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If.IEH�O�M� '.�PPLICATION FO►� ���,�„ <br /> ����F CONSTRUCTION O <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 2,g-p7q, TO BE COMPLETED IN INK- PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHAN�CAL O PLUMBING ❑ SIGN <br /> uwni n I Q Y Y }� . '- J\ti L' "'nn enoncss citt zia r��uNi ,;�!j - Q • / "��` <br /> �ederi�k L _ F-Ir�we 14-31 FZock.�'.�'�I I�+' Lvzr�H Wq 98�L�1 �5?-.5C? 7S <br /> .n�Y1Gpo�'•JCC� J /� �Mli�joo;c�} YI . IY, C. �IGiY\�JVl �le �iv� 0 :27Uu�n. <br /> �� <br /> _,r fo 53 -�'1�+5 <br /> Men•oonEss '��it� nr r��uru uri r��t . <br /> ot�+iruiu �nncton rjBzt�7 Sryl Pi NL <br /> � �a.+71 I-�on�rS G (v .� � 9CN,��� $� srrv �rumish 33y-7ln00- /SvK� <br /> ..J n <br /> M�I�f,(1U��N�I�C�LCU!11fitCtOli �J MPIL�OUR[, i � � CIfV Zlq PIIONI IILf �N • <br /> �' ^'_'� �'�— I�'� 1 l•rl, I <br /> �'IU�Pn�.CO��IPeC10p/ M�iIADDBC 5 Lltt 21 � PUO�n l�Ll' .i• <br /> �L�P f�1�0(�� f�' NL ICII - _ <br /> u�ss oi wun. <br /> � NEW ❑ �DOi7lON ❑ ALTERAiION ❑ REPAIR ❑ DEMOLITION ❑ WOODSiOVE/FqPl.INSERT ❑ BUILDWG R[LOCAll01� <br /> Vnlll���lill Nl�lir I�tlil�Jl IAI.Illllnl'.1'I.U$L�OOIiI <br /> �����7��U <br /> ni u.u�r, wnu. I �(` <br /> Uf).} � Yb7Cl Ip 1 C�7 '161�'1G /'10U5� � � qn ' <br /> u•d ��� nunnnm <br /> �"1 D M � � W � I I i /lq I HERC-BY CERTIFY THAT I HAV[ READ AND EXAMINED THIS AP� <br /> �,� PLICATION AND KNOW THE SAME TO BE TRUE ANDCORfiGCT.ALL <br /> u.,�imsunruoeorm�oruar�s��owHo�TowOnertecnroUntorrt5� pRQVI510NSOFLAWSANDOR0INANCESGOVERNINGTHISTYP[ <br /> i OFWORKWILLBECOMPLETEDWITHWHETIIEf7SP[CIFIEUHCRL <br /> io��� moc�Lor V ��r I IN OR NOT.THE GRANTING OF A PFRMIT DO[S IJOT PfiGSUME TO <br /> GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS Of <br /> ANV 07HEF STATE OR LOCAL LAW r7EGULM-ING CON51RUC7101J <br /> OF TI1E PERFORMANCE OF CONSTRUCTION. <br /> SIGNAtI� �OfCONigncronoryaun�nizt� r.ir+` uaii <br /> •�j-✓.�C.�c.Ge.It '�r,-:., <br /> X ✓2'�:;[. � (/��{ `�/���.V�- <br /> i�i�o�er�:;;n�ess a�ruc , �Essucv+seuo <br /> _'�iiC• T�; Ic, I� p /av� . Evuvz'{-(- <br /> PLUM6ING MECHANICAL __ <br /> NO. TYPE OF FI%TURE FEE ND. TVPE OF EOUIPMENT FEE <br /> _�'q IYAi[fi ClOSGT�IOILEI) , ��R COND UNI7$-H.P.EA <br /> __'___ -- _ _ ---___f_—_. <br /> �+� j <br /> '/i DA7H7UB ��v �EFPIGEP4ilON UNITS-HP.E�. _ <br /> _3 lAVA70RY1WA5H�ASIN1 ___ DOILERS-HP. [A --'�. .__ <br /> S��u,y�n GAS FIf1[0 AC UNI75-TONNAGE GA_ __ ___. j _ <br /> _� KIILHf_N SINN 8 DISP. FORC[D��R S�StcMS-8.1 U M L� __ __ _ � <br /> I DISIIW�SNER _ WALLHEATERS-O.TU _M '_ __ _ . _ <br /> '�- _ I�UN[1RV7R�V UNIIN[�7LR5-G7U M _ _______ I . <br /> '-�I CLOiHCS WASH[R ���7 EVAPORA7IVE COOLERS __ <br /> _� N'Al[�MEAIER `(�(/ � ClO7HESDRYERS _ b� <br /> UfiINAL 3 VENTILATION FAN __ QD._ <br /> pqINKING FOUNiNN RANGE HOOD __.. ___ <br /> FLOO�ORAIIJ AIq11ANDLINGUNIi- LF.M. __._._ __ __ <br /> V�CUWa��EAKERS STOVE _ _ <br /> ROOF ORAINS-RAIN�EAU[RS � METAL FIREPLAGE 6 CNIMNEY Z_�j� <br /> 511JNISEFVICE-�/RE7C. WOOOSTOVNRREPlACE1N5EF7 ._ __ <br /> -'.'- SUA TOTAI - --- SUB TOTAI __ S '____LI OU <br /> _PEtIMIT S PE11M1T __ S ___q�y� <br /> TOTAL FEE S � Q� TOTAL FEE ___f (�L I UU_ <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> �nUNI!:IIO�C• IIINI!:CIO�CN SIpES O�GN PLPNCIIECNN MOER 1'14N1;nLL�ILf ---�- <br /> � '� � �J-�J � J�o�J 1�) 9 �� /���V ri[ �. �.J� mcr�r�rcU•�_�7— <br /> � <br /> ua �ovE �ounU y�GNISrtE ve�u�noN rtE <br /> FEES <br /> J _ � l II(��� S-� �rES uN0 - <br /> `"'I <br /> fn'LOif.pN51 OCUi�'�NGYGOO�P NOAFOWELLINOUNILS _ _____ ___ <br /> � 2 <br /> � ... ��� I� ' l�� OUILDING f��� _�.J�. �.0 <br /> �i1,iA N,yl l�t:�, `F NU UI S�ONES MAX OGC lOAD <br /> 3 ~ �J PLUMOING � � <br /> (: ��-� ; v <br /> MEC114NILAL ZL, D� <br /> rIRE SPRINHLEPS REOUIf9ED O VES ❑ NO <br /> O1NER <br /> PENAL7Y <br /> 4P�`IIII�pOI1�QOY I9.�NSCIIECN[D9Y APCfif0�I55U�NG[B� 2 <br /> TOTAL �J�� f�O <br /> J �� G -� • _ <br /> , <br /> � I � � I r� . l ` c_ (;;. ,, •i` . , , � �i- ���„ <br /> _ �_ ti <br /> �� � r �- _ ; . ,, :- i _ <br /> � - ., ,� -- �;, ;-- - <br />