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r��Enrprsen `►�rPPLICATION FO��� �,-,�„ <br /> ����F CONSTRUCTION � <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> z59�f3�45 TO 8E COMPLETED IN INK• PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> Owutn / MaitnDoness cin' Zin v��a�E <br /> .• 1 � w <br /> "� � J ,..n, �/�' "c� �'c� .v-v�'�� ;�t • �'` L - 9�'zo3 % 5`U;,'C;/ <br /> ��nuu¢cronoesm�en ' uui�ooness an zir rrwnc <br /> -�� �)il;�'�� <br /> �C:e�+cueicovin+c n� Naneoon[ss em zir rnor+e ucu�se. <br /> ' .S�/7�� .. <br /> MLGIANIGICOMt1�PON MAILROOflLSS CIfV LIP PIIONC UCE85[• <br /> 1'WMpINfiCON�PRC�Of1 iA�II�DORC55 CIIY Z�P PIIDNE LICENSL• <br /> C1�550f WORe / <br /> 0'N[W � ADDITIOtJ ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRP�.INSERT ❑ BUIL�ING �7ELOCA710N <br /> vn�l�rlo�wonnlC^ost o�rdA1G��aL5PW5LA0onl <br /> /�� �C/ C� <br /> UI Sf,Rlp1 lY 111N <br /> �� � � <br /> � � Fi .. �, <br /> us�.or ouaowc <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMWED THIS AP� <br /> PLICATION AND KNOW THE SAME TO BE TRUEANDCORRECT.ALL <br /> u:caioesaurnor+orcnortmrs��owr+oe�owonnivarouncorics� PROVISIONSOFLAWSANDORDINANCF.SGOVERNINGTHIS7VPE <br /> OF WORK WILL BE COMPLETED WITH Wf1ETI1ER SPECIFIED HERE- <br /> ioi�o.oc�—or � IN OR NOT.TNE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER StATE OR LOCAL LAW REGULAlING CONSTRUCi:ON <br /> OR THE PERFORMANCE OF CONSiRUCiION. <br /> sicr+ vn ar coNrna ion nurr�omzco ncervr ontE <br /> , X �C�,v 23 ���� <br /> r�ao�ee�auoncss /1d,3 ^PP� ' �r u ssuccr�ser+o <br /> ��(� � <br /> i - � l� �/ <br /> P4UMBIN6 MECHIINICAL <br /> NO. TYPE OF FIXTURE FEE _ NO. TYPE OF EOUIPMENT FEE <br /> WATER LLOSET�TOILEI� /.�R COND.UNITS—H P.EA. <br /> OATNTUB FEFqIGERATION UNITS—H.P.EA. <br /> LAVATORVIH'ASH OASIN� OOILERS—H.P.EA. _ <br /> SIIOWER GAS FIpED AC.UNITS—TONNACE EA <br /> KIICHEN SINK 8 DISP. FORCEO AIR SVSIEMS-8 T.LL M EA. <br /> OISNWASNER WALINEAiERS—flT.U. M <br /> LAUNDRYI(iAY UNITHEATERS—B.T.U. M _ <br /> CLOIHES WASHER [VAPORAiNECOOLERS <br /> WAIERHEAtER CLOiHESDRYERS _ <br /> U171NAL VENTILATION FAN _ <br /> Uf�INNING FOl1NTAIN RnNGE NOOD <br /> ROOR DRAIN AIR HANDLING UNIT— QF.M. <br /> VACUUM OREANERS STOVE _ <br /> ROOF DRAINS—RAINL[AOERS �7[TAL FIREPLACE 8 CHIMNEY _ <br /> SINK�SERVICE—BAN,ETC) �YOODSTOVE/FIREPLALE INSERT <br /> SUBTOTAL SUBiOTAL S <br /> PEflMIT S PERMIT 3 _ <br /> TOTALFEE f TOTALFEE S <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONhEL <br /> I�WNISC104CN ��1n11iCI0�GN SIDESEIORGN �LANGHECNNUMOER ! PL�NCI�ECKfCG <br /> . � �l� , ��1� li� � O/_ /� ,�� rce ,7�1V n[c[irr rio �`�1.3��O <br /> – lU � <br /> 115(2DN[ LOf AIiG yq�qµ SIiE <br /> ,� _I ��ES�}�� FEES V�IU�TION fEE <br /> 1vv[OIfCON51 OCCUP�/NCVGROUP NOAPDWELLINOUNIIS <br /> l� •�) I '� ' �-� I BUILDINO f 2�' � • � �JU <br /> SqL Of B100 NO Of SfUlll[$ M�X OCC.LO�� <br /> C �;� � �f;� �.: PLUAIBI4G <br /> MECII�NICAL <br /> fIRE SPRINKLERS f7E0UIRED ❑YES ❑NO <br /> OTMER <br /> PENFLTY <br /> �I`P�JCA�IDNACC OY �'lAH5C116h[DBY �PPR fORI55UpNCEBV — <br /> TOiAI <br /> � /`� ' � ` L - �, <br /> �. <br />