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.. ., . . ,., .: .. . <br /> --._-._. :.,__.. ...._ .. . .. „ ,.� .e.,.., <br /> __. ,., <br /> rME�ro�� / • �PPLICATION FO�:� �veren <br /> °�TM°F CONSTRUCTION <br /> everett PERMIT e <br /> BUILDING DEPARTMENT <br /> 259•8745 TO BE COMPLETED IN INK- PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MAIL�DORESS CIiY ZiP PNONE <br /> W. R. ST(?UQLt lOOS� I�cACkE� EVERLTT 9P. 20/ Z52- 629 / <br /> AHGHITECTORDESIQNER MAILAO�PCSS CITY ZiP PNONE <br /> 5;1ML <br /> OENER�ICONTNACT09 MqLe00PE55 Cltt SIP P�IONE LIGENSE• <br /> SAM L <br /> MECHANIC�L LOHIRAGTOq MAIL�OORC55 CIfY ZIP PIION[ IICENSE• <br /> NONL <br /> PWMBINGCONiPSGiOH M��L�pDR[SS �I1Y ZiP pI�ONE IICENSE• <br /> NONL ' <br /> ClA55Of WORN <br /> � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR �I DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING FELOCATION <br /> VA�U�TION OF WOPN�COST OF M�TERUlS PLUS L�BORI <br /> �' 7900. <br /> DESCRiBE WONN <br /> REMOVL OLD 20'xZ0'GARAGC AND DUILD A NEW ?4`X24' CARAC,L <br /> USE OF BWLDING <br /> CARAGL AND STORAG L I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP• <br /> PLICATION AND KNOW THE SAMETO BETRUEANDCORRECT.ALL <br /> lE0�L0E5CNIP110NOFPFOPERTY�SNOWNBELOWOP�TTALNFOURCOPIE51 PROVISIONSOFLAWSANDORDINANCES60VERNINOTHISTVPE <br /> OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br /> �orL'S'��e�oc��or t 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 /> SIGNRTURE OF CONTPRCTOR OR FUTMORI2E0 AGENT D�TE <br /> X °�/. ,j?xZ�,�Q� 7•Z9•B7 <br /> PFOJECT�DORESS APPLICAHTS Cifv Bu5ME55 LICENSE NO <br /> '1005 RUCKC—tZ <br /> PLUMlINO MECHANICAL <br /> NO. TVPE OF FIXTURE FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR CONO. UNITS—N.P.EA. <br /> BATMTUB qEFRIGERATION UNITS—H P.EA. <br /> LAVATORV�WASH BASINI BOILERS—NP.EA. <br /> SHOWER GAS FIPED A G UNITS—TONNFGE EA <br /> � KITCHEN SINK d DISP. FORCE�AIR SYSTEMS—BS.U. M EA <br /> DISMW�SHER WALL NEATERS—B.T.U. M <br /> LAUNDflYTRAY UNIiHEATERS—B.T.U. M <br /> CLOTMES WASHER EVAPORFTIVE COOLERS <br /> _ WATER HEATER CIOTHES DRVERS <br /> URINAL VENTILA710N FAN <br /> ORINKING FOUNTAIN RAN�E 1100D <br /> FLOOR DRAIN RIR HANOLING UNIT— GFM. <br /> WCUUM BREAKERS STOVE <br /> FOOF DRAINS—RAINLEA�ERS METAL FIREPLACE b CMIIANEY <br /> SINK SERVICE—BAF ETC. \YOODSiOVEIFIHEPLACEINSERT <br /> SUBTOTAL SUB TOTAL S <br /> PERMIT i PERMIT i <br /> TOTAL FEE f T0TI1L FEE f <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> IqONTSEiBAGN NE�RSETB�LK SIOESET6�LN PLANCNECNN111.1[IEIi PLANLH[GNFEE <br /> � � a� � �� C "� 1�G/j � FEE �, RECEIPi NO D�� <br /> USE 20NE LOT�PEA v � �� '� <br /> h,—.� ��� ❑ES bl}!O iEES VALUATION FEE <br /> ttPE01 CONST OCCOP�NCYGROUP NO.OFpW[LlIN011N1T5 <br /> �� �� / �— BUILDINC 5 Z � <br /> SRE OF BLOO� NO OF STORIES M�X OCG.LOAD <br /> � � Z h/f� PlUM81NG <br /> ��O M� MECHr1NICAL <br /> FIFE SPRINKlERS RE�UIRED ❑VES NO <br /> OTNER <br /> PENAITY <br /> APPLIC�TIONALC OV PI�NSLIIECKEDBY �PPR �ORISSUANGEOV — <br /> ' VV` •• ' � L • G TOTAL <br />