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'�,��PPLICATION f0� <br /> ^`°°�" CONSTRUCTION "``',�`" <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259-8745 TO BE COMPLETED IN INK- PLEASE PRINT <br /> ❑DEMOLITION .fl COMBINATION .�BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER M�IL��-O7P�E55 � CIIY IIP PIION� <br /> �=��' � 1, • i '�"�� , J\�-e.' � 11.'/ �hV�ll���1 +� �l ,j�-='�-I ��f � '�:.t . -� , �''j(.. � <br /> ♦PCNi�ECiOR0E51GNEN � M�IIAppRE55 LIIY 21P Pi�ONE <br /> G[NER�LLONfR��LOR M�ILAOOBE55 �IiV zIP PI�ONE / Li.ENSE• <br /> I / 1 7 Il <br /> �I � l��-�i1,7 �i � ( �� .. �,�! `c � ).'1��� . ;��,��j �/o� i`/..'.y' i �-%�i...r::�fC /�'�C' -. �. ` i `>ci.(;�•/ '� .i') ll•''t <br /> MtC�UMULCONIR�LIOq MAIL�OpRE55 . CI1V ZIP PIION[ Li 5lN�— <br /> GWMpINOCONIR�CtON M�R�ODRE55 UIV ZIP PIIOHE ��[try!{(• <br /> CL�550��'/ORK R� <br /> ❑ NEW ❑ AODITION .Q�ALTERATION ❑ REPAIR ❑ DEMOLITION k]I N'OODSTOVE/FRPL.INSEPT ❑ BUILOING RElOC�110N <br /> ��V 1W110NOfWORN�WSI0�MA1CRUl5PLU5L�BOR1 <br /> /� �� �. �� <br /> �OFSCPiB WORn <br /> 1 l <br /> 1 .�.� e �.1.... I � . � I.� -G1.1 [l.r:/•� � I - �C� �L <br /> USF000OILDING � ' <br /> I HEREBY CER IFY THAT I HAVE RFAD AND E%AMINED TIiIS AP• <br /> PLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT.ALL <br /> IEG�l�ESCBIPIIONOFPROPEAfY�S110WNBELO�VOR�iT1CNF0 RCOPIES� a. n pROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> � '�� OFWORKWILLBECOMPLETEOWITHWHETHERSPECIFIEDHERE• <br /> im�� � eioc '� �or �'��� �-� � � �'� - �' > IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SI�NRIUREOFCONIRRCTORORNUiNOP11E0�GENI D41EC/�. �� � <br /> /��•� / <br /> X ./�� <br /> _ ��,, ,, � :, _ <br /> PROIEGt�00RE55 �� I �PPLICANTSCI USI ESdLiCENSEN <br /> � �� � f�l.�( !� ��� ��(�'\ `-' ` ` <br /> VLUMBINO MECHqNICAL <br /> NO. TYPE OF FIXTURE FEE NO. TVPE OF EOUIPMENT FEE <br /> WATERCLOSET�IOILEI) AIRCOND. JNITS-II.P.EA. _ i _ <br /> BATHTUB REFRIGEHATION UNITS-H.P.EA. —� <br /> LAVATORVIWASH 6ASIN) BOILERS-H.P.EA. <br /> SHOWEP GAS FIpED AC.UNIiS-iONNAGE EA. <br /> _� KITCHEN SINK 8 OISP. s FORLED�IR SVSTEMS-B.t.U. M EA. <br /> DISIIWASMER WALLHEATERS-B.T.U. M <br /> LAUNORYTRAV UNITHEAiERS-B.T.U. M <br /> CLOTNES WASHER 'S EVAPORATIVECOOLERS <br /> CLOTMESDRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HO00 <br /> FLOOR Of7AIN AIR HANDLING UNIT- C.F.M. <br /> VACUUM BREANERS STOVE <br /> ROOF ORAINS-RAINLEAOERS METAL FlREPLACE 8 CHIMNEV <br /> SINK�SEHVICE-B�R,ETC. I WOOD TOVE/ IREPLA E INSERT �J <br /> n_ ..�\ L.i.'i �n _(1 J�J <br /> SUB TOTAL �`� SUB TOTRL S �,G_ �+ t�_ <br /> PERMIT ! ' ' O PENMIT 3 <br /> _ TOTAL FEE f TOTAL FEE 3 '/s_�_ <br /> THIS PORTION TO F3E COMPLETED BY BUILDING DEPT. PERSONNEL <br /> �IION�SEtO�CM /� pC�f15[I!1 CN SIp/E�.E O�CN PLAHCIIECKNUMOCII I��ANLNLCKf[E <br /> '�/� !���n �1� � �l�/� r[[ j � n` � '�Q_� <br /> USl ZONE L014f1E� � - ---- <br /> ������$11C FEES V�LU4TION fEE <br /> �� _ .�f I J �� �YES�H� - --- <br /> v i <br /> �vPLO(GONSI � 1 OCCU�AHCYGOOUP NO.OipWELIINGUNliS <br /> UN �'`� v I BUILDIN6 s 7� �J <br /> stt or oina �io ur s�oiaes u�z.oen io�o <br /> /v�� I PLUMBING ♦/,�� <br /> MECHANICAI 7 . �� � <br /> RHE SPRINKLER$REOUIRED ❑ VES ❑NO — —''"'J-- <br /> OTMER / J If <br /> PENALTV 1 (/ <br /> Vi'nCMiOHnCC9Y PLn�ISG�CCMCOBv �PPR.FORISSU�NCEBY — G��-/- ��=' <br /> � TOT�L <br /> �� �J <br />