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'r.PPLICATION FO�.' ���,�„ <br /> '".E".,°,"" CO N STR U CTI O N ,� <br /> Cltt OF <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259-8745 TO BE COMPLETED IN INK• PLEASE PRINT <br /> ❑ DEMOLITION ❑COMBINATION �BUILDING ❑ MECHANICAL O PLUMBING O SIGN <br /> OWMlR .. M�iL� oP¢ss�� _�;� �_� CL f�'1 191 zm vr�one ��� <br /> \ ��' r�ru.5 �� � � ��I�� l�ssJ—L.�)�4 �Y �V �t ?���1()� .��ci�vt! >� <br /> ♦RLNIfECfORDESiGNEN MMLADDNE55 GIfY IIP P ONE <br /> 6ENERALGONIR�pOR MAIUO�OE53 C�TY Z�F FMONE LICENSE• <br /> (VI <br /> MF.CH�NIG�LCONiR�L10B ,� MMLAODNE55 CIIY 21P PNONE UCENSE• <br /> PWMSwOGON1P�Ct0� '` M�iL�O�PE55 LiIY 2iP PNONE LICENSE• <br /> l) <br /> Qeb]ot wona <br /> ❑ NEW �ADDITION ❑ AITERATION ❑ REPAIR ❑ DEMOLI110N G WOODSiOVE/FRPL.INSEPT ❑ BUILDING RElOCA710N <br /> v�iuenor+�awonf�'�costorMucnuisr�u9�aeoni <br /> __Y LC+� 7 — _ <br /> ocscnioc wanr�� . <br /> ��� ( � � . �i � <br /> useor euaort+a I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS AP• <br /> U �) IY� PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALI <br /> LEO�LDESL11iP110NOFPpOPERiY�S�IOWNBEIOW R�11 NiOUPCOPIE51 PROVISIONSOFLAWSANDORDINANCESGOVERNIN�THISTYPE <br /> OF WORK WILL BE COMPLETED WITH WHETHEH SPECIFIED NERE• <br /> ior--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 /> 5P1 NAt1)RG qF CONTRACTOR OR AUT110RIZED AGENT UAT <br /> A 1 � v�7 �� <br /> V�RN/''E�CI�DORE53 �i'P4 Gi1Y BUSINES UCENSE N0. <br /> /CT % • <br /> PLUMBINO MECHANICAL <br /> N0. TYPE OF FIKTURE FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSETITOILEn � AIRCOND. UNITS-H.P.EA. <br /> BAIHTUO REFRIGERATION UNIiS-H.P.EA. _ <br /> LAVAiORVIWA$H BASIIII DOILERS-N.P.EA. <br /> SHOWER OAS FIRED AC.UNITS-TONNAGE E0. <br /> KITCHEN SINK 6 DISP. FORCEO AIR SYSTEMS-B.T.U. M EA. <br /> OISHWqSHER WALL HEAlERS-B.T.U. M <br /> LAUNDRVTRAV UNITHEAIERS-B.T.LL M <br /> CLOTHES WASHER EVAPORATIVE COOLERS _ <br /> WAiER HEATER CLOTHES DRVERS <br /> URINAL VENTIIAiION FAN _ <br /> DRINHING FOUNiPIN RANGE I100D _ <br /> FLOOR DRAIN AIR HANDLIWG UNIT- GF.M. <br /> VACUUM BREAHERS STOVE <br /> ROOF DRAINS-RAINLEADERS METAL FIREPLAf,E 8 CHIMNEV <br /> SINK�SERVICE-BPR,E1C WODDSTOVE/FIFEPLACE INSERT <br /> SUBTOiAL SUB TOTAL f <br /> PEPMIT ! PEHMIT ! <br /> TOTALFEE 1 TOTALFEE � <br /> THIS PORTION TO BE CQMPLETED BY BUILDING DEPT. PERSONNEL <br /> iqON15EtOPCN1' PE�115E1B4CN SIOESEIO�GN PL�NGNEC�KN1MpER /� �UNCMECNFEE `' <br /> �Vn� ;I.' � //`) �J 1 � 1 1� J`�� FEE �IZ�C'J RECEIPTNO.X�ibl� <br /> �J 'd <br /> USE ZONB LOI RI1G y�C�NT 51 E <br /> FEES VALU�TION FEE <br /> B-2 v� c*m;�'r�•c o��5 y�yb c /] �/, <br /> TYFE Of CONit +' OCCIII'�NGYGBOOP NOAf DKELLINO UNIIS 1 r 1 '�'� I_/ /J]_ �_r,� <br /> ��J�f � �Z- � BUILDING �`�� '` � �. � <br /> sue or oioo r+o or s�onics M�x.occ�ono <br /> �///) I �� PLUMBING <br /> i <br /> MECHANICAL <br /> FIPE SPf11NKLERS REOUIf7E0 (]YES ❑ NO <br /> OTNER <br /> PENALTY <br /> nFPL1U110N�CC/j�Y PL�tISC11ECNE00Y APFP.FORISSUANCEBY — .��� <br /> /^I3 ' � � TOTAL i.. . � <br /> ,'�,�¢, .li. <br />