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. �PPLICATION FO,_ ���.en <br /> ,".E'.`°`"" CONSTRUCTION O <br /> arr of <br /> everett PERMIT <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK• PLEASE PRINT <br /> zsy-a��+� <br /> O DEMOLITION ❑ COMBINATION �i BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> AIAII AOORESS � ��TM 21P CNON[ <br /> ow�,�a, — t' �-' � . S� ��rcx�� `���� 77/5z/� I <br /> ir��:ico �rlS . �U t� s ��c.,� <br /> � CI ZIP VIIONL <br /> ♦RCllrt CTORDCSIGMER � MAILAlORC55 �/ � J';! <br /> � /(�� /�J, y , Q � �y /,7� �� �!t(.�o �f�:37U • C�i::, l�lr.i 5 <br /> {i //i^ {i1r� K�r�-�/ . 0..�{�I� �C�}T � 'TM ' ZIP PIION[ I�f.V15[• <br /> GEM[R�„ja�M�N�CIOP [ M�ILAfOPE55 <br /> / �� 0 <br /> ^'(li)IGO /15T. CO ��.i5 �'� .�C .it %l il)diluJ �7.��'� �i�5�>� ii�, ':r .�.,-�,': � <br /> ruorv[ uccHSE• <br /> FI l ���UC L CONIN� lOfl � �� MAIL�OORl55 GIIY �P ' 'L/�C' , / . . ��":, <br /> Sf p � . . ,;�C ,t d ( /��:- <br /> � /•� , . i � _r.i�>, 'a,�/5 5�,rv c Ccl �i��.,;�,.cr( ��'r.3G 7 , .-, 1.., /.E. <br /> i�i� /�,.t;el r���l.;E'� r� <br /> MAIL/.ODBC55 CIjY ZIP PI O C ^ UCLIISC• <br /> r4u�inr/.curn croa� / A r <br /> ,l 1/ . L � � ;�. f:� t'� � ��I � �^� �.9/,(�( ���. Lu�Ji?c�'O.L'0 C�/��i�. ?��'"�� : �(r;:) /5.�/�..J <br /> Ud'://�.:i.�� 6��IoLr� I Li7. � �i,��� S/ I.f <br /> ClA55OF WOBN <br /> (� NEW ❑ ADDITION 0 ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ' tlUILDING FELOCATION <br /> V�U��liOl1 Of^NUPnICOSi Of MNEPi>LS PWS UOORI <br /> ��L' � �V (��) <br /> �ESWiOLWU . � <br /> /,`�`�� ���,.��;�. �e:; . <br /> USE OF BUi�iHG � ��1 I HEREBY CERT�FY THAT I HAV£ READ AND EXAtd�iJFD THIS AP• <br /> S���y�L fC[.l�•� PLICATIONANDKNOWTHESAMETOBETRU£ANGCORRECT.AIL <br /> ICG�IU[SWIPTIJNOFPPOPEfliY15�lOWNBELOWORATTALNf/OUNF/OP1E51 PHOVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE i <br /> --� ,>��.,'Ji/,CU�T�I�1 lI,Il3� OFWORKWILLBECOMPLETEDWI?HWHETHEfiSPECIFIEDNERE <br /> 101-B10CK��F IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> , . .-� � • GIVE AUTHORITY TO VIOLATE OR CANCEL THE FROVISIONS OF <br /> J.� �����Y��f.((y. ANYOTHERSTATEORLOCALLAWREGULA'fINGCONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRL'C?IGN. � F � <br /> SIGN U iC OF CON yRAGiG 9R RUTNOR12E0/GENT UA7E �� �/ <br /> X . ��� ��`�,r2� <br /> �PP If.ANTSCIiYBU5W�E155LIC[NSENO <br /> VPOJCGi AODNESS ` � -. / ��J���� <br /> -'�, �'la `�dL(.,�."'S PIv� �.,��`�. <br /> ✓ <br /> i ' _ <br /> MECHANICAL — <br /> PLUMBIN6 — FEE _ <br /> NO. TYPE OF FI%TURE FEE �y� NO TYPE OF EOUIPMENT <br /> WATERCLOSET�TOILE� I�J .y_ A�FCOND. UNITS—MP.EA <br /> �' REFRIGERATION UNITS—N P.EA _ <br /> BATfITUB <br /> OOILERS—H P.EA. <br /> yT LAVATORVIWA$MBASINI — -- <br /> � SHOWER GAS FIREO AC.UNITS—TONNAGE EA � <br /> � NITCHEN SINK 8 OISV. I FORCED AIR SYSTEMS-9 TL. M EA <br /> WALL HEATERS�-B.TL. M <br /> / OISHw�SHEfl UNITHEATERS—BT.LL M —_ -- <br /> I IAUNDRYTRAV —� — _ _ <br /> � ClDT11E5 WASI/ER EVAPORATIVE COOLERS � . <br /> CIOTHESDRY[PS — <br /> � WATF.R NEATER <br /> 11R1'+pL VENTILATION FAN <br /> ..RRINW6FOUNTAIN RANGEHOOD - � <br /> AIR HANOLINQ UNIT— C F.M. _ <br /> FLOOR�R�IN <br /> VACUUM BRE�KERS �• STOVE — <br /> POOF ORAINS—A��NIEADEPS _ METAL FIREPLACE 8 CMIMNEV _ <br /> SINNISERVICE—BAR.ETC. WOODSTOVE/FIREPLACE INSERT . —_ <br /> SUBTOTAL U` SUBTOTAL f S _ <br /> PEPMIT f �� PERMIT = <br /> TOTAL FEE s LJO TOTAL FEE f � <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> li[A05[10RCK SIOESETBACN PLANCNEGHNUMBFN PIANCHELNfEE <br /> 111011ISEi0�C,c ' � 3_ / C1� �� ��� fEE �� L�� ECEIPINO�� � A f <br /> / � / Q u <br /> � — <br /> US[ZONE lOTAOEA yAG�NT511E <br /> FEEB V1lU�TIOH FE <br /> ti'� S � Z17J � �es nr+o � G <br /> TYPEOfCONST OLCUPeN[YGPOUP NOOFUWELIINGUNITS <br /> g—N �1 — 3 � BUILDING t �,!' S SG <br /> �RE OL pIOG NO OF SIORIES MAX OGC LOAD q <br /> �� �� PLUMBINO {�Q UU <br /> MECHANICAL u�,/ <br /> FIFE SPRINK�ERS REOUIRED ❑ VES �(NO _ <br /> OTHER [� <br /> PEN�LTY <br /> �PPIICAl10NACCBY PL�NSCNELNEOBY APPRFOPi55U�NCEBY <br /> T0T11L <br /> MM �� �..,G • <br />