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..PPLICATION FO,.. <br />'�.E"�`"° CO N STR U CT I O N evereH <br />CIfT OF <br />everett PERMIT � <br />BUILDING DEPARTMENT <br />259-8745 TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ DFMOLITION ❑ COMBINATION e'BUILDING ❑ MECHANICAL ❑ PLUMBING O SIGN <br />OWNER MMl�00RE5S CIiY Zlp PNONEC...�/(. Z� Z— ���e', 1 <br />-1- V��`� �aL,�v. Cac�`� l.e�,•$�.. �iP. �ve�Pt-1, 2C9-2c,,,y <br />♦RCNIIECTORDE510NEH MAII�pORE54 CIIY ZIP pqONE <br />�w�Wmnwc�UM ni�wvoncaJ qiY ZIP PNONE /•��� <br />_I...."�L,�_�_h �-4- 11._c�`_� '7'��c_-1"til��' A..�� I v �a,,..._,!'/c.�•� c�_, ?zc,_,��c— ML <br />ZiP PNONE UCENSE • <br />PWMBINOCONIRICIOR MAIL��UAE55 �li! 2iP PIIONE IiCENSE • <br />CL�S �WORM <br />NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br />DESCRiBE WOHK • <br />�1�k . �����,,/�,,���� � <br />o r;,��12.� �rt ec�n�.n��c ` <br />use ov evaoina � <br />/��..�, C�'�r•<< <br />LEO�L DESCRIPTION OF PPOPEPTY �SNOWN BELO N OR ATT�GN FOUR LOPIES� <br />lOf_BIOCN_OF <br />1...-� 2Ca �- 2� � I k.�-,"�c� <br />�C�C'� �`� )C�Cnaa L. L. �e�c{'� <br />PHOJEGTI0DRE55 <br />PLUMBINO <br />NO. TYPE OF FIl(TURE FEE <br />WATER CIOSET �TOILE7) <br />�— BATHTU6 � <br />LAVATORY�WASHBASIN� � <br />SHOWER <br />�— NITCHEN SINK6 DISP. � <br />— DISHWASNER <br />— LAUNDRVTRAY.' <br />— CLOTNES WASHER <br />WATER HEATER <br />�- URINAL <br />� ORINKINO FOUNTAIN <br />^ FlOOA �R�1IN <br />I.�! ' � <br />'E Of CON-SfI <br />�'� /�/ <br />c or eiou <br />%�$? <br />I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS �P� <br />PLICATION AND KNOW THE SAME TO BE TRUE ANDCOFRECT, ALL <br />PROVISIONS OF LAWSAND ORDINANCES GOVERNING THISTYPE <br />OF WOFK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br />IN OR NOT. THE GRANTiNG OF A PERMIT COES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANYOTHER STATE OR LOCAL LAW REGULATING CONSiRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SION�TUREOFCONTRRCTO ORRUiy RIZEDAGENi D41E <br />�T� . / � `\ 1 1 �%'Z3 �.'}, <br />�PV4LANi5 CITY BUSINESS IICENSF NO <br />MECHANICAL <br />NO. TYPE OF EOUI <br />r-- AIRCOND. UNIiS-H.P. EA. <br />"'� REFRIGERAiION UNITS-H.P <br />BOILERS-H.P. EA. <br />GAS FIRED 0.C. UNI15-TONI <br />'�- FORCED AIR SYSTEMS-B.T.1 <br />� WALL HEATERS-B.7.U. M <br />-� UNITHEATERS-B.T.U. M <br />— EVAPORATIVE COOLERS <br />��- CLOiMES DflYERS <br />� VENTILATION FAN <br />—� PANGE HOOD <br />—" AIR HANDLING UNIT- QF <br />`— SiOVE <br />._ uotei no[m �rv a rwuue <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />REAqSEfB�CK SIOESEIBACN PUNCHECR%�UMBER PLANCI�ECKfEE <br />/E%/ �:' /i , _ -� 11 <<esii � C/.i In[CUClr�� <br />�r[yOC/ <br />No. o� s*oniEs <br />VAC�Ni SI1E <br />E� uNu <br />NO.OF OWEL <br />0 <br />M�X OCC. l0 <br />JN ��G BY PL�NS G11ECkED BY �P�R. FOR ISSUAN <br />s-o( JG� � � , <br />VALU�T�ON � FEE <br />s SU�Q(�. <br />PLUMBING <br />MECMANICAL <br />O7HER �ry�.�Nl DW`�••,V �J�Alir 3O � / O <br />li <br />PEroatiY ��%1/,1/:ft� � J5 /) f <br />� <br />Tora� '�'7�D G �� <br />O�p„� � /'�7��� ���i.�>i �� Ti.� �...�E <br />< :'.u✓: ✓r.i-�-::),.:,�,rr._ !:-,a:; �•: �'-- <br />. �, <br />