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� "� <br /> �PPLICATION FO�. � e�e,e„ <br /> '".E"'�'"" CONSTRUCTION �i <br /> �,r of <br /> �� everett PERMIT <br /> TO BE COMPLETED IN BLACK INK- PLEASE PRINT <br /> BUILDING DEPT. <br /> 259-8745 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER M�IL��ORE55 ��T�' LP F��ONE <br /> �?f�'� �v� � N ;i .'L36- /Gc 'H�'6 ����_nLL 4,¢�i2 7Ht-�I-7�ir� <br /> ARCMIIEGTOROESIGNER M/.I1�00RE55 ���� Zi� P OIC <br /> �.r+�r�c,r� :✓ t�lio;,. 2225 �ys.,.�. G-'✓ �iS-z.,� 3SS.3za� <br /> �ENEN�LCON1qPGTOR M.tILADONESS GIIV ZiP P101E IICENSE <br />' �RS'n,i.v: �ti, ...n.,:. 1lb^ /Gei. �'� Fio �i« <ib_Ji 2 7HS�4J�.y F�.;s:citM��"� - <br /> MECH�NIC�LCONTPAGiOfl M(JLApDRE53 CiiY 2�V 19�bH[ 4GENSE• <br /> FLUMBINGGONIP�LTOR M�IL�DORESS CIIY IIP PI�UNE LICCNSE� <br /> CLASS Oi WORK • <br /> I� NEW ❑ ADDITION ❑ ALTERATICN ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RFLOCATION <br /> V�LUATION OF WORK(COST OF M�TERULS PLUS I�BOR� <br /> r� U�� � <br /> OESCRIBE WORK ^ . . <br /> F, iv cc .�a,.,,c �'�I• o <br /> USEOFBUILU'NO I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- � <br /> ,�iNGr ��� �rSidF' �^ PLICAiIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL � <br /> PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE m <br /> IEG�I OESGNIVTION OF PROPERTYISNOWN BELOW OR�TTACH FOUR GOPIESI •• <br /> �2 OF WORK WILL BE COMPLETED WITH WHETHEfi SPECIFIED HEfiE- <br /> iorLe�ocic.LLor F ° �' IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />� GIVE �UTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF � T <br /> ANY OTHEH STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. """� <br /> (n 2 <br />� $�GNATURE OF CONT(:ACiOR OR AUTMORIZED AGENi OA�E m <br /> C O <br />� X ` �/ / � � . ��5 m o <br /> Li�!'L�/ ��J�' --� c <br /> oHOJECT�DORESS APPIICANTS f,11Y OUSIN[SS IICENSE NO � ' <br /> m <br />' �tS- iC M�RwLy i✓ m � <br /> I MECHANICAL .O Z <br /> PLUMBINO <br />� Np, 7YPE OF FIXTURE FEE NO. TYPE OF EOu1PMENT FEE <br /> WATERCLOSET�TOILET) CO AIRCONO. UNIIS-MP.EA. _ a= <br /> .-i �--i <br /> BATHTUB REFRIGERATION UNITS-H.P.EA _ _ "� � <br /> -� <br /> dORERS-H P EA. <br /> I LAVATORV IWASH BASIN� O .Tv <br />� GAS FlRED AC.UNIiS-TONNAGE EA T � <br /> I SHOWER — • <br /> KITCHEN SINK d DISP. FORCEO AIR SVSTEh7S-U T.U. M EA --� m <br /> \NALLHEAIERS-BT.U. M = <br /> DISHWASHER - m N <br /> LAUNDRVTRAV UNRHEAIERS-B.T.U. M p <br /> CLOTHES WASNER O EVAPORATIVECOOLERS <br /> WAiER HEATER U� I CLOTHES ORYBRS � C N <br /> N <br /> � URINAL VENTILATION FnN � Z � <br /> � DRINHING FOUNTAIN I RA�lGE IVOOD _ —`�� � r' <br /> AIRHANDLMGUNIT- QF.A1. � m <br /> FLOOR�RAIN n <br /> VACUUM BFEAKERS <br /> STOVE � <br /> ROOF DRnINS-RAINLEADERS �dGTAI FIH[PLACE 8 CHIMNEV � <br /> 2 <br /> SINK SERVICE-BAR,ETC. WOODSTOV /FIREPLAC[II�S[RT � D <br /> 2 <br /> _ � <br /> _ - _ _ <br /> �--i <br /> _ V1 <br /> - — '-7J7J T�s Z <br /> SUBTOTAL SUBTOTAI _ S (�P � <br /> .�-� <br /> PERMIT f _ _PEPMIT t m <br /> TOTALFEE f O _ TOTALFEE 5 - �� � I <br /> � THIS PQRTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL , <br /> (RONTSETB�CN PGRSEIB�CN SIOES:iOALK PIRYGH CnNUldt16l1 FLABCUEGKiE[ , <br /> / � <br />� ZQG �CF7 �FT (�,��JI d C' r ree ,�,�� qEc��� �7 �', <br /> � <br /> USEIONE LOTAAEA y�CANiSitE FEES VALUAT�ON FEE <br /> �/ pvES ONO - <br /> TYPEOFCO•NS1T. OCCUPANC[YJGR�'OjUP NOO�ONEILINGUNIIS � <br /> '�- N �\`� 1 DUIL�ING SC�/ M�� �BI _ � <br /> 512E OF BLDG HO-0F STORIES Mn%.OC/C.LOAD — vjSeGSl <br /> �4G G s'F I �O PLUMOIk= _.'_ � <br /> MFCIIKIICAL � � <br /> FIRE SPRINKLERS REOUIRED ❑VES O oiHER <br /> I <br /> � � PENALTV <br /> i _—_—__' <br /> ePPIICATION ACC BV PUNSCNECNED BY APPR FOR ISSUANCE BY �g 'l <br /> � TOTAL _ � p S�/ <br /> . � � �,,,� L,� - �- -- - <br /> f <br /> - - <br />