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��r:�PPLICATION FO�..-' ���,�„ <br /> «E«"'" CONS�'RUCTION � <br /> everett PERMIT <br /> BUILDING DEPAR7MENT TO BE COMPLETED IN INK- PLEASE PRINT <br /> 259•8745 <br /> O DEMOLITION ❑ COMBINATION f�BU1LDING ❑ MECHANICAL ❑ PLUMBIN(i ❑ SI(3N <br /> OWNEP M�IL�DORESS Cltt IIP VNONE <br /> 9�/�N ''i�n��'s�,�rinci sv'9' /;'�//a .�ri�r/r �i�.�Er�- crfi 9.�.��i .�.S�l' 'oSJ'Y <br /> MCMITECfOROElIONER M�IL�D011E9S Grv 210 VIONE <br /> OENEML GOHTRACTOR <br /> MMl AOORESS CIIV 21P PNONE IICENSE• <br /> "'�/��4 ���'�1 Gltt IIP PHONI; IICENSE• <br /> M[CM�MIC�ICONTMGTOq MML110DRE99 <br /> P�UMSINOCONTRACTOR MI1�L�ODRE59 CItY I�P PIIONE LiCENSE• <br /> CU'170F WORIt <br /> ❑ NEW ❑ ADDITION L� ALTERATION ❑ REPAIR ❑ OEMOLITION ❑ WOODSTOVEIFRPL.INSEF.T ❑ BUILDING RELOCATION <br /> V�L WtION Of M/ORN�COlT O!M�tENIl1LS PW!L�lOfi <br /> � VQ• 0 � <br /> OE6GRIB WOPR <br /> OFF .�c�� < — <br /> u°E°�°°ao'No I HEREBV CERTIFY THAT I HAVE READ AND EXAMINFD THIS AP• I <br /> �' i /i � ;F � P PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL ' <br /> �ca��ocx TqNMPPOPERTYIA�OWNBEIOWONAIT�CHFOUPCOPIE� pROVISIONSOFLAWSANDORDINANCESOOVERNINOTHI3TVPE ' <br /> jy9 � OF WOAK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br /> �o�_e�ocK—oF� IN OR NOT.THE CaRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS O� <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SION�T�NE OF CONTMCTOR OR AUTHORIZED AOENT D�TE <br /> X �/� � Y • �A '. . ���7�.JC'9T% 5�, n <br /> PROJEGTADORESS APFLIWNiSCITY BUSINE59 LICENSE NO. � <br /> S?/ !� L • F t✓.�' fs� <br /> ►LUMlINO MECHANICAL <br /> NO. TYPE OF FI%TUPE FEE NO. TYPE OF EOUIPMENT FEE <br /> WATEH CIOSET TOILED AIR COND.UNITS—H.P.EA <br /> BATHTUB ' REFRI�ERATION UNITS—H.P.EA. I <br /> LAVATOHY WASM BASIN� BOILERS—H.P.E0. <br /> SHOWEH OAS FIRED AC.UNI7S—TONNAOE EA <br /> NITCHEN SINK 8 DISP. FORCED AIR SVSTEMS—B.T.U. M EA I <br /> D19MWASMER WALLHEATERS—B.T.U. M <br /> LAUNOHVTR�V UNITHEAiERS—B.T.U. M <br /> CIOTHES WASIIER EVAPOMTIVE COOLERS <br /> W�7EP HEATER CLOTHES ORYERS <br /> URINAL VENTIIATION FAN <br /> DRINKINO FOUNiAIN RANGE HOOD <br /> FLOOR DR�IN AIR HRNDLINO UNIT— C.F.M. <br /> VACUl1M BREAKERS STOVE <br /> FOOF DiUINS—RAINLEADERS METAL FIREPLACE d CHIMNEV <br /> SINK�SERVICE—B�R.E1C. WOODSTOVE/FIPEPLACE INSERT <br /> SUB TOTAL SUBTOTAL f <br /> PERMIT f PEPMIT f <br /> TOTAIFEE f TOTALFEE 1 <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> iRONT5EIBACR RE�RSEIB�CK SIOESEIBAGK PL�NGNECRNUM9ER FUNCNECnfEE <br /> FEE AECEIPt NO <br /> USEZONE LOtM1U y���NT511E fEE! V11LU11TIOM FEE I <br /> pYES ONO <br /> TYPEOiCONST. OCGUV�NCYGROUF NO.OFOWEILINAUNI/S <br /> BUIl01NG s <br /> 5�2E OF B100. NO Of SIOIUES M�%OCC.LO�U <br /> PLUMBIN6 <br /> MECIIRIlICRL <br /> FIRE SPRINKLERS REOUIfiED ❑YES O NO OiHER <br /> PEN�LTY <br /> APPIIG�t�ON�LC.BY PL�t15 GIIEGNED BY APPR FOf1 ISSU�NCE BY <br /> TOTAL <br /> '' 1 � �V ` <br /> . .. .. . �. . . . . . f� <br />