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��■ �������1� I�� r� <br /> '".E"..°'"° CONSTRUCTION eV� <br /> Cltt OF <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259-8745 TO BE CC�MPLETED IN INK- PLEASE PRINT <br /> ❑ DEMOLITION O COMBINATION �BUILDING ❑ MECHANICAL O PLUMBIN(3 ❑ SIGN <br /> OWNCR MULI�OD �p CI}V ZIP PNpHE <br /> LH�v t�ti�us (ezo�= �` evEn M✓t�.!- +�f i;uerz�tT 9p��zo�l' 3��56�3 <br /> �pCMiIECT0110E5iONEH MAIL�ODP.E39 CITY ZiP PNONE <br /> O(Nf1�^1�O111RGGi0� MML�OO�E99 C�IY 21P V��ONC LICCNDf.• <br /> (�I���Ly �t�t.��s �za s� ��aen �u.�.�Y ' E�racr� anzo�. 3475�13 Hi��-«o�8��s <br /> ME�r��n�i��o�eReARforts M"��775 R�a� ��zK�.awn qarn� P�zz4446 cnr"��z"���+v� <br /> O�UM�INOCONIRAQOR M11L�DOPE55 CILY ZiP PIIONE LICENSE• <br /> C�ASSOf WORK <br /> � NEW ❑ AODI710N ❑ AL7ERA710N ❑ REPAIR ❑ DEMOLI710N ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING REIOCATION <br /> V�1U�110N Oi M'ORK ICO�1 O�A�ICNAL9 PLU9 L/.00N <br /> .�I�ee�' _(�x�- �2�( 6tSU <br /> DESC�IBE WOPN <br /> �N�T�uAT�O� o� b�lETi�L C'A2�D2T5 <br /> U9E OF Om�OroO I HEREBY CEfiTIFY TNAT I HAVE READ AND EXl.MINED THIS AP- <br /> �Rk-��`� PLICATIONP.NDKNOWTHESAMETOBETfiUEANDCORRECT.�LL <br /> LW�LO[�CNPI�ONOtV�O�il1lYI�NOWN6�LOWOflA1t�C11lOU11COPRGI PROVI310N90FlAW9ANDORDINANCE`JOOVERNIN�THISTVPE <br /> OF WORK WILL BE COMPLETE�WITH WHETHER SPECIFIED H£RE• <br /> wr_owc�_oc IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESVh1E TO <br /> GIVE AUTHORITY TO VIOIATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> sia TuneoFcqmm�ciononnumon¢eonccur oaie <br /> � � ;/14'Ia�ao tt��L �a�7/B� <br /> PROJECT�DONE99 APPLIC�NTS :YDUSME59 iC �SENO. <br /> Now.f qpts �Is H�,I�� ��. �;/FJ�n <br /> PLUMBINQ MECHANICAL <br /> NO. TYPE OF FIXTUflE FEE NO. TVPE OF EOUIPMENT PEE <br /> WATER CLOSET�TOILFp aIR CON�.UNITS—H.P.E0. <br /> BATHTUB �c�AICERATION I1NIT5—H.P.E0. <br /> LAVATORY(JlASH BASIN� �OILER,S—H.P.EA. <br /> SHOY/ER GAS PIRED AC.UNITS-70NNAGE EA _ <br /> KIfCHEN$INNB DISP. FORCED/�IR SVSTE"5—B.T.U. M EA. <br /> DISHWASNER WAU-✓cATERS—B.T.U. M <br /> LAUNDRV TRAY l�fJlT HE.ITERS—B.T.U. M <br /> CLOTHES WASHEH Fb'0.POflATIVE COOLERS <br /> WA7ERHEATER ' ':LO�HESDRYERS <br /> URINAL VENTII ATION FAN <br /> DRfJKINO FOUNTAIN � AA��GE HOUD <br /> FLOOR ORAIN AIR 11ANOI.ING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE <br /> POOF ORAINS—RAINLEADERS METAL FIREPLACE 8 CNIMNEY <br /> SINK�SERVICE—BAR,ETC. WOODSTOVE/FIREPLACE INSERT <br /> — — �__ <br /> SUBTOTAL SUBTOTAL 3 _ <br /> PERMIT S PEflM1T ! ._ <br /> TOTAL FEE S TOTAL FEE _f <br /> THIS PORTION TO BE COMPLETED BY BUILDIN'G D�PT. PERSONNEL <br /> fn011i5AEf0�CK FEPRSEI9RCN SIOESEibR K PUNLNEGHNUMPEP /�" iv�LnNC��ECKfEE <br /> _J� V" � � I � l T'� iEE� fiF��FjN3tn ln <br /> USEEONE LOTA�ER � J <br /> V�CANTSItE FEE9 VRLIIATIOH FEE <br /> 2 N �. � OYES �!0 J I <br /> ttPEOFCONS��/ OGLUPANLYGHOU� NO.OFOWELLINOUNIIS ,�Q'Cl/)y� / ���� CT� <br /> �'"+ M�� O BUILDINO S� �L'.! .�3 <br /> SIZEOfBL00 NOOFStORIES MAILOCC.lO�� <br /> . � I' /)�3�./� / O GLUMBINO <br /> ��/1/�/1rr <br /> MECHRNICAL <br /> FIRE SPRINKLERS REUUIRED ❑YES NO <br /> OTHER j 7� <br /> PENRLTY <br /> n�nliC��ICNACCBv PL�IlSChECNEDBY RPFR.FOR195U�NCEBY '-- <br /> •or�� / >>t J�l � <br /> ��, ,,,�� G , G � <br /> ��:� <br /> � <br />� � � �. <br />��°' `_ ' — � .. ���> ;- _ ., f <br /> ., � ,� <br />��F.. , Y � : � . <br /> � � r„' ° " � <br /> �:: ^�.. _. � „a,�� ��,t,'u �. , ai! �� a'�;�; � a <br /> . rVtriaMr^^wa�r'�4W{�iv w � �i a .�5�r,. ��^`"� <br />"".. ' .."i`+a"'..rt �vi+.. � � ' *r�. ,� � �� � �,� ^`R'" .^ <br /> µ . <br /> } . ' V�A^ . '-s`�y ,'�c"R• vAI � iT <br /> � � <br /> � —F—�'�s��_�:_,���`;�be�.. m;i� c=,�',:= ""�4 Ylx. ""�'v l;,, '�`�+ '�- <br /> � <br />