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._.PPLICATION f0��� ���.�„ <br /> «a'""""' CONSTRUCTION � <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259�8745 TO BE COMPLETED IN INK- PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION ef BUILDING ❑ MECHANtCAL ❑ PLUMBING ❑SIGN ` <br /> JWNLR � / MMI�ODREeg rGIY 21P PNON CKAtIES I�AGG2M M� <br /> � INlN �LIIKE I7!F�( i�1,.rC, u'�ZO cw. RLvo FVE2ET7— 98�.3 �SG - `�/Co/ <br /> ��I6111�IGIURU151CHER \41LLOURf55 LItY 21{' �IIONC <br /> � l..�K-E -��qn�'- �ivCriN�_e2rnl4 �0�Q1f- L+7V9U �BZoiP %owNL.:..511eILln <br /> 4L1jLH�LCON�A�C�OR MAIL�D� E55 GI1V „ ZIP PIIONf � LICLNSE• <br /> / � d �otiµrz� �mmER[1qL �el,�r��t-5, 1�rc �0. �iveGvoB �NNwa�n SCo34{778-2zYo�— <br /> MI.GI�NiC4 CON1PALtOq A'NL��ORE55 GtV LIP MIOHC � LIC[Y51"• <br /> i`IUM91N�iCONIB�LIOR MAIL�O�RESS G11V 2�F PHONI UCCNSt • <br /> G(�550� WORN <br /> �� NEW ❑ AOOITION ❑ AITERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOIE/FRPL.INSERT ❑ BUILDING RELfiCPtION_ <br /> v1l�u uuN nr wonn�CoSt or uA�UuetS rW5 UooR� <br /> •o <br /> Srn 000 <br /> III SCRitlL WOIIM <br /> ( /1 <br /> �O/x J ll Il� <br /> usi or emimrvc � I HEREBY CERTIFY THAi I HAVE READ AND EXAMINED THIS AP• <br /> CNFm�cA� J'o2i��t PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.AIL <br /> IfM1M �[SC���fiONOfPROPER�V15110WN[1[LOWOR�IT�LNiOURCOPIE51 pqQVISIONSOFIAWSANDORDINANCESGOVERNINGTHISTVPE <br /> OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br /> i��i_oioc�_or IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOIATE OR CANCEL THE PROVISIONS OF <br /> ANYOTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNRIU/OF NiRPCTOR OR RUi110R�FC�[NT• pRiE <br /> � <br /> � q L�o � r2�7T i8 L�3 X `� /lG'I.G7O G�� /�� <br /> I+HOJlP�ODRC55 ��PL FNTSCIIYBUSINESSLIGENS[NO <br /> PLUMBINO MECHANICIIL <br /> N0. TVOE OF FIKTURE FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TO�LED AIRCONO. :�NITS–H.P.EA _� <br /> BAiHTUB REFHIGERATION UNITS–H.P.EA. _.__ <br /> :AVATORY�WASNB�SIN� �OILERS–H.P.EA. ___ ___ <br /> SNOWER CaAS FIRED AC. UNITS–TONNAGE EA __ <br /> IUTCHEN SINK 6 DISP FOFCED AIR SVSTEMS–B.T.U. M EA. _ ___ <br /> OISHWASIIER WALLNEATERS–B.T.U. M <br /> LAUNDRV iRAV UNIT HEAiERS–B.T.U. M _, <br /> CLOIHES WASHER EVAPORATIVE COOLERS_ ___ ___ <br /> WaTER1/EATEH CLOTHESORYERS _— <br /> UAINAL VENTILATION FqN ._ <br /> DRINNING POUNTAIN RANGE HOOD _ _— <br /> fLOOHDRAIN AIRHANOLINGUNIT– CF.M. ___ _____ <br /> VnCUUM BREA�<ERS STOVE -- <br /> ROOF DR�INS–RAINLEAUERS MEiAI FIREPLACE 8 CHIMNEV __ __ <br /> SINK�SERVICE–BA�,ETC WOODSTOVE/FIREPUCE INSERT ._ __-_ <br /> SUB TOTAL SUB TOTRI _ S _ ___ <br /> PERMIT f PERMIT f ___ ___ <br /> TOiALFEE i TOTALFEE f __ _ _____ <br /> THIS PORTION TO BE COMPLETED BY BUlLDING DEPT. PERSONNEL <br /> ��IUNISIIf1�CK i�U�5N0ACN SIDESEfB�CK PL�NCHECeNUMB[N 1'UNG��ELhfE! <br /> N.� • 'C) � � r[c ` n[cum rvar7_�J�./– <br /> U511UNt tOlnli[� y�C�j�T51fE FEES V�W�TION FEE <br /> n/I'/ y�� YMES ONO <br /> /1( ry <br /> �V19 OI f011tl OLCUi'ANCYGf100P NO.OFDWELI�NObNItS __ �/��_ _.__ <br /> ��N !�l�� � auaowc s '��OjQ:�• �Fil-! �� <br /> tiVl O� 111 O' (� NO O� SIOPIES MRR OGG lOAO I <br /> 1��OS/ � P1U1.161NG _—_ <br /> MEGIIRNICAL <br /> nRH SPidHKLERS F7EOUIRED YES <br /> OTNER _ <br /> PENALTY --��_'"�- <br /> qPl•IiCAIiON� Ov �'LFNSCNLGNEUBY APPR fORI55UANCEBY <br /> ^^ ✓E� G -c . .oT�� -- <br /> �"'' �p�'c� P�2� �i� l�/�y f'�� <br /> 1z�'� �oe. ���4 � I�t�t s . <br />