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�`� "'" CONSYRUCTION� ere.�, <br /> everett PERMIT 0 <br /> TO BE COMPLETED IN BLACK INK— PLEASE PRINT <br /> BUILDING DEPT. <br /> 259•8745 ❑ COMBINATION ❑ BUILDINf3 ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNCII C . ` �MML�ODRE53 LITY ZIp PIIONE <br /> ��. �'��i ai_'�,�ti1��i.u�i:i: (r1."11=�c �, huc�.cP. kvc�"c;-r `tY, zol ?,3`I -Z4(,4- <br /> MLN�IEGfOliOES�ONER M��I��DRE59 Clrv ilP PHONE <br /> GENEReLGONIHeCIOR M�IL�DDRE55 CI1Y ZiP T�ONE LICENSE• <br /> c ;� :� � i <br /> MECH�NIULfCONiRACTOq M�IL�OpRE54 tIIY ilP PIIOHE LICENSE• <br /> CLUMBINpGONtPA�tOR M�ILAppRE95 CO" 21P pNONE LICEHSE� <br /> GL�SSOI WORN �,{ <br /> ❑ NEW ❑ ADDITION 1:]� ALTERAT�ON ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br /> V�IWtION Of W011K�WSI OF M�1ERUL5 PLUS I.ABOR� <br /> C� <br /> '���.ip� <br /> otscniee wonrc p <br /> ( 't•,�'S'II�Jc i -`��u�-�Ac:�r /vf��c/l I �l F -S t�LoOl�� l>�ScWI��Jl /� 1'� /t , <br /> usE or aunoiHo <br /> c'��,,�,'�,�i L I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> PLICATION AND KNOW THE SAME TO BE TRUL AND CORRECT.ALL <br /> IEO�tDESCR�PI�ONOFPROPERfvISNOWNBEIOWOR�TT�CNiOURGOFIES� pqpVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> OF WORK WILL BECOMPLETE�WITH WhiETHEq SPECIFIED HERE- <br /> io�_eiocK—or IN OR NOT.THE GRANTING OFA PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TdVIOLATE OR CANCEL THE PROVISIONS 0� <br /> ANYOTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE�RFORMAyCE OF CONSTRUCT�ON. <br /> SIONRi OFCONTRR �6R RUTIIORI�UAGENI OAIE <br /> X i � , >�r /'�G" <br /> ;;cC(� �//'�C L C:�ti <br /> PROJEC1e0�f1E55 �P ICANiSCIiY�U5�NE55LICEN5EN0. <br /> ����� 1� Ic 'J-- �ll�.��l_ ��. V l� <br /> PLUMBINO MECHIINICAL <br /> NO. TYVE OF FIXTUPE FEE NO. TVPE OF EOUIPMENT FEE <br /> WATERLLOSET�TOILEn AIRCOND.UNITS—H.P.EA. <br /> BATHTUB qEFRIGERATION UNITS—N.P.EA. <br /> LAVATORYIWASH BASIIr� BOILERS—N.P.EA. <br /> SHOWER Gn'FIRED AC.UNITS—TONNAGE EA <br /> NIiCHEN SINH 8 DISP. FORCEI:AIR SYSTEMS—B.T.U. M EA. <br /> DISNWASHER WALL HEATERS—B.T.U. M <br /> LAUNDRV TRAY UNIT HEATERS—B.T.U. M <br /> CLOTHES WASNER EVAPORATIVE COOLERS <br /> WATER HEATEfl CIOTHES OHYERS <br /> URINAL VENTILATION FAN <br /> DRINNING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN q�p�{ANOLING UNIT— QF.M. <br /> VACUUM BREAKERS STOV[ <br /> ROOF ORAINS—RAINLEFDEi7S METAL FIREPLACE 8 CHIMNEV <br /> SINK SERVICE—BAR,ETC. N'OODSTOVE/FIREPLACE INSEFT <br /> SUBTOTAL SUBTOTAL 3 <br /> PEPMIi 3 PERMIT f <br /> TOTALFEE t TOTAIFEE f <br /> THIS PORTION TO BE COMPLETED BY SUILDING DEPT. PERSONNEL <br /> IPONf5Ef0�CN fitn115ElU�GN SIDESETORCR PLANGNECNN MBER �UNCIIECK�EE <br /> ^_. ►.�.� ��� l a� �/ � �c[/� ay_� ncc,�ool <br /> USEIONE �OfAO[A. 1 y�CANt511E <br /> G� I I�.R OYES`xM0 FEES WLU�TION iEE _ <br /> iYi'FO�CONSi. OCCUPANCVG110UP NO.OFOWElLINOUNlt9 <br /> �' I�2 �J�'L.• � evaoiNc :/Sf•L7, .� S GCi <br /> S12E Of pLUO NC.OF SIOR�ES MAK OCC LO�D <br /> (�Z I �—� PWMBING <br /> MECHANICAL <br /> FIRE SPRINKLERS REOUIRED ❑YES NO — <br /> OTHEN <br /> PENALTY <br /> �PPLICAf10NACL0Y PLANSGIIEGNEDBY �PPRFORISSUANGEOY ^'' <br /> TOT�I L S W <br /> �.S`7� �E,�' L • C. <br />