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„ . . . .. . <br /> . , . . ; . _ ,, .. , � �;� <br /> , . , ... :; <br /> _ _ , . ._ _ <br /> . : . _ _ . .�. .�:.:<_ _.,.., _ , <br /> , <br /> I: <br /> �F�� k.PPLICATION'OONk^�” ���,�„ ;; <br /> ��n�F CONSTRUCT �, : <br /> everett PERMIT ' <br /> BUILDING DEPARTMENT <br /> 259•8810 TO BE COMPLETED IN INK• PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION l�BUILDING ❑ MECHANICAL ❑ PLUM8ING ❑ SIGN � <br /> OWNEP Mell�OONE55 LITY ZiP PMONE , <br /> N�uQu F O�o,e� 3n-/t�r6��ti.E /yJ.9ny�'�i,(�, ��z7o - GS z-oGo3 ; <br /> •RCMITECTOP ESiGNEN M�IL�OORE55 C Y 2iP P��ONE � <br /> os�� � .SoNs .�n-��n r.v��� �n��i,r.,�, 9�70 _ G s`a-G�0.3 � <br /> GENERALCONTF�CI MMla0DRE55 f�Y � [iP PIiONE i10EN5E• �� <br /> MECNINIC-���pNig(�T�n�` M�iIApONESS CIIV 2i1' PIIO�������i/���� I�, <br /> i <br /> I.' <br /> PL�U1MBiNGCONTP�CTOR MML�OORE55 f,�1Y LiP PMONE LICENSE� ` <br /> lo,�s�i/LTp.t/�S'O.c/S �L1P/1l��CT ''. <br /> cuss or wonK p� <br /> NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FFPL.INSERT ❑ BUILDING RELOCATION <br /> � <br /> . V�IU�TI NOFWORN�GOST �T[RI�lSP�USI PI ' G <br /> � �� 588 �' <br /> ��. <br /> DESCRIBE WO N ^ �$ <br /> �T .�/� /,�n�Ti►�ouf�z . l,ll)FI/Ut�l��'D '�-�T- �: <br /> useorew�oiNc I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> .4iI/l/v �s-�/.L�i .� PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.AIL t, <br /> 4+ <br /> LEO�l0E5CRIPTIONOFPPOPEPTYI N WNBELOWOR�IT�GNF`RCOPiE51 pROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE ;' <br /> '�J OF WORK WILL BE COMPLETED WITH WHETHERSPECIFIED HERE- <br /> � �or.�e�oc�—or � � � IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO � <br /> � GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF �`� <br /> � ANV OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. +� <br /> SIGN�TURE O CON7H�CTOR OR AU7NORIZED�GENT O�TE <br /> �� Z� �' <br /> PPOJEGTIIDDRE55 � i .A SCiI B '1 SSUCEN5EN0 <br /> 22 - I'� 1�V6 - �dER�7` � <br /> PLUMSIN6 MECMANICAL �r`� <br /> NO. T'P!OF FlXTURE OR ITEM FEE NO. 7YPE OF EOUIPMENT FEE i.� <br /> Z, WATER CLOSET ITOILET� — A/C—A/HNDIG UNITS—M P. I,� <br /> BATHTUB � REFRIGERATIONUNITS—HP EA. b� <br /> UVATORV�WASN BASIN� � BOILERS—8 T U/N P f <br /> ���R GAS FIRED A G UNITS—B.T.LL �, <br /> KITCHEN SINK 6 DISP. fOPCED�IR SYSTEMS—B T U. M EA. S�, <br /> DISHN/ASHER <br /> — W�LLMEATEFS—B.T.U. M ! <br /> LAUNORY TRAV UNIT IiEATERS—B.T.U. M ,� <br /> � CLOTMESWASHER �^ EVAPORATIVECOOLERS ' <br /> 1• <br /> URINAL CLOTMES DRVERS 4 <br /> DRINNING FOUNTAIN VENTILATION FAN M1' <br /> F� <br /> . FLOOR DRAIN � A�NGE MOOD � <br /> 9ACKFLOW PREVENTERS WATER HEATER ` <br /> S. <br /> ROOF DRAINS—NAINLEAOERS WOOD STOVE <br /> 7 <br /> $�NN�SERVICE—BAR.ETCJ METAL FIREPUCE 6 CHIMNEV •. <br /> FIREPUCE INSEPT �' <br /> MEAT PUMP � <br /> � GAS PIPING <br /> i <br /> EXNRUSTFAN <br /> SUB TOTAL ��' <br /> SUS TOT11L f i <br /> PERMR f P[pMli I. <br /> TOTALFEC f � TOTALFEE �,. <br /> �PDNT SET9�CK AE�A SETB�CN SiDE SEiB�GK �AN C ECK NUMBER FEE RECEIPT NO. � <br /> � zp s' 8� aiag3 �7 g 1�1�! :, <br /> �_ <br /> use E LOL�RE� vec•Hr sm FEES VALUATION �E '� <br /> _� 5 UHD . ;•�. <br /> BUILDING 5 ` L� <br /> ttPEOFGONST OCCIIP�NGYGROUP NOOFOWELIINGIINITS � <br /> � <br /> �7_.3 PLUMBING � <br /> i <br /> SKE OF BIOG NO OF STORIES M�%OCC LO�O MECHANICAI. <br /> O7HER <br /> L <br /> FIRE SPRINKLERS REOUIRED ❑ YES O STATE BUILOING SURCHARGE ' <br /> �• <br /> STATE ENF.RGY SUFCMARGC �� <br /> �VPIIC�ilOv>f.G AY PLANSCMECNEOBY MPR FORISSWNCEBY PUBLICWORKS �� <br /> � � 1 <br /> � �� TOTAL � <br /> l <br /> PFOPERTYLOINELOCATIONSANONRELATEDE SEMENTISINGALL i, <br /> { <br /> R' <br />