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. .PPLICATION FQi_ ��«<n <br /> �^'E"`°'"" CONSTRUCTION O <br /> Cltt OF <br /> everett PERMIT <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK- PLEASE PRINT <br /> 259•8745 <br /> ❑ DEMOLITION ❑COMBINATION ❑ BUILDING O MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNEP . M�il�0URE55 Cltt / ZiP ` PUONE <br /> � . ,'i ( i= / , - Z�z-- `/7'z3 <br /> " - Meaeooeess cm zir r��or�e <br /> �n nrtecionoc iGN[P /� <br /> � II'-��� 1�v���hlF � c��/ 4� . G�'r'/"� �"L`iC� L�X�f-S�c�c <br /> � � /��'�'��1,�-�� <br /> Meu�non[ss utt zir v��or¢ �.ic[rvsc. <br /> c Ncn. coNin.cwn � G '� ' C �I + <br /> .y� / "� <br /> MkL IANIUI.LONIPA TOq <br /> M�il�D�RE55 cm ziv m�orrc ucu�s� . <br /> PlUMB�NG GONIN�GIUR <br /> MAILAD��ESS GIiY T�P PIIONE l�C[NSE• <br /> CU55Oi WOPR <br /> �{` ��Eyy ❑ ADOIiION ❑ ALTEFiATION ❑ REPAIR ❑ OEMOLITION ❑ WOODSTOVE/FRPL.INSERT 6UILDING REIOCATION_ <br /> J' <br /> YAW�I:ONOF WONKICOSiOIMA1EFul5PWSl�UOPI <br /> �O r�,, 2> <br /> ocscaroewoxrc . • <br /> n ' . )C. )R_� Or '�i/ti ".CE C � ��t �C'r <br /> usroFew�oi ' I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> ` PLICATION AND KNOW THE SAME T08E TRUEAND CORRECT.�LL <br /> l[G�lDESLRIP110NOFPPUPERIY/,I$IIOWN�ELOWORAIT�CNF011flG/OPIE51 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> KCFV «/C..�TN f-t7LC OFWORKWILLBECOMPLETEDWITHVJHETHERSPECIFIEDHERE <br /> ��i�eioc�—or_, IN OR NOT.THE GRANTING OF A PERMI i DOES NOT PRESUME TO <br /> GIVE AUTFiORITY TO VIOLATE UR CANCEL THE PROVISIONS OF <br /> ANYOTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTfiUCTION. <br /> SIGNR70REOFCONiRACTOR011 IIORIZGOAGEIIT DATE <br /> X r �� /Lt—��7 <br /> APPLICA iSGITYB i1NL55lCEi EIIO ' � <br /> PROIECI��DRE55 ,y <br /> I'� `�j 111�LC-�G�f-� �, f-aV� <br /> MECHIINICAL <br /> PLUMBIN� 7yPE OF EOUIPMENT FEE <br /> NO. TYPE OF FI%TURE FEE _ ���• <br /> .'�j WATER CLOSET TOILEA � AIR COND. UNITS-M P.EA. <br /> � BATMTUB ��Q� REFRIGERATION UNITS-HP. EA. _- <br /> � LAWTORV W15H BASIN� L BOILERS-HP.EA. — <br /> SNOWEq _ GAS FIRED AC. UNITS-TONNAGE EA � <br /> :lITCHEN SINK 6 DISP. OD _ FORCED AIR SVSTEMS-B.T.U. M EA. __ <br /> � OISHWASHER C� WAIL MEATERS-B.T.II. M _-- <br /> � L/.UNDRYTRAY SC`X_J UNITHEATERS-BT.0 M . _._- <br /> CIOTMES WASMER __ _� U EVAPORATNECOOLERS � <br /> WATER NEATER I CIOTHES�RYERS __f 8� <br /> UfilN�l VENTILATIJN FAN <br /> ORINKING FOUNTAIN _ I RANGE HOOD ---�— <br /> — FIH NANDLING UNIT- C F M. _ <br /> fLOOR DRAIN -- <br /> VACUUM BREAKERS STOVE -- <br /> FOOF OR�INS-i7A1NLEA0ERS METAL FlREPLACE 6 CHIMNEY _ <br /> SINK SERVICE-6AR,ETC WOODSTOVE/FlF'pLqLEINSEFT __ <br /> / V-I A "[�� �O s�_ <br /> SUB TOTAL SUB TOTAL f _y:_ ?`! <br /> PERMIT t PEPMIT � <br /> TOTALFEE 5 TOTALFEE S _ � <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> iRONfSEfB�CN AEIN5EI8ACN SIOESEi9ALK PLANCNGCNNUMBtq PUNCN[CnfCE <br /> , �v�, � .�,� �5 ,� �. s� 8� l� r (� .EE 35�% AE�E,P,,,o ��_7�s <br /> 5 5 f v',u <br /> USEZONE (� LOT�NE� yACANTSRE FEES V�LU�TION rEE <br /> ��J ia,.sa-� ES OIIO <br /> tYPCOPC�T OCLUP��NjLYGROUP NDUFOW�LLINGUNIiS ��)� <br /> � /� � ' BUILOINO � �J <br /> S�IE OF 0��a NO Oi STOfUES M�x OCG LO�� ��y� �e�� <br /> a 6��i /V PLUMB�NO «.p W <br /> MEGMANICPL -C�J <br /> FIRE SPRINKLERS REOIIIRED ❑VES NO � <br /> OTNEA <br /> PENaLTY �� � <br /> ♦PPIIGiION�CC DY PLANSCIIECREDBY �PPO FG8ISSUANCEBY �� � <br /> IU�/YI . �� � . G ,aT.� —. <br />