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y y <br />�:.PPLICATION Ok fV <br />CONSTRUCTION <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259-8810 TO BE rOMPLETED IN INK- PLE.+SE PRINT <br />�JLl. �-lry K <br />D DEMOLITION O COMDINA.I';ON ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />"Ali <br />M.IL.00xE55 CU, rm h10x[ <br />�DQrp�/ L�4D I&u�. ID7D Loo°� C�ee�r 48zoi 25}3-uzyz <br />% EC,[..a'F-en1.R t�KlhE/ /NL.rSE�T �O Lgo5:,. go. `LJwum gSo�6 PHONE <br />❑ ADDITION ❑ ALTERATION Cl REPAIR ❑ DEMOLITION ❑ WOODSTOVEIFRPL.INSERT ❑ BUILDING RELOCATION <br />DLScai LL W )­ <br />.. nv. . Ar.., i,. <br />-74d//r ZE/ //ATFnvL..-...--. <br />USE OF BuuD1Na <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOWTHE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWSAND ORDINANCES GOVERNING THIS TYPE <br />LEGAL OESCRIPTKM OF PROPERTY sxOWN BELOW IN JUT.01 I.L. F.PU <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />�• 9f� I <br />ANY OTHER STATEPR LOCAL LAW REGPLATING CONSTRUCTION <br />OR THE PERFO ANCE OF NST I <br />EONTiIO <br />DATE/ <br />4CIOROR <br />p <br />Z-O% <br />>eTr,T Dlrn l�olnG <br />rvu xr eIM1 BUSxell uel s[xo <br />VaORCI ADDR[55 <br />GJ. i1,�r��IdE VIA DK, <br />Zo <br />MECHANICAL <br />PLUMBING <br />NO, <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET ITOILETI <br />A C - A.HNOLG UNITS - H P <br />REFRIGERATION UNITS - H P EA <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />BOILERS - B T U,H P <br />GAS FIRED A C UNITS - B T U <br />SHOWER <br />KITCHEN SINK 3 OISP <br />FORCED AIR SYSTEMS - U T <br />WALLHEATERS-B U M <br />DISHWASHER <br />UNIT HEATERS U M <br />LAUNDRY TRAY <br />CLOTHESWASHER <br />EVAPO Ens <br />URINAL <br />c FPS <br />DRINKING FOUNTAIN <br />TION <br />FLOOR DRA I <br />G <br />BACKF NTERS <br />TER <br />—RAINLEADERS <br />STOVE <br />SERVICE BAR. ETC <br />METAL F .E CHIMNEY <br />,REP EFT <br />iP MP <br />.AS PIPIN <br />ASOR <br />EAH <br />TOTAL <br />f <br />SUB TOTAL <br />P[RYIT <br />f <br />TOLL FEE <br />{ <br />TOTAL <br />TOTAL f[E <br />.i ANCHECK UMBER <br />FCE <br />RECEIPT NO <br />RfAa ­SF� <br />YOE SCiBAL6 <br />ENLxi 9f IB.CA <br />/ C ' <br />77 <br />"IF ZONE <br />LOTAPEA <br />VACANT VIC <br />FEESM <br />OYES ONO <br />nPLOf CO 31 <br />DCCVPA_._ <br />NO OF DWTLLRq UNIT9II.J <br />[Z <br />�- <br />OF BLOBNO <br />OF 510 3 <br />MAK OCC lWD <br />gBUTLOING <br />ING SURGY <br />FIRE SPRINKLERS REOUIREbI ES XNO <br />SURC <br />M`PIIC4UONALC By <br />PIANSCNECKEDBY FOR ISSUANCE BY <br />S <br />JAPFR <br />PROPERTY L I NE LOCATIONS AND RELATED EASEMENTS. <br />