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� <br /> : `�PPLICATION FO��_ <br /> fM EroprMn everetl <br /> ' GrOF CONSTR�ICTION �J <br /> everett PERMIT <br /> BUILDING DEPAFiTMENT <br /> 259-8745 TO BE COMPLETED IN INK• PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING O MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWAEP M�ILn�ORE55 CiTv ZiP PHONE <br /> D�N t:tiT��.P��s6s 9�a5 3Cp AuE ,u� S�� �f8/i5 .5a7 ��toSS <br /> �RGHREGiO11DEJIGf1ER M�IL�GONE55 Clrv ZIP vHONE <br /> 9O��ON1N6eTC�'��� � �O�r� E55 S A m� ZiP PIIONE LIGENSE• <br /> V <br /> MECN�MIC�L GONiRACtOq MRIL�ODPESS hcY i1P PIIONE LICENS[• <br /> T �p� m�,c.�,, rn.� c �0 8vx 9�&�37 � tp c�n 98�9s av�a�b� <br /> PLUAIBINUCONiRAG(ON M�IlA0DRE5S GIIY ilP �IIONE LICENSE• <br /> iihmecz#i)3 cr.t <br /> CL�59 Of WORN <br /> ❑ NEW ❑ ADUITION ❑ ALTERATION ❑ REPAI.7 ❑ DEMOLITION ❑ WOO�SiOVE/FRPL.INSEFT ❑ BUILDING F7[LOCA710N <br /> W W�IION OF WOBN�COSi Of MI1tERI�LS PWS LABORI <br /> $ �as,000 °° _ __ <br /> oeswioe wunK — <br /> � S'rDIZ OFFIC <br /> USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAM1IINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE i RU"tAND COHR[CT.�LL <br /> LEO�LUESCRiPTIONOfPROPEP'tiISHOWNBEL0IYOR�i1RGNfOURGOP1E51 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTVPE <br /> OF WOHK WILL BE COAIPLETEO WITF'VJHI=THER SPECIFIED HERE- <br /> ior_u�oc�_or_— IN OR NOT.THF.GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> , GIVE AUTHORITY TO VIOLATE OR CANCI"cL TFIE PROVISIONS OF <br /> ANV OTHER STATE OR LOCAL LAW RCGULAIINGCONSTRUCTIOM <br /> ' O'7 THE PERFORMAiJCE OF CONSTr:UCI"ION. L (� <br /> SIGNA RE O GONTI7ACTOR OR AUTHORRED AGEN� DATE J '��"O� <br /> X . o� �� <br /> VPOJEGT��DRESS A�PUCANiSQTYBU SSUCENSENO. <br /> G � � l <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURG FEE NO. TYPE OF EOUIPIAENT FEE <br /> WATER CLOSET(fOILE77 AIR COND.UNITS—H.P.EA. <br /> BATHTUB FEFRI�iEpq710N UNITS—H.P.EA. <br /> LAVATORV(WASH BASIN� I BOILERS—H.P.EA. (p Qti� <br /> SHOWFR GAS FRED 0.0 UNITS—TONNPGE EA <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS—B.T.U. M EA. <br /> DISHWASHER WALLHEATERS—B.T.U. M <br /> LAUNDqVTRAY UNISHEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATNECOOLERS <br /> _ WATFR HEATER CLOTHES ORVEf75 <br /> UFINAL VENTILAiION FAN <br /> �PINKING FOUNTAIN RANGE NOOD <br /> FLOOR OFA�N AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREANERS SiOVE <br /> ROOF DRAINS—RAINLEADEflS METAL FIREPLACE6 CHIMNEV <br /> SINH SERVICE—BAR.ETC. WOODSiOVE/FIREPLACEINSERT <br /> •I fii0t- l�U W!�s � �_— �t3 � <br /> I Ce�Cih !�J G ��'UcJ E�e <br /> SUBTOTAL SUB TOTAL S .,S <br /> PEPMIT E PERMIT f O <br /> TOTALiEE S TOTALFEE S Z <br /> THIS PORTION TO BE COMPLETED BY BUILDING DIEPT. PERSOIVNEL <br /> fRONTSETB�CK REARSEiBALK SIDESEIBACN PL�NLMECNMUMOER oUNCNECNPEE <br /> GEE PECEIVT NO <br /> USE 20NE lOT�IiEA y�CRHT SIT[ <br /> FEES V�LUATION FEE <br /> pVES aN0 — <br /> iYPEOFCONST. OCCUPPNCYGRaUP NOAFDWEIUNGUNI'S <br /> euaoivc s <br /> SILEOFULDO. ND.OFSfOPIE$ MRXOCC.IONU — <br /> PWMBIIIG <br /> MECIIANICRL � 3� <br /> FIRE SPRINKLERS REOUIRED ❑YES 7 NO <br /> UTHER <br /> PENRLTV <br /> AGP4C�[IONACC 6V PUNSGNECNE�BY �PP0.iORI55U�NCEBY -- <br /> / '� ' TOTAL _ <br /> y' <br /> __ � _�__ <br /> �i � ' '�I���I�������f� <br />