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. .PPLICATION FO►_ ���,�„ <br /> '".E"'°`"" CONSTRUCTION 0 <br /> �,TM oF <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259•87a5 TO BE COMPLETED IN INK- PLEASE PRINT <br /> ❑ DEMOLITION �COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGIJ <br /> J 'NEF MI.IL AOOP[55 LITY ZIP FNONE <br /> �rr+,t (� (,rvOCl2 S�I 2'/306 44''� A�E �N ✓h GT y0W3 �7S-lB�Z �3j9 s5�7 <br /> �pCNIIEGiOPDE5IGN[R M�ILAO�RE55 GIV Z�P PMONE <br /> GENEfl�ICONTPeLTOR MAIIADDNESS Cltt 21P o110NE L�CENS[• <br /> � lN�(L��. <br /> MECIUNIUICONIRALTOq �•�����OOHE55 ��N I�P PNONE ULENSE• <br /> PWMBiN6GONiNnGTOR MAILAOORE55 CIiV ZiP PI�O��[ LICE��SE• <br /> C � OF WORn ' <br /> '�NEW ❑ ADDITION ❑ ALTERAiION ❑ REPAIR ❑ DEMOLI710N ❑ WOODSTOVE/FFPL.INSEr7T ❑ BUILDING RELOCnTl011 <br /> v��LOH OF WOPK ILOST OF F��iE RiAIS PWS L�BOAI� <br /> �.�a �'-" : /�iOj�fib- GIl <br /> OESLRIBE WOPM /jC�GE <br /> {. KEw S;��c� F'�r�. 2E s;a- <br /> �se or eu�ou+c <br /> � � 1 HEREBY CERTIFY THAT I HAVE REAU AND EXAMINED HI <br /> /�Ej�,JL'N/ )l�C.. pLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br /> 1EG40E5LRiPlION��fPNOPENfY�SMOWNBEIOWON�ITALMf/IIINCOPlE51 PROVI�IONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> 1 / l � 1/i 'U/AG/ZES OFWORKWILLBECOMPLETEDWITHWHETNERSPECIFIGDHERE- <br /> �cr�/J�.o�ocn—.—or � INORNOT.THEGRANTINGOFAPERMITDOESNOTPRESUMETO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OK <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> � 1� �� o �..� SIGN�TUR� -CONiRRCTOR ON AU iORIZEO PG[NT DATE .�'�p <br /> V l� <br /> I ( � r-_� �O��O' 8� <br /> rnmecr.00 s <br /> evviic rs cirr ousu+css i cr+se r�o <br /> 4�� V/E� D,c�vC <br /> MECHANICAL <br /> PLUMBINa FEE <br /> NO. TYPE OF FIRTIIPE fEE NO. fYPE OF FOUIPMENT <br /> YlATER CLOSET�TOILE7) � L�7 AIR LOHD. UNITS-HP.EA. <br /> BATHTl1B �O DU REFPoGf-.RATION�NITS-N.P.EA. _ <br /> LAVATORY�WASM BASIN) • � � OOILERS-M.P.EA. _ <br /> SHOWER Z �S UD GPS FIREO AC.UNITS-TONNAGE EA _ <br /> KITCHEN SINK 6 DISP Z � OD FORCED AIR SYSTEMS-BT.U. M EA. <br /> OISMWASNER 'C __�� 0 WALLMEATERS-Bi.U_ M <br /> I LAUNDR�TfiAV '(� S � UNI1MEAlERS-B.T.0 M <br /> � L�OTHES W�SHER L S w EVAPORATNE COOLL'RS <br /> Q'! � CIOTNESORVERS 4•� t'D <br /> WnTER HEATER <br /> URINRL _ VENTILATION F�IN � .�— <br /> ORINKIA.G FOUNTAIN � RANGE HOOD 4•� � <br /> AIP HANOLING UNIT- C.F.M. <br /> FIOOR URAIN <br /> VALUUM 9REA�ECS STOVE — <br /> ROOF DRAINS-RAWLEAOER" __ METAL FIREPUCE6 CHIMNEV _ <br /> SINN�SEflVICE-BAR.ETC. WOODSTOVE/FIREPIACE WSFRT <br /> W l3 <br /> d SUB TUTAL s �- � <br /> SUB TOTAL 4� •g� <br /> PENMIT f PEHMIT f <br /> TOTALFEE f �O TOTALFEE x � <br /> THIS PORTION TO BE COMPLETED BY BUILDING D�PT. PERSONNEL <br /> run c��ECK rce <br /> fNOM5El0ACN PGRS'eT�AGe SIpESCTOACK // P��E� �BE�D/ � ✓1�� �(� qLCEIPINO. pQ ,/_/ <br /> 1 <br /> � ZQS �5/ :L. L FEE O `f 1' _ <br /> USEIJNE LOT�RE� y���ryiSR[ FEES V�LU�TtON FEE <br /> R_ /: , :-....•, ,��5 0�0 <br /> w �j -�j�' <br /> rvPCOfLON51 OCCU{P�ANGYGROUP N0.0'OW{LlIN6l1NIT5 �fy� <br /> �i�� I<�� I OUILOINO s � ' tJ�G <br /> 5¢E OF BIOG NO Of SiOP1E5 MA%.OLC.LO:.O — <br /> 3�I� /�• /� ^��� ' �. PLUn1BING �� �� <br /> � � N T <br /> MECIIANIChL �v <br /> FIRE SPPIIJKLERS REOUIRED ❑VES NO DiNER n <br /> r�n� P111C�//:c ' � , <br /> PEN�LTY Sf'9%� -S�C/ ' N- I . �v <br /> P J �5� <br /> ePPIIGAiIONfCCBY PUNSCHECNEOBY APPPfORI55UANCEBY — a <br /> TOT�L JI�'- <br /> �J� UT/f �� � 6� <br />