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ry <br /> ��P'PLICATION FC�:� everetl <br /> '".E"'°'"" CONSTRUGTI�O(� e <br /> CITY OF <br /> everett PERMIT , <br /> TO BE COMPLETED IN BLACK INK— PLEASE PRINT <br /> BUILDING DEPT. <br /> 259•8745 ❑ COMBINATIQN ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN , <br /> CJ/NER MAILADONESS G�1V • 21P^ f110NL . <br /> �i�P�.Cr' �rt��T /�,2� <�% �i('J �c� ,L G'tf F(7` /��x'> ���'f�/i � - <br /> �• �HGHITECTOROESIaNER M�IL�ODRESS C�LY ZiV� � � <br /> ��r.! e���' ('��Js� %S��-�/9 -.ITot�c/. �2"�r.'�t`f i.)".zf � ����-`iu�� <br /> GENEMLCONTRACiOR MPIL AOUFE55 � C�tt 2 �HON[ li(E��SE• <br /> ��rthl Ch�ck l�a_. �io3 loi�• �t.. Muk� ltac '�n�.-7� ��� - ,c .,�� _ <br /> MECH�NIC�LCONiMGTOq M�a�DORE55 GtV ZiP PHOV[ UlENSC• <br /> ��I . I • '�. 02 (u��ttut� �,�.1 �civnonds °i OZU 7"75- t ,-G� <br /> PLUMBINGGONTR� TOR MAIL�DORE55 CItY - bP �'NONE LICE16[• <br /> (Ji�allfii �li)mhlno P� �K �IcO���7ti� A`CyX'� "��Oj(c� 774-�(:v�j`1 <br /> GUSS OF W ON <br /> � NEW ❑ ADOITION �ALTERATION ❑ REPAIP ❑ DEI.IOLITION ❑ WOODSTOVE/FiiPL.INSERT ❑ 0'JILOING RELOCATIOt.' <br /> V�LU�TION OF WORK ILOST OF MAIERULS PLUS LABOFI <br /> OESCR�E WOA�� �• �� � Z <br /> C . , L� � <br /> uscorew�on+c I HEREBY CERTIFY THAT I HAVE READ AND FXAM�NED THIS AP• m <br /> �•� PUCATIONANDKNOWTHESAMETOBETRUEANOCORRECT.A�L „ <br /> I --- :,",.,,..�.�„ .,�����c^��.^ ^;�^VISIqNSOFLAWSANDORDINANGE GOVERNINGTFIISTYPE <br /> ii..,, ,�i .._,,,..,�,., ��;.�,,� . .. . . . <br /> �7 OFWPRKWILLBECOMPLCl .fl�.•."," '-•"`-'7" ,r�'��IFnHFRE- <br /> �or_L�e�oc�._oc ���� �' "' " � � '`CrS INORNOT.THEGRANTINGOFAPI-NMI� UUE5N011-hL:;��l.'�i. f0 � � <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVIS�ONS OF 'i T <br /> �l� 8��� ��1.Ze• � VI! s (7t' � � ANYOTHERSTAT[ORLOCAILAWREGULATINGCONSTRUCTION N = <br /> OR THE PERFORMANCE OF CONSTRUCTION. F p/ m <br /> � SIGNAIUPEOPGONtIIACfOROBAL'THpqI:F.D�GCt1t Dnlf a.�p `pJ CO <br /> .(ess 1�i E � � �'/r �.�r' a �f'.��l.rs <br /> � m o <br /> Ls X / / 3�1s7 -ic <br /> , � 1 o n <br /> �Cn �v`� � � / �` APPLICANTSCtlYNUS'NE.S NSENO x � <br /> PPOJECT�D�RESS <br /> �B � M.oe/�.YM .Q�c r" .. <br /> .� < <br /> PLUMBIN6 __ MECHANICAL __ c <br /> NO. TYPE OF FI%TUflE FEE NO. IYPE OF EOUIPMENT FEE _ r = <br /> WATER CLOSET(TO�LET) <br /> Q'� AIR COND. UNITS-H.P.EA. ___ � N <br /> BATHTUB �� REFf7iGERA710�1 UNITS-Ii.P.EA. '� <br /> � � <br /> LAVATORY�WASM BASIN) DOILERS-II.P.EA. � � <br /> T � <br /> SHOWER G�S FIHE�AC. UNITS-TONNAG[EA _ _ <br /> � m <br /> KITCMEN SINK6 DISP. O�O FORCED Alfi SYSiFMS-f T.U. M EA. 2 <br /> m .-� <br /> DISHWASHER �.D WALL IIEATEFS-B.T.U. M N <br /> O <br /> LAUNDRYTRAV UNITHEATE�73-OT.U. M Or <br /> CLOTHES WASHER � _ EVAPORATIVE CqOLERS _ n m <br /> WATER HEAIER � CLOTHES DRYERS _ b� T N <br /> m' <br /> URINAL VENTILATION F,:N _ Z n <br /> -i r <br /> DRINKING FOUNTAIN RANGE NOOD � ' 'T <br /> n <br /> FLOOR DFA�N AIF HANOLING JNIT__ GF.�A. 3� <br /> VACUUM BP AKERS STOVE �/ _ <br /> ROOF DRAINS-RAINLEADERS � M[TAL FIfiEVLnCE 8 CHIMNEV ___k � y <br /> SINK SERVICE-BAR,ETC. WOODSTOJ[/FII7EPLACE INSERT _ Z <br /> � <br /> — _ <br /> __ — .-� <br /> —.— Vf <br /> __ ____— _- Z <br /> __ p <br /> — Q SUBTOTAL S �� �� �� <br /> SUB TOTAL — — ' <br /> ' . PERMIT f _ PERMIT s � <br /> Rt <br /> TOTAL FEE f _ TOTAL FEE _ S �� __ <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> ♦ fRONT5EIB�CK RE�R TB<CN SIOESEiBRCN PLA��C��EGHNUhIqEll--� �' ANCu[GNftf. <br /> �d��1 �o�'T cPF �� l�lyf? FEE � �rf �«E�s33r � <br /> USEIONE LOTAREA yAC/�Ni51TE FEES VFLUATION FEE <br /> n�� , . !'I[9 ONO -- _ <br /> dG <br /> TVPEOFCONSi. OCCUPRNCVGNOUP NOAFOWELUNGON�TS <br /> R I - J^�^ /p� �I <br /> V�N , " • ��I � ' BUILDING =Gl�.6�R/Jl• Z W <br /> SIIE OF OLOG. NO.OF SiORI[5 �J�� J� <br /> AIAfC OCC.LOAO -L�'�-_- ' <br /> RJ� I?•G� S� - ' C> PLUMBIRG ��(/ Y(/ <br /> ' C� $� <br /> � � � MEGII�NICAL ZZ � <br /> FINE SPRINKLERS REOUIRED ❑YES f�'NO � <br /> OTMER <br /> PENAUY <br /> �PPLIC�TION�CG.BY PLANSGIIECNEDBV APPRfOA1S5UANLEOY -- <br /> Torp� 3 r � � <br /> �1� ���r,.,. -- — ----- -----'--- <br /> � <br /> i <br /> � � <br />