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,�.E,,,,,,,� �-.PPLICATION F4h ���,�„ <br /> CIROF CONSTRUCTION O <br /> everett PERMIT <br /> BUILDING DEPARTIAENT <br /> 259•8745 TO BE COMPLETEO IN INK• PLEASE PRINT <br /> r] DEMOLITION ❑ COMBINATION ❑ BUILDINO �MECHANICAL ❑ PLUMBINQ ❑ SIGN <br /> own a o n � am ii� n�ow� <br /> ��,�.� .C-'�s� .I1 �ny �,��.,,� 3 ,l-„�.x �f tJ�� 2s-:x- i•�y <br /> •nc��uwono[ �oNtn M.��eoon�'� arr iir r��ouc <br /> OEN[R�LGONIR\CIOR MqL�D00E90 / C�TY iiP R�ONE IICEH9E• <br /> �//f 1�L5' /a5 /1 /1/1^f <br /> MECIUNIC�ICONtMCtOR MML�pORE9! CIIY 21P FNONE ULCN�E• <br /> OIUMB�N6COHIR�CT011 MML�O�PE39 Cltt 21V OIIOHE UCENSE• <br /> CUSSO�WOt1N <br /> ❑ NEW � ADDITION ❑ ALTERAiION ❑ PEPAIR ❑ OEMOLITION ❑ WOODSTOVE/FRAL.INSERT ❑ BUILDINO REIOC�iION <br /> W 1U11 10N 01 W011F�tO�T OI M��E���L!1qU�1��0111 . <br /> 0\�CRi��WD�R / <br /> �Y��L[1 �N C� {�'�/'YLJ <br /> u�e o� uaoiNa � <br /> I HEREBV CERTIFV TIIAT I fiAVE READ ANO EXAMINED Tlil�AP• <br /> •in . PLICATIONAND KNOW THE 9AM8 TO BE TqUE ANDCORRECT.ALL <br /> ir.o•� lC��VI�OHpf�ROPEPIv�L�OWNBEIOWOR fT�CNi0U11LOPIEM ppOVISION90FLAW5ANDORDINANCES00VERNIN0iH197VPE <br /> OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE <br /> io�_s�x�—or IN OR NOT.TIiE ORANTINO UF A PERMIT DOE9 NOT PRESUME TO <br /> OIVE AU?HORITY TO VIOIATE OR CANCEL THE PROVISION4 OF <br /> �ANYO7HER STAIE Of7 LOCAL LAW REGULA7ING CONSiRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> 91pN�TUREOFCONiR�C70ROR�UTNONI2EDA0ENT U�1E <br /> X �' �" � ��i�l-/G 1L � . <br /> pROJEt1�0URE8! ' ��PLIC�HI'SCIlYSU51NE9SLIGEN5EN0. <br /> �� ,; r, . ✓ <br /> PLUMIIINO MECHANICAL <br /> NO. TYOE OF FI%TURE FEE N0. TYPE OF EOUIPMENT FEE <br /> W�IER ClOSLT TOILE AIR COND. UNITS—H.P,EA. <br /> BATHTL'B REFRIGERAiION UNITS—H.P.ER. <br /> LAV�TORY�WASH 9RSIN1 BOILERS—H.P.EA. <br /> SHOWER OAS FIRED AC.UNIIS—TONNAGE EA <br /> NIfCHEN SINK 6 DISP. FORCED AIR SYSIEMS—B.T.U. M F.A. <br /> NSIIWASIIFR... .... . ..___'_ __._..."_'_ _"" W�LIIlEl1TEfIR-f1.T.11. M,. . <br /> UUNU�V IMV UNII HEAIEf15-O.LU. M <br /> CIOfNES WASHER EVAPORATIVE COOLERS <br /> W�IER NEATER CLOTHE3 DRYERS <br /> UN�NAI VEIITILATION FAN <br /> DPINNINO FOUNT�'Y RANGE HOOD <br /> iLOOR DRAIN A�R HANDLM�UNIT- QF.M. <br /> \'ACUUM BREAKERS STOVE <br /> ROOF URIIINS-AaINIERDERS METAI FIREPLACE 8 CHIMNEY <br /> SINK SERVICE-BAR.E1C. WOUDSTOVE/FIREPLACE INSERT <br /> SUB TOTAL SUB TOTAL � <br /> hERMIT t PERMIT f <br /> TOTRIFEE � �OTALFEE t _ <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> ff1UNI5E18�CK OEMSEIBAGI( SIDESEIBACK �L�NGNECKNUMBER PUNG��ECRIEE <br /> fEE �E�EIPINO <br /> VSE IONE LOI A�E� y���Ni SI1G <br /> OYES ONO FEE9 ��lUAl10N iEE <br /> ivP[OfC01151 OCCUP�NCYGf10UP NO.OFDWELIINOVNIB <br /> BUILDINO 1 <br /> 512E Of B1�0 NO Of SIONE9 M�[OCQ LO�U — <br /> PLUMBINQ <br /> MECHANICAL <br /> FIf7E SPAINKLERS PEOUIREU ❑VES O NC <br /> OTIIER <br /> PENTL7Y <br /> APPUG�IION�CC 6Y Pl�N5C11ECNE0BY APPRfOf1195U�NCEBV -- <br /> TOTAL <br />