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r � , <br /> ' APPLICATION FOK <br /> «`�"" CONSTRUCTION ���``�`" <br /> . everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259•8745 TO BE COMPLETED IN INK- PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> �HER _— M�IL ADORE55 CITY ZIV PNONk <br /> ,�-�er Van �jo.`en ssv'l �thecson Q� �v�c�� 98z�9 3s3-zs 7i <br /> •RCNi7ECTOR0E51GNEP M�R�OOHE55 GITY ZIP PpONC <br /> GENERAL GONfR�LTOR M�II��ORESS CItt 21P PIIONE LILENSF• <br /> s4r►v� 4s �.`oo�e <br /> MELII�NiC�t CONTN�CTOfl MML�DDPE55 CITY 21V PMONE IICEHSE• <br /> PIUMB�N.CONfPAGTOR MeIL�D�RESS LIIY ZIP P110N[ LICENSE• <br /> GU55 O�WORIt <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION �WOOUSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br /> V�l WTION Oi WONR�COST Oi M�IERI�lS PIUS L�BORI � <br /> � �jOU <br /> o[scn�ee woeK <br /> �ws7�LL N� W �^'���sTave <br /> ll![Of BIIIl01N6 <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> PLICATION AN�KNOW THE SAME TO BETRUE ANDCORRECT.ALL <br /> lE6�l0ESCA�PTIONOFPROPERiY�5110WNBELOWORAIT�CNFOURf.OPIE51 PROVISIONSOFLAWSANDORDINANCF.SGOVERNINGTHISTYPE <br /> OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br /> ioi_eioc�—ov IN OR NOT.THE GRANTING OFA PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOIATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATI NG CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> 81GNATURE OF CONTR�CTOR OR AUTHORIZED AGEN� D�TE <br /> X ��� l �-29-8' � <br /> VNOJEGI eD�RESS �` �PPLILANiS CRY Bu51NE5S UCENSE N0. <br /> �So1 �Cnv.�son �,� Z.,�,t'�.T � <br /> PLUMBING MECHANICAL <br /> NO. TYVE OF FI%TUNE FEE NO, TYPE OF EOUIPMENT FEE <br /> WATER ClOSE71TOILEI) AIR COND. UNITS—H.P.EA. <br /> BATHTUB AEFRIGERATION UNITS—H.P.EA. <br /> LAVATORY(WASH BASINI BOILERS—H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TON4AGE EA. <br /> KITCHEN SINK 6 DISP. FORCED AIR SYSTEMS—B.T.U. M E�. <br /> OISHWASMER WALL HEATERS—B.T.U. M <br /> LAUNDRYTR�V UNITMEATERS—C.T.U. M _ <br /> CLOTHES WASMER EVAPORATIVECOOLERS <br /> WATEH HEATER CLO7HES ORYERS <br /> UHIN�L VENTILATION FAN <br /> ORINKING FOUNiPIN RANGF HOOD <br /> FLOOR�RAIN AIR MANDLING UNIT— QF.M. _ <br /> VACUIIM BREANERS STUVE <br /> FOOF ORAINS—RAINLEADERS METAL FIqEPLACE 6 CHIMNEV <br /> SINKISEFVICE—BAR.ETC. WOODSTOVE/FIREP�ACEINSERT _ <br /> SUB TOTAL SUB TOTIIL t <br /> PERMIT { PENMIT S _ <br /> TOTALFEE f TOTALFEE t <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEP?. PERSONNEL <br /> iNONTSEiB�GN RE�PSEIB�CN SIDESETB�CK PL�Nf.HECKNUMBER PUNGNECefEE <br /> iEE REGEIPI NO <br /> USE ZONE l0T ARE� y�L�NT SITE <br /> FEE9 V�III�TION fEE <br /> OYES ONO <br /> TYPEOLCONST OLCUPANCYGNOl1P NO.OFDWELLINOUNITS <br /> BIIILDIN� S <br /> S�LE Of Bl PG NO OF STONIES M�%.OCG LO�D ' <br /> PLUMBIN6 <br /> MECHANICAL <br /> FIfiE SPRINKLERS REOl11RED ❑YES O NO <br /> OTHER <br /> PENALTY <br /> �VPIIC�LIONACC BY FLANSLHECNEDBY APPR FORISSU�NGEBY — <br /> TOTAL <br />