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��,,,,,,, APPLICATION Ft,R ���,�„ <br /> CONSTRUCTION 0 <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259-8745 TO BE COMPLETED IN INK- PLEASE PRINT <br /> ❑DEMOLITION ❑COMBINATION ❑ BUILDIN(3 ❑ MECHANICAL ❑ PLUMBIN6 O SION <br /> OWNER M�R�UDRE95 �iiY Zip PN NE <br /> �t�Baea -l-IvnarN //�o/ 3,e� AoF �F E�7- 98zo� <br /> 1111CNIT[OTOPCElIOHER M�IL�UDRE99 CIIV ZIP pNONE . /� �7tr� <br /> � � U! � rcK- <br /> O MLG�CTON M�IL�ODNE!! CIiY I�P PNONE � LICEN9Er <br /> Mov.v rP <br /> T f-Hc���� � >6oe s �JALxSrsN 5T s�,a,-n.� q��������,7 z,r �,� <br /> M[CN^�M�IC�LCONTPeCT011 M�IL�OORElH GITY - D PNONE UCEMlE• <br /> /Y�� <br /> RUMlINOCONI�Iq1 MMLAOURE9! CI1Y IIP PIIONE UCENSE• <br /> No � <br /> ��.�o.,,�K <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BU�LDINO RELOCRTION <br /> V11lU�TOMOIWp11R�C0lfOFM1lER11LlK �60R� <br /> �ss 'T7�An/ ��60 <br /> �isc wo�K <br /> lIQ Q` — _ <br /> u o �wionro <br /> - I HEREBY CERTIFV THAT I HAVE READ AND E%AMINED THIS AP- <br /> ` PLICATION AND KNO W TH E SAME TO BF TRUE AND CORRECT.ALL <br /> ��ouo� �i�*ronor�eoq�rrieHowM�aowoeen�cH�oueco�rtq PROVI910N90FLAW9ANDORDINANCE$OOVEHNINOTHISTYPE <br /> OF WORK WILL BE COMPLETED WITH WHETHEH SPECIFI6D HERE• <br /> �or_sioc�or �N OR NOT.THE ORANTINQ OF A PERMIiDOES NOT PRESUME TO <br /> QIVE AUTHORITY TO VIOLATE OH CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR I.00AL LAW REO UL.OTINQ CONSTRUC710N <br /> OR THE PERFORMANCE OF CON9TRUCTION. <br /> SIONATURE FCONTRALTO��UTNORI2ED�GENT DATE <br /> ' � IO ,30 � <br /> PROJECT�DOPplS PLIC CITYBUS�NE59LiCEN5EN0. <br /> !I�0 3��SF - <br /> PIUM/INO MECHIINICAL <br /> NO. TYVE OF FI%TURE FEE NO. TYPE OF EOUIPMENT FEE <br /> / W�TERClOSETTOILE AIRCONO.UNITS—H.P.EA. <br /> BATHTUB REFRI(iERAT10N UNITS—Y..P.EA <br /> � IAVATORV W�SN BASIM BOILERS—H.P.EA. <br /> 9HOWER pAg FIRED AC.UNITS—TONNAOE EA <br /> NITCHEN 91NK 6 DISP. FORCED A�R SYSiEMS—B.T.U. M EA. <br /> OISHWASHER WALL H[ATERS—B.T.U. M <br /> LAUNDRYTR�V UNITHEAiEFS—B.T.U. M <br /> CLOTHES W�SHER EVAPORATIVE COOLERS <br /> WATEq HEATER CLOTNES DRYERS <br /> URINAL VENTILATION FAN <br /> UR�NKINO FOUNTAIN RAN6E HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.P.M. <br /> VACUUM BRE�KERS STOVE <br /> POOF URAINS—R�MlEA0EF9 MEfAL FIREPUCE d CHIMNEY <br /> SINN SERVICE—BAR,ETC. WOODSTOVE/FIREPLACE INSERT <br /> _ 9UB TOTAL SUB TOT11L t <br /> PERMIT i PERMIT t <br /> _ TOTALfEE t TOTALFEE t <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> iRONI9EtB�C1t qE�RSEiB�G[�K S�OESEIB�CN PUNCNECNNUMBEfI PI�NCNE:NfEf. <br /> N ,Fj IEE AELEIPi NO <br /> USE20NE LOi�RE� yALANTSrtE �, — -- <br /> �p . OYES ONO �EE! `ALU�TIOM FEE <br /> )YPEOFCONSt OCGUPINCYGROUP NO.OF WEL/L�INOUNITS �j <br /> '� ��2 �tlJ BUIIDINO S <br /> 912EO[9tU0 NO�OFSIORIES M�%OCGlOAO <br /> Iv K7"� �� �j PLUMBINO <br /> MECMANICAL <br /> FIRE SPRINKLERS REOUIRED ❑VES NO � <br /> or�R �1�..�.�C�.r�... ' � �S � <br /> PENRLTV <br /> •PPUL�IION�CC.Bv c��NSCNECNEO BY APP0.FONISSUANCE BY - <br /> TOi�L � <br /> �f�,, G � G <br />