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. 1 <br />� � <br /> IneEverqreen APPLICATION FOrc ev� <br /> c�noF COIdSTRUCTION <br /> everett PERMIT <br /> � .; <br /> TO BE COMPLET[D IN BLACK INK- PLEASE PRINT � <br /> BUILDING DEPT. <br /> 2S9•8745 ❑ CQMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OYI ( <br /> IAAiLAODRE$5 CIIY ZIi' PHONE <br /> ���� itG'G l.a/�� �� l ���C�f' �/U�f /��t' L(/C''2<I� CC�i'� �J Zo/ zJ Z -C�J 6 <br /> •N�CTORDLSiGNCB IAARApDqES� CLY Z P O E <br /> GLNLRe�(;011IRnC�OR IAAIL PpORl55 CIfV 11P PHON[ IICLNSC• <br />( �1/� r r4 � d' l3 r uc � %-..: •^ r� a i/'.r,fy iF .C% inn.ryf�,«P cc'R `i6z7e+ ._ / {.S__ '-)iz <br /> ni,a nooae�s � c i z c o�c �ct se <br /> MCGMAHIGL COlRRACIDq I <br /> �1/n•Z tA/1 z2 t�•aY`� <br /> pWMpINGCONiRnC10R IAAILA�OPE55 C�iY LP P��ONE lIC[tl5E• <br /> CLPSSOF WOqH <br /> ❑ NEW ❑ ADDI710N ❑ AL7ERATION h�..R{EPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCA710N_ <br /> vnl.uAr�oHOFwCoR�rc�_ca�Si�Ur��b'al[nfu`SyPWS�iaoOH1 . <br /> � U��`7'�`" �% G.G�G� - /N� "` - <br /> oEscnioE wonrc �( � � <br /> � 3 '36 0 - �iti',.! 5"• f� C.c'e Gm.u.t-i�`'�"`� /rc, <br /> A���,f�:.t t. cdu•C� 7`0 � .e.�,-.: f � , �»�� � <br /> � <br />� use ovomiuJ�a I HERFDY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> ��-/i"''��"�{- PLICATION AND KNOW TNE SAME TO BETRUE AND GORRECT.ALL , <br /> �ccraoesw�vi�or+uFaaoi-u��r�s�wx��+oE�owoann�a�rouncomEsi pROVISIONSOFLAWSANDONDINANCESGOVERNINGTH15TYPE � <br /> OF WORK WILL BE COAIPLETED WITH WHETHEF SPC-CIFIED HERE- <br /> �ot—moc�-ov IN OR NOT.TH[GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY 10 VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LP.W REGULATING CONSTRUCTION <br /> — OR THE PERFORMANCE OF CONSTRUCTION. <br />� SIGNAIURCOFCGNiRAC70RORnuR10PoC[DAGENT DATE <br /> ,�(II � <br /> X �. .� �l.f K��-y <br /> i nvr� . rsG��rHusmes5ucv+stno <br /> PROJECi�0URE55 <br /> PLUMBING _ MECHANICAL — <br /> NO. TYPE OF FIXTURE _ FEE__NO. TYPE OF EOUIPMENT _FEE __ <br /> WATER CLOSET ITOIL[p AIR COND 11NITS-11 P BA <br /> REFRIGERATION UNITS—H P.E0. <br /> 04TNTU8 <br /> LAVATORVIWASH BASIW BOILERS—M P.EA -- <br /> G�5 FIRED A C.UNITS—TONNAGE EA <br /> SHOWER — <br />' NITCHEN SINK 8 DISP. _ FOPCED AIR SYSTEIdS—B1.U. M EA. <br /> DISHWASHER _ VJALL HEATERS—B.T U. 1A _ <br /> LAUNDRYiRAY _ __ ��NITMEAfERS_UTU. M <br /> CLOTHES YlASMER EbAPORnTIVE COOIERS <br /> WATEHHLATER CLOiHESORYERS <br /> VEN7�LATION FAN � <br /> URIN4L --' <br /> �RINNING i'OUNTAIN RANf.E HO00 <br /> FLOOR DAAW _ AIF HANOIING UNIT— C Fld. _ <br /> VAGUUTA BREAKERS STOVE <br /> ROOF DRA�NS=RAINLEA�ERS METAL FIREPLACEB CMIh1NEY <br /> SINKISERVICE—OpR.ETC. YfO00STOVEIFIREPLACE INSERT <br /> SIIB TOTAL _ _ SUO TOTAL S ' I <br /> PENMIT S PEPMIT S —__ — ""--- <br /> TOTALFEE 5 _ TDTALFEE S _____ _ <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> f(IONISE1pACM NEAqS[10�CK $IOESEIOACIt <br /> ptAN cNEcn Nl�vutR rl nN C,ncCrc R[ <br /> �E� FECEiVI NO <br /> � USE tONE �O�aNEA WC�NI SiIE FEES V4LU�TION FEE �� <br /> CIYLS ONO <br /> ttoLpfCONSi OCCUPA4CYGROUP NOOF�WELIINGWlIIS <br /> BUILDING f <br /> SItE OF BLDG NO O(S10Rit5 MAX OCC LOnD <br /> PLUTABING <br /> MEGIIANICAL y <br /> � FIqE SPRINKLERS REOUIRED ❑ �ES ❑ NO O1H�R <br /> PENFLTY _ <br /> ApPLIGA➢OliICCUY FlANSC��EQNE�B� �PfRlO���SlIA16L�1 <br /> TOTAL <br />� � <br />