/� II CTDRAL�D /N WGts�f_= SIGNAT FCONTRACTORORAUTHORIZEDAGENT ^ DAIE <br /> x � - ; <br /> , � �y�� <br /> U'� .�1� rs � io z �C'ecu�,�s �'�� ' • � <br /> —� � � �P IC TSCIt1BUSINE55lICENS N0� <br /> ��'�i�r C�o�nty or- SNo.ior.rs/+ STATc.� or=r�/i . <br /> �- - Go - 5- �S-d. — <br /> .UMBIN6 MECHANICAL <br /> NO. TYPE OF FI%TUHE FEE HO. TYPE OF EOUIPMENT FEE <br /> + WATERCLOSET(iOILEI) d � AIRCOND.UNITS—H.P.EA. <br /> BA(HTUB �� ��O REFRIGERATION UNITS—H.P.EA. <br /> �} LAVAIORY�WASH BASIN) BDILERS—H.P.EA. <br /> ) SHOWEP L (J() OAS FIRED AC.UNITS—TONNAGE E0. <br /> NITCIiEN SINK 8 DISP. OC� FORCED AIR SVSTEMS—B.T.U. M EA UO <br /> L_ DISHWASHER S WALL HEATERS—B.T.U. M <br /> LAUNDRViRAY U�ITHEATERS—B.T.U. M <br /> CLO'HES WA54ER DO EVAPORATIVE COOLERS <br /> � WATER HEATER CLO7HES ORVERS ¢�O� �'SD <br /> � URINAL VENTILA710N FAN 4p <br /> DRINKING FOUN7AIN � RANGE HOOD __l�.. ,j J <br /> FLOOR DRAIt1 AIR HFNDLING UNIT— G.t.M. _ <br /> VACUUM BFEAKERS STOVE <br /> FOOF ORAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEV <br /> SINK�SERVICE—BAR.ETC.) WOODSTOVE/FIREPLACEINSERT <br /> � uJ.d7� Ha m <br /> �s. � <br /> SUB TO7AL �]S SUB TOTAL 3 � <br /> PERMIT S PEFMIT S <br /> TOTALFEE S 'OTALFEE S <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> NISEIO�CN nGq5E1B�CK SIDESEiBACN PL�HCHECKNUMBEIi Pl4NC11[GKfEE <br /> �'fo I (n7'-�U FEE y 15 (0 8 �E�E��,�� �'D3�2� <br /> 20NE LOT�REA y �NTSITE <br /> FEES ���U�TION FEE <br /> '�, � �I l�(�!7 JI 'f" YES ONO — <br /> �Of pN51 OCCUI'eNCYGf10UP NOAFDWELIINGUNIiS <br /> '�^ 1�� �'J� � I BUIl01NG f CrL�` �yQZ �O <br /> p�O100 NO O�SIO�I[S MA%.00G.IOAD <br /> `Q/�t/�, I'��'(y/� I /� PLUAIBING �S —(y <br /> l — <br /> MECIIANIC�L <br /> E SPRINKLERS REOUIRED ❑ VES ❑ NO OT11ER y� f.J <br /> .2_ <br /> PENRLTY G 3y�_ <br /> iCnIION�CCBY PUNSLII[CNEOOY �FPR.FOq155UANCEBY — <br /> `_^ � ^ � TOTAL �`� ��.1 <br /> 1 ' `' �— . <br /> -- r' l?� `�•.�.�� <br />