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m.E�.,o��� �»iPP�.ICATIOPoI FO� e�errn <br /> ��n°° CONSTRU�CTION n <br /> everett PERMI� �.��� <br /> BUILDING DEPARTMENT <br /> 259-8745 TO BE COMPLETED IN INK• FLEASE PRINT <br /> ❑ DEMOLITION �GOMBINATION BUILDING MECHANICAL a PLUMBING ❑SIGN <br /> OW�I[11 IAwILAWAE55 CIIV ZIP PIIONE <br /> I�p�4cxti.-�'ecs- �i��S' _3ref A�t� nit� �� C�. 4'P YS �7--a o9� <br /> ARCIU�ELI011UFSIGN R M�IL�OOPEYS CIIY 21P PIIGN[ <br /> GENERµ�p ^IRn_CtOP M/III�OLRE55 Clrv 21P PNONC IIf.E�15E� <br /> �/I`I'/� � ���� J:/rl� � �vV�il <br /> MECIIANIGICONIR��IOA M41L�OOFESS Ct.V 21P PIIONE lICE115C� <br /> �J�n,�-.-, 3?.-iT¢.� �4.e.�T {N�_f�.' <br /> PIUMBVI�CONif.Ct011 IA4IL�DDBE55 CITY 21P PIIONE LICENSC • <br /> T�tM Jhe-vl�a��1 <br /> �G SS Of WORK <br /> NEW C AODITION � ALTERATION ❑ REPAiR ❑ OEMOLITION ❑ WCODSTOVE/FRPL.INSERT ❑ BUILDING RELOCAIION <br /> vew�noNorwonn�:osrorrn cnutsviusueoni — <br /> O[Scn EwONK� � <br /> ��Piri� ;�mnr-o,��»w*vT <br /> use o�nunouia � <br /> O r �IG� pLICATO ANDKNOWTHESAMETOBETRU�EANDCO RECT.ALL <br /> LE4µ0E5C111P�lONOFPROPEPIY�SNOWNBEIOWORPiT�GNFOURCOPIES� pROVISiONSOFLAWSANDORDINANCESGOVERNINGTHISiYPE <br /> OF WORK WILL EE COMPLETED WITH WHETHER SPECIFIED I1ERE- <br /> �or—awcK_or IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> ' GIVE AUTHORITY TO VIOLATE OR CANCEI. 7HE PROVISIONS OF <br /> �' — ��q, SCG. ANYOTHERS7ATEORLOCALLAWREGULATINGCONST9UCTION <br /> OR THE P FORMANCE OF CONSTFUCTION. <br /> SIGNn tRE CONTRACTOBORFUTHORI2F nGENI D41E <br /> X 8� d, <br /> aPOJECfe00RE55 �O'O C T T"����i'i— ��l / I L� APPII AN ItY0l15ME LiCENS NO. <br /> �6 C � �J lhrn <br /> S��.TL. �. /J2_-. <br /> FWMBING MECNANICAL <br /> NO. TVPE OF FIXTUfiE FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TpILEp Alfl COND. UNtTS—H.P.EA. <br /> BATHTUB REFF'�GERATION UNITS—H.P. EA. <br /> LAVATORV�WASN DASIN� DOILERS—H.P.EA. <br /> Sf10WER C.4S FIRE�AC.UNITS—TONNAGE EA <br /> HITCHEN SINN d DISP. �ORCED AIR SYSTEMS—B T.U. M EA. <br /> DISHWASHEfi WALLHEATERS--B.i.U. M <br /> LAUNORY TPAV 11NIT HEATERS—B.T.U. M <br /> _ CLOIHES WASHEfl EVAPORATIVE COOlERS � —— <br /> WATER HEATER CLOTHES ORYERS <br /> URINAL VENTILATION FAN <br /> ORINKING FOUVTAIN RANGE HOOD <br /> FLOOR DRAI� Alfl HANDLING UNIT— C.P.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEAOERS METAL FIREPLACE 8 CHIMNEY <br /> SINK�SERVICE—BAR,ETC.) WOCDSTOVE/FIFEPLACE INSERT <br /> SUU TO7AL SI�B TOTAL 5 <br /> PEflMIT 5 PERMIT S <br /> TOTALF'EE 3 TOTAIFEE t <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PEFSONNEL <br /> fnOHtSE19ACN RUl15E19ACH SIpE5Ei0ACK PLANLHECKNUM6Eli cPLnNCHECefEE <br /> ��A �� ��n�� LEE ��'/�/� BELOPLNO ����.� <br /> 7 7 <br /> USE 20NE lOf ME� VACANT SIIE <br /> ��� � � pYES jI�MO FEES �A�UATION FE� <br /> IYPLOlCOuSi OLCIIPNNCYGROUP NO.OFOWF.IIINGUNIiS <br /> N• � � r2 � BUILOING 3�/ �.•� 2� � <br /> 9tE O!OLOG NO.Of SIOf11E5 MAX OCG IOAD <br /> 66225 . A2t.�a. �-' toQ' r�unteiNc; -- <br /> MEL4ANICAL <br /> F�qE SPPINKLI"FS REOUIRED ❑ YES NO — <br /> —� — OTHER <br /> PENALTY <br /> u�P1iCAl10NeCC Ov PL�u5C11LG4E00Y APPR.FORISSUANCEBY --- <br /> TOTAL <br /> � '� ' J F.�t=' � • C. ---- <br /> �1. � '' <br />