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. �PPLICATION FO�. <br />`�.`'.ro,"� CONSTRUCTION <br />��n oF <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259�8745 TO BE C:OMPLEFED IN INK- PLEASE PRINT <br />rveren <br />e <br />�DEMOLITION `�COMBINATION �BUILDING `¢dMECHANICAL `g��pLUMBING ❑S�GN <br />O�Vl1 ,F M�ILAOORE55 [ih j�p p������ <br />1cic�w� %i � Z/rc.. � z�`� 5�r S� �-+� `�4��1 �/4�( - 1Z`tZ <br />•n �[ROno[5icrv[R Mq�LnooRE55 �irv pip p��pq� <br />� c� G i� � L-��� -''7[� <br />I.IC.J.(i`�n'1 �� �l /r �� /r l b�-C_ I J�i <br />G'fNC^M�LCONIRACtOP MAIL�DURE55 CIfY $IP �I�pqE �ICENSE� <br />W�SiQ�i �-aC�rTeG,CO�15i �IfL� 2Z�as'� 5� /s�i�� ��tJZi �r <br />IACbu111UlCON1 �CiO� MnILP�DB[55 Clrv ZIP 1'upqC UCCHSt• 1. <br />� <br />PIUMNIN.CpN��4CI0R MIILADOOF55 �Irv $IP Pupal �i[�u;[� <br />�� A�. <br />CL�55O( WORK -" <br />❑ FEW C ADDITION � ALTERATION �REPAIR ❑ DEMOLITION ❑ YlOODSTOVE/FqPL.INSERT ❑ BUILDING FELOCnTION <br />l u�LON or wonrc �cosi o� Mnt[ nuL'. rtu5 UBon� <br />��,a� <br />of.scnme Konn � <br />--,u rN y/��k �-d- ---Sw--- 2a� ,n,� �F-�✓jA�_�:4�1�f�S To i' ��aar <br />uscoraw�owc ' <br />[� '� �5��`4� I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMWED THIS AP� <br />PLICATION AND KNOW THE SAMF_ TO BE TRUEAND CORRECT. ALL <br />�ecn�ocscmvuo O�PPOPERIY�5110Wq9ELOWOR�ti�GNfWRCOPIE51 PqOVI510NSOFLAWSANDORDINANCESGOVERNINGTHISTYPG <br />OF WORK WILL BE- COMPLETED WITH WHE�HEF SPECIFIED hiERE� <br />ioi__aioc�—or' iN OR NOT. TI1E Gf1A�JTfNG Of A PERMIT DOES fJOT PRESUME TO <br />GIVE AUTHORITY �10 VIOLA7E OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR !_OCAL LAW REGULATING CONSTRUC710N <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAi -OFL rtnAf.inRnaeunmvi�c�nccr�r pq.� <br />X ����.1� ��� s'c� <br />1'POIELtADOf1E55 RPPl1U G�IYOlI5ME55liCEN5EN0 <br />%.�?Z �-�a ,'T <br />VlA1ER <br />SHOwER <br />� KI7CHEN SINK 8 DI <br />DISHWASHEfl <br />LAUNORYTRAV <br />/ CLOiHES WASHER <br />AIRCONO. UNITS-H.P. EA <br />f7EFRIGERATION UNIiS-H <br />AOILERS-HP. EA <br />GAS FIf7E0 AC UNIIS-TO <br />FOFCED Alfi SY3TFMS-P. <br />WALL HEATEflS-fi.1.0 _ <br />UNIIHECTERS-BT.U. ! <br />EVAPORt fIVE COOLERS <br />CLO7MESDPYERS <br />VENTILATICN fpN <br />RANGEHOOD <br />AIR HANDLING UNIT- C <br />SiOVE <br />MEiAL FIflEPLACE d CMlt.l <br />TOTAL FEE 3�� I TOTAL FEE _____ 3� <br />THIS PORTION TO BE CC�MPLETED E3Y BUILDING DEPT. PER�ONNEL <br />�RONISEIB�CR OEAHSE�04CN SIpE5E194CN PL4NCMELRNUMO[R t`LaNC��EGK <br />a!___-'._ LYI���/��.. -• /f�� ��i 7%C� r[� 'yj nrLY[u <br />USC20NE IOtPRG ���C� r�� <br />R'S (�'r r� VACRNLSIIE FEES VRlWTION <br />% � � ❑YES ONO <br />t <br />M1C[OT�LON51 OCCOC�NnCYGROUP NOOFpW LLINGUNIiS <br />`–� ' `�/ � BUILIIIN� SsD� -- <br />SiZE O� O7IOG 9 NO O� ySfON�E9 M�X. OLC lOeO -- <br />J7Z11 S� _.�.7 I�%i �i j PLIIMOIN4 <br />♦rrl <br />J�� <br />MECMANICA� <br />OTHER <br />PENRLTY <br />�URISSUANCEBY <br />� <br />G ,OT.� <br />fEE <br />�/ <br />