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�IC,ATION FO.. ' �� <br /> �:«"" CONSTRUCTION <br /> everett PERMIT <br /> BUILDINC3 DEPARTMENT TO BE COMPLETED IN INK• PLEASE PRINT <br /> 259•8�45 <br /> ❑DEMOLITION O COMBINATION ❑ BUILDIN6 �MECHANICAL ❑ PlUM81N6 ❑SION <br /> M�IL�ODREE! M O E <br /> ���a�c� ������,� r� ��X�,��1�e,� � �� �car(�1" :o -�o Z �S+3i <br /> •RLMIIECi OR OESIONEN M�IL�DDRE84 <br /> MML�DDNEB! � ) _1� C�TY / I�P PNOME 4CEwlE• <br /> OE�FAµCONT��CTO I � ��� I `.C/l' J G`I�I�I�I1�(�Gy1.J�.` • / I <br /> � � 1 . �-:�,�f�11 �o.�� �,a7<<�6-t������ <br /> 11.3�L� """� iU00REl9 Clfv 1 P P O E IiCEMlE <br /> �ECH�NIG\L ONTRI1CfOR <br /> •WMliNl1 CONiP�C�ON <br /> MML�OORE!! CITY 21P PI�ONE IICENSE• <br /> Cl�!!Cf WOR• <br /> � N ry� �ADD:TION ❑ ALTERRTION ❑ REPAIR ❑ DEMOLItION ❑ WOODSTO�E/FRPL.INSERT BUILDINO AELOC�TION <br /> viu•noh or wo R n or u.�Enu�e 1yun.�om `1 `�41 i t�I� <br /> •��l<.-� � ` �r i �lt ��.Du ) iJr�� i-lri� 1.1�'1-�(L <br /> otecnis[wonK " <br /> use or em�o��a � I HEREBY CERTIFV THAT 1 HAVE READ AND EXAMINED THIS AP• <br /> PLICATION AND KNOW TH E SAME TO BE TRUE AND CORRECT.ALL <br /> LCOI1lOElCA�PIiONOfPROPENtY1SNOWM6ELOWOR�T1�CNfOURGOPIES� OFWORKWILOLBECOMPLE EDDWITHW ETHERSPECIFEDHERE• <br /> ia�_si��_oF IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESI'ME TO <br /> ANYOTHERSTIATEORLOCALLAWREOULA INOCONSTRUCTION <br /> OR THE PERF R ANCE OF CONSTRUCTION. <br /> SION�TUFE O ONIR CTO �O{i AUt RI D AGENT O�TE <br /> J c� <br /> �FPUG� SWTY USMk55UGEN5EN . <br /> PROJECT�DORE55 <br /> �" — � 1 J ` MECN�NICIIL <br /> PLUMlINO npE OF EOUIVMENT FEE <br /> NO. TYVE OF FIlITU11E FEE NO. <br /> AIR LOND.UNITS—H.P.EA. <br /> WAiER CLOSET�TOII ET) <br /> REFRiGER�iION UNITS—H.P.E�. <br /> BATHTUB � <br /> UVATORY�WASNBASIN� _ BOILERS—H.P.E�. — <br /> OAS FIRED AC.UNITS—TONN�GE EA. <br /> 6HOWER <br /> KITCMEN SINK 6 DISP. FORCF.D AIR 9VSTEMS—B.i.U. M EA. <br /> — W�LL NEATERS—B.T.U. M <br /> DISHW�SNER <br /> UNITMEATERS—B.1.U. M <br /> L�UNDRYTRAV <br /> EVRPOR�TIVE COOLERS <br /> CLOTNES WASHER CLOI IES DFVERS <br /> W�TER NEAiEii <br /> VENTILQION F�N <br /> URINAL <br /> RANGEHO00 <br /> OAINNINO FOUNTAIN <br /> AIR HANDLINO UNIT— GF.M. <br /> FLOOR ORIIIN STOVE <br /> V�CUUM BREANERS <br /> POOF ORAINS—FAINLEAOEFS <br /> METAL FIREPL�CE 8 CHIMNEV — <br /> SINK SERVICE—BAR.E?C. W OD 1 VE/ EP A�E�NSEtiT <br /> , <br /> _ � <br /> � BUBTOTAL � <br /> 5UlTOTAI _ p <br /> PERMIT t VERMIT <br /> TOTIILFEE � <br /> TOT�LFEF. � <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> PUN C4ECN NUMBEB fL�N CHEGK iEE <br /> FRONISETB�GM RE�RSEIO�CN 8�DE9ET8�C1( RECEIPTNO <br /> fEE <br /> USEZONE ����AE� V�LANT9ITE FEEb V�W�TION FEF <br /> ares owo <br /> TVPEOfCONST OGCOP�NGYGPOUP NO.OFOWELlINOUNIT9 <br /> ' BUILDINQ s <br /> SIIE Of BIDG NDAF SLOA�E$ M�Y OCG LO�U <br /> PI.UMBIN� <br /> MECN�NICAL �' S <br /> FIRE SPRINKLERS RE�UIRED ❑YES ❑NO OTHER <br /> PENALTY <br /> �PFLIC�IION�CC BY PL�NSCNECNEDBY �PPR.i0RIS5U�NCEBY �1 � <br /> � TOUL <br />