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APP�ICATION FOR � <br /> '"'E""""" CONSTRUCTI4N `e <br /> dr OF <br /> everett PERMIT <br /> TO BE COMPLETED IN BLACK INK- PLEASE PRINT <br /> BUILDING DEPT. <br /> 259•8745 ❑ COMBINATION ❑ BU�LDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> p�yqEp .� MUL�DDRC55 CrtV irt• V��O��E <br /> � l7 �'c/�nu �, N��s�/��� ob[L�� f't, �ver��fj` YBzoi 2,�9-3 9 S�.-S� <br /> ARCMITEGIONOESIGNER MUL�00RE55 Clrv Zic vuOrvf <br /> GENEH/.LCANTP�GtON M�iLnDOPE55 Ciiv Ziv �r�Or�[ LiGCNSE• <br /> MELN�NIWLCONiMCTON MMI�DCPESS Crtv Zln PNON[ IICE�ISC• <br /> VIUMBINOCONTP�GiOR M�ILAOORE53 CnY ZIP PI10�1[ LIGE'ISE• <br /> GU390f WqiR <br /> ❑ NEW ❑ ADDITION ❑ ALicRATION ❑ REPAIR ❑ D[MOLITION ❑ WOODSTOV[/FRPL.INSERT ❑ �UIlDI1JG �EIOCATION <br /> v�tu�no/Ho7rw�onKic/qsrorM�renuis usueom /� , ,�I�� f Q -y_,�,¢ � <br /> BdS!}A� i ,/,N 1^,/ O:l�i '� /�,f' 'Lil� C��- GC�C�/'""-' � �/�.l�Y;I � ��iQC n <br /> DESCR,�E /�It � <br /> r�C d Jl � t <br /> use or e`wLowa ' <br /> I HEREBY CERTIFY THAT I HAVE AD AND EAAMINED TNIS AR <br /> PLICATION AND KNOW TfiE SAME TO BE TRUEANDCORRECT.ALL <br /> LE��l0E9CRIPfIONOFPROPERiY�9HOM'NBELOWON�TI�CNfOURGOP�E51 pROVI510NSOFlAWSANDORDINANCESGOVERNINGTHISTYPE <br /> , H F-1 <br /> / OF WORK WILL BECOMPLETED WITH WHEiHERSPECIFIED HEFE- H 'T] <br /> �or3.�etocll�ov " � INORNOT.THEGRANT�NGOFAPERMITDOESNOTPRFSUMETO �..� <br /> GIVE AUTHORi7Y l0 VIOLATE OR CANCEL THE PROVISIONS OF Ul � <br /> ANYOiHERSTATEORLOCALLAWREGULATINGCONSTRUCTION � <br /> OR THE P[RFORMANCE OF CONSTRUC110N. � <br /> SiGNA111REOICONiRPCIOROfIAU�NORIZEOAGENi pn�[ � <br /> � � X � � <br /> I � � � <br /> PROJE TAODNE9S �P�L¢eNl'SCRYBOS�N[SSLIGCNS� �,y <br /> �Q Z <br /> l�...., �'' <br /> VLUM9�N6 MECHANICAL _ _ �..� H <br /> NO. TYPE OF FI%TURE FEE NO. TYPE OF EOUIPMENi FEE "�' � <br /> WATER GLOSET TOILE �IR COND.UNRS-H P.EA O <br /> BATMiUB RLFliIGERAil01�UNITS-NP.EA. _ 'T7 � <br /> I�VATOHY WASH BASIN �OILERS-11 P. EA <br /> SHOWER GAS FIR[0 A C. UNITS-TONNAGE EA N <br /> NITCHENSINKBDISP. �ORCEDAIRSYSICMS-B.T.U. MEA. RRR <br /> DISHWASHER WALLHEAIERS—BT.U. M � � <br /> UUNDRVTRAY UNITIIEATLRS—BTU. M N <br /> GLOTHES WASHER EVAPORAfNELOOLPRS _ . � <br /> WATERMEATER CLOTNESDRVERS _ <br /> URINAL VEN7ILATION FAN <br /> �RINKING FOUNTAIN RANGE HOOD _ <br /> FLOOR DRUN AIR NANDIING UNIT— C F.M. _ y <br /> VAGUUM BRERKERS .St��E — Z <br /> flOOF DRAIN$—RAINLEADERS METAL FIF[PLACE 6 CNIMNGV __ � <br /> SINK�SERVILE—BAR ETCJ WOODSTOVE.'FIREPLACEIN$ER7 __ <br /> h�l <br /> _ � <br /> _ �— _ � <br /> — — — ty <br /> —_ (� <br /> SUB TOtAL SUO TOTAL _S _ ___ _ . � <br /> PERMIT i PERMIT __'_S _ ___ __ <br /> TOT�LFEE s TOTpLFEE__S�_ _ . __ ___ <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> IRONi SEiB�CK AE�R SCiB�CI( SIOE SETBACN PL�H O�I.IX NUTAnEn nLAu t��� ✓�11� � <br /> fEC I11��,f!I'lll(1 <br /> USEZCNE IOT�PE� y�Cpry}SRE � <br /> ❑YES aH0 FEEB Y�LIIRT�ON �EE __ _ <br /> iYPEO°CON51. OCCUPeNGYGROUP NOOlOWELLINOUNrtS <br /> OUI�OING 5 r"�� <br /> SiZE OI'BLOQ NO OF Si0AlE5 MAX OCQ IO�D - - <br /> PLUMBING <br /> MF.GHANiCAL <br /> FIRE SPRINKLERS REOUIRED ❑ YES O NO <br /> OLM[q <br /> PEN�LTY <br /> APp�IL�iION�CC.BY Vl�N5GN5CNI[0BY APPq.fORISSWNCEBY ----- --- -- <br /> iOTAI <br />