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IME�+rpnwi ..PPLICATION FO�. <br />��TM�F CONSTRUCTION <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259�8745 TO BE COMPLETED IN INK • PLEASE PRINT <br />everetl <br />e <br />❑ DEMOLITION ❑ COMBINATICN _p BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />owmn M�nenDPCss cirv z�P rn�rtn — <br />'1"' � r<� c� T�, r I,. I, ,� c�l Sc,.; ��–�4 S.4a�•��:,�.�: Z• �' i.1':�c•�•; `) `, ) `{.� .':5— <br />��r.���nr.iunuis�nnrN MAIL���RlSS crtr r�� r��orn <br />� <br />fif� i�ti t k �-c.. (,.I � r1�� r r� ��t<cs ! ..r i Y/ S: -{ •.$,.L � � �;.5 ;'�' T j;-1 1.� �5.. <br />GIA[IUl GONIflAG10R M+u �oon[ss ein zm rurnn nr.ie�si . <br />A)(itiF <br />MTr.�i+wa� con�n+nnn Men.00ness cirv riv ivn��i ur.n�r;i . <br />/�� O lJ<� <br />vi.ue�t�mncorrta.eion M+iuooacss crtr ziv runHt ueu�si.. <br />t. 1 n . .� <br />❑'NEWV O ADDITION .K� ALTERATION ❑ REPAIR ❑ DEMOUTION ❑ WOODSTOVE/FRPL.INSE(iT ❑ BWLDING RELOCATION <br />v.�wuonorwonK�mvor u+icni.isrwsi•eoa� ) q <br />�: ����,. __iY�rl�_,,.-r�� �: iSn J.� �Sntir_ I 5 Q�.V <br />usi pr aun nu+c <br />1�� , l v. <br />ur,u nrscumuor+or <br />iol_r__G_e�.ocn_ <br />�i< i�r <br />�worzn eonaess <br />5� �� i�/ <br />PLUMBING <br />NO. <br />WATER CLC <br />. ` <br />' ����(�� <br />,.n , .ock <br />�� <br />PBOP[RLY ISIIOW N OEIOW OR AiTACN F011fl COPIES) <br />11. 1� <br />Lor� ` � r: �.� �� V' 1� <br />� r` S I- <br />�- �11a l�.�ri r' 1: . <br />KITCHEN SINN 8 <br />ONINNI <br />FLOOR <br />fNU��tti[IOaCtl <br />� ( / <br />me tnrve � <br />d-' �J� <br />IY19 UI CUlli� <br />� - i�l <br />Sil1 U� biU�{ <br />RE <br />WFSHER <br />� <br />�\ C .� G�—`- K �' i� �- <br />I HEREBY CERT�FY THAT I HAVE READ AND E%AMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE T{iUE ANDCORRECT. ALL <br />PROVIS�ONS OF LAWSAND OfiDINANCES GOVERNtNG Tt11S TYPE <br />OF WORK WILL BE COMPLETED WITIi WI IETIIER SPECIFIED HERE• <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUM[ TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />AIJY OTHER STATE- OR LOCAL..AW REGULATING GONSTRUCiION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAIUREOfCONIeACTORORnUi11001IlDA(:141 �A7E <br />X i�.�:..,.\� � _ , n�:,... �l �� i ��, "�, <br />� <br />OF E�UIPMENT <br />IIP EA �--"'-- <br />GAS FIRED A C UNITS=TONNAGF EA_ ----- __ I <br />FORCEO AIR $YS1EM5-B T U_1A EA j <br />WALLNEATERS-O.TA. M � <br />UNIT HEAi[RS-B T U M <br />flVAPORATNEGOOLERS -'-"�'� " _�- _ - —_--" '"� <br />CLOTHES ORYERS <br />V[NiILATION FAN <br />R�NGC 11000 --_---'_ � �—_ --- � <br />__-_'__--___'_ '_ . _ _. _ .. ._.. <br />AIR I/ANDLIK9 UNIT- CF.M__ __ _ _ ____ _ <br />STOVE ____ ___ __ _ <br />METAL FIREPIACE 8 CNIMN[Y <br />WOOOSTOVE/FlREPLACEINSCRT __ _ __ _._ <br />SUB TOTRL Sl1B TOTAL__ __ f <br />PENMIT f PEPMIT ___ S <br />TOTAIFEE { TOTALFEE _ __ f _ <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />IlC�RSELO�CM SIpES[TOACN PL�NGNfCNNUMOER �$���/ ��'�ANGrLCnILI <br />� `'/ V�/I(D�( 1� �lL �� IVi1GFIVl�i� <br />V <br />tN�CC I1Y <br />�, c � <br />�u%nt�[A -YAGANIS� <br />J!?a0�� %i���s� �•E5 N <br />OCCIIPLNC�GNOUP N001'OW <br />p� -" I <br />HU O! SIOPoES Mst OCG <br />M�NSbI[LeLDBY APPRIORI�SU�NI <br />`7Lf L. -G. <br />ouaoirvc <br />PLUMOING <br />MEGIIRNICNL <br />Oi11ER <br />VEN�LIY <br />TOT�L <br />FEES V�LI'sTION <br />s� oc <br />�-"' <br />