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,�.E„ro,„� `wAPPLICATION FG-rt -���,�„ <br /> °�TM°° CONSTRUCTION O <br /> everett PERMIT <br /> TO BE COMPLErED IN BLACK INK— PLEASE PRINT <br /> BUILDING DEPT. <br /> 259•8745 �COM8INATION ❑ BUILDING ❑ !NECHANICAL ❑ PLUMBING � SIGN <br /> owr�cn rauinooness Cnr zia m�or�c <br /> ���urtx /�;cers f�vneS �G Sc=�/c-�c�r.n�lu u/�Y C-7/e�ee7T 9s?oy 3s3=y452 <br /> •i�onauonoesiaH=A rnei�nooness an ziv rnor¢ <br /> nunimiea+nucmn u�iinooaess eirv zir m�o�n uce�ca • <br /> �'LUNG:'� c-��3-or-Ni-c c-.N-k 3 j�cG <br /> 1.4CHRIICAL LON�RI1pOq MAII A�OPi55 ' CItY nr mwr+e i.icnis�. <br /> �+3 /!EPTI.UE, / 77z0 �UClnS�`` 7�c-1�iNON] 2F�.rf- �SoSd S/53-S=�Go �i8 rl�. AA <br /> �{q . �-� <br /> PWM1IBINGCONIR�CtOR M�ILApORf.SS CIiY ZIP PIIONC L�f.L�51 • <br /> �� 7 <br /> �n.r.vScv�J �C1���9/3init� (i07 � Edc�2c7T/hncc cU� CL"r"7,G1T� -r)�Zd</ �- - T.�u-gi-.�H <br /> y �s s -l���� ,a�a -< z <br /> cLn55 or woRn <br /> ,� NEW ❑ ADDITION ❑ ALTERAiION ❑ REPAIR ❑ OEMOLITION ❑ WOO�STOVE/FRPLJNSENT ❑ BUILDING R[LOCNION <br /> VnWAIIONOf 1YOPN�COStUf IAAILNULSPLW LAOOP� <br /> S�C�^L D <br /> OEScr Ul wOnn /' <br /> �/���n/��� /—��r�/� [��J�EIU�C� � <br /> USl O�bl➢U)ING <br /> �s'NC>C E �f,/)7/� .{�L$i(�L�NCG � HEREBY CERTIFY THAT I NAVE READ AND EXAMWED TIIIS AP• <br /> PLICATION AND KNOW THE SAME TO BE TRUC-ANDCORRECT.ALL <br /> ILGeLpESG�iP1iONOfPROPER�Y��+.IOWNOLLOWOfi�/R�CHFO/UR-COPIE51 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYP[ <br /> iai���o�oc�or ���%fCZ�2"'e CS'�u�tY� OFWORKWILLBECOIviPLETEDWITHWHETHERSPECIFI[DHERE• <br /> IN OR NOT.THE GHANTING OF A PERMIT DO[5 NOT PRESUh7E TO <br /> GIVE AUTHORITY 70 VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANYOTf IER STATE OR LOCAL L�W REGULATING CONSTRUCTION <br /> �7 �J� E PERfORMANCE OF CONSTAUCTION. <br /> L• //i- '(sQ � SIGNAI qE OF CONiRA on on aun�onizeo nud�T DAIE <br /> x ���, , �_ r�/-�s� <br /> vNOJCL��UUR[55 q LIGNiSQrvBUS E. IIi,EN5EN0 <br /> ��2 V��� - We 5, u7 <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FIXTUflE FE)E�t�y� NO. TYPE OF EOUIPMENT FEE <br /> � IVATERCLOSET�TOILEi) ((�oq/ AIRGOND.UNITS-HP.EA. <br /> .� BA1HiUB REFRIGER�TION UNITS-HP.EA. <br /> LAVAiORY�WASH OFSIN� � BOILER$-H.P.EA. <br /> $IIOWER G�S FIRED AC.UNITS-70NNAGG EA � <br /> NIiCHGN SINK6 OISP. FORCED AI{7 SYSTEMS-O.T.U. M EA. <br /> DISHWASH[R � WALLHEATERS-�T.U. M <br /> LAUN�RYTRAV 7y�— UNITI{E4TER5-O.T.U. h7 <br /> / CLOTHES WASHER y�/ EVAPORATIVECOOLERS / <br /> _� WAIERNEATLR D CLOiHESORVERS —[(.�_ <br /> _ ���NA� VENTILA710N FAN q pti <br /> URINKING FOUNTAIN fl�NGE HOOD ¢�_ <br /> FLOOfI DRAIN AIR HANDLING UNIT- QF.M. <br /> VACUNABREANERS STOVE __ <br /> FOOF�RAINS-RAINI EADERS MF.TPL FIREPLACE 8 CHIMNEV <br /> SRlKISCRVIr-OAR.EiCJ WOODSTOV6FlREPLACE INSERT <br /> _ SUO iOTAI �� SUB TOTAL S `p Q�J <br /> PERMI' S PERMIT S /ytI�� } <br /> __ _ TOTALFEE S �� TOTALPEE 5 L�fC(J_ <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> 11�ONIS^EfO�CN 8U115C10AGN SIpESE161CN PL�NQIECNNUM9ER �'LANb2CMflC <br /> (�C7 v� �• C � � r/ fE[ /�` �•� RlCfirt i0 <br /> U5f IOH! l01 Ai1GA �S / � � > _ ���_ <br /> � VAGANi511E FEES _ V�LU4110N — fEE _ <br /> ' 3 � �tio _� _ <br /> 1v19�0�i'S1 OCCUI`ANLYGPOOP NO.OFDW[LLINOUNIIS _ _ __ _ <br /> ��_ N f:-3 � ,_SIOE�7 I <br /> ouaoiNc 3� �� <br /> si�r nr m nr, r�n or s�o�ues ranc occ iono - ---- <br /> 7:/G.q / �{�Fo /q:/ / �i �n sc,v1 l •�- rwMun+u �' O U <br /> MEGHANICAL -L�- --� - <br /> FIRE SPRINHLERS REOUIR[D ❑VES NO - - <br /> otr�en <br /> PENRLTY <br /> /.1'IqIUIIONACC UY Pl4N5C��[CKEOOY APPH.fORI55U�NCEOY --- -- <br /> TOTAL �.9� <br /> �; /3 . �/�F: G -c-. ' <br /> /li'ey/�;n C� <br />