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`=��APPLICAT�ON F(:,R �,�,�„ <br /> IMEwryrwn CONSTRUCTION 0 <br /> ��ry OF <br /> everett PERMIT <br /> TO BE COAIPLETED IN BLACK INK- PLEASE PRINT <br /> i BUIIDING DEPT. <br /> 259-8745 ❑ COMBINATION I� BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> �Eq /� AUII ADOPESS I� / (� C�IV 2iP ��NNF l <br /> ��L��i�ECiOROE`�R U10JVQIL��E55 " `P I � I ,/ 'CV� ,Q.r br. E�^� P�IOIIEJ �� �� <br /> �� ("nr.S-f' 3 �4 R{,n n ►-�. F�-�S �, Lk-C-IruaH�, r./a 9ff�S8'�33y-���5 <br /> ^[N[MLCOMR/�CI� , MLAODRE55 GItY LiP PIIONE `y�l � LICEtCIE� <br /> � S�'CdN[S/fU,rs <br /> C��t- <br /> M1ItL11�NIG�L CONIR�GIOfl MAIL�DO�LS$ CI�I' Z Y O l / � �� L�LI lltiC�� <br /> � � (J <br /> � LJ <br /> � . <br /> CWMB�NGCONfP�C1pR MAIL�DORESS GI1Y ZIP PIIONE lIC[HSB• <br /> CI.�55 Uf WOPN <br /> ❑ NEW ❑ AOOITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ :'�OODSTOVE/FRPL.INSERi ❑ BUILOING RELOCATION <br /> ��l UAnON OF WORNICOSi Of N�fERIALS PWS 1�B0�1 <br /> I / <br /> p :P EW N <br /> ; Qe� d �r�t F f� w.'r� ers .3c �r,•o <br /> �or�e�u�io�� Iwv.+b��+ ' L 1L <br /> � P �� � I t�i B CERTIFY THAT I HAVE READ AND EXAMINED TliIS AP- <br /> ,�.� [ p PLICATIONANDKNOWTHESAMETOB[TRUEANDCORRECT.ALL <br /> l WLDESCRiP110NOFPPOPER1Y�5110WNBELJWOA��1��H�0URGOPIE51 PROVISIOPISOFLAWSANDORDINANCESGOVERNINGTHISiVPE <br /> OF WOFiK WILL BE COMPLET[D WITH WHETIiER SPECIFIe�hIERE• <br /> io+�e�oc��or � � Y IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUMC TO <br /> GIVE AUTHORITV TO VIOLATE OR CANCEL TfiE PROVISIONS OF <br /> � ANY OTHER STATE OR LOCAL lAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> � -- s�er+n� iy ae oe cONIl1AG10�OR R111110R12E0 AGEHL o.ve <br /> X%!. . /% �y <br /> l.�l��•C 7"a � <br /> CROJECI�OOPE55 APPLICANiSLIlYDUSiN[SSUG LNO. ������'��, / /� <br /> A� // <br /> � 7 <br /> PLUMBING MECHANICAL _ -1-- <br /> FEE NO. TYPEOFEOUIPMENT EE <br /> NO. TYVE OF FI%TURE _ <br /> WATER LLOSET TOILE __ AIR ND.UNITS-H.P.EA. <br /> H[FRIG �TION UNITS-N.P.EA _ <br /> BATMTUB _ -- <br /> _—_ LAVATORYIWASH BASI41 __ EfOR[f�5- .N EA. <br /> SNOWEH _ GA3 nREO A UIl11S-�ONNAGE EA _ _ <br /> KI7CIIEN SINN d DISP. fORCED AIR 5 .7EM5-B.i.U. M EA. <br /> DISHWASHER WALLMEATE(iS=ATU M _ <br /> LAUNDRYTRAV UNIINEAiERS-OTN.�-M��-- <br /> CLOTHES WASHER __ [�A�ORFTIVE COOLEfiS � <br /> WATER HEATER _ CLOTMESDRYERS <br /> VENTILATION FAN � <br /> UPINAL -- <br /> ORINKING FOUNTAIN �ANGE IIOOD � — <br /> - AIR MANOLING UNIT- /C.F.AI. _ <br /> FIOOR ORAIN — , <br /> VALUUM BREANERS __ STO�E -- <br /> ROOF DRAINS-RAINLEADERS _ METAL FIREPL0.0 d GHIMNEY _ <br /> SINN SERVICE-BAR,ETC. ____ �1'OODSTOVF./F�qEPLACE INSEqT _ __ <br /> -- �.o_a_�l� 5�ry. c-c — <br /> 1 0-i ��ear 1 ��� _S — <br /> : _— <br /> SUBTOTAL SUBTOTAL _f __ <br /> PEPMIT f PERMIT — S ___-- -- <br /> TOTALFEE f TOTALFEE _S ___ - <br /> THIS PORTION TO BE COMPLETED 6Y BUILDING DEPT. PERSONNEL <br /> rnO�rtS[lO�CN AEARSEIBeLn Si0E5El0�CK <br /> f0.AN GNCLIt NUFIO[R VIPry U�ICk 11[ <br /> �EC IIfC[iP�NO <br /> USEtONE LOT�PE� y���ryiS�IE FEES VIILUATION fEE <br /> m[s ono <br /> 1vPEOFGONSI OCCOPANCYGROUP NOOf�WELLINGUNI�S _ <br /> DUI�OING S _ <br /> ;4[p�OLDG NOAf S10NIE5 M�LOCQ LO�U <br /> 1`LU��OING <br /> n�ccrmwcn� <br /> � FIRE SPRINKLERS AEUUIRED ❑YES ❑ NO Ot��ER <br /> PENALiY ____ <br /> np��iCAPON�CC BY PUNSCNEGMC�OV APPN fORI55VAHLEOY <br /> TOTAL _ _ __ _ <br />