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_ , <br /> i :;;`. <br /> ; �ME��m� `�APPLICATION F(�� everen <br /> � ��TM�F CONSTRUCTION 0 <br /> � everett PERMIT <br /> TO BE COMPLETED IN BLACK INK- PLEFSE PRIIJT <br /> BUILDING DEPT. <br /> 259•8745 ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> p�y MAILAODAE55 Cirv zir 1•�rOvf <br /> �u�e � • _ ,-P„�; u�a - ��,� �;�o �r�-s%r�j <br /> •RGN iOR0E5�GNER - MML�DOAE55 Urv b� �'��UNt <br /> i f n S$ �U� / JP S 4 rl o� c�a-7 �_i��P L SO,(J �U�'is��J���.j 3�S' ��C"TJ <br /> > G[NEP�LCONiR�GO� MuIAD [55 CI1V liP "�WNE UGN�S[� <br /> _ �ti��r?G <br /> Ati��w�so�✓ �U� �,�o � - 8=`� 17_�.1%.fc, rr-�� C��,a�l, 9�:��� 3�-,�� - <br /> MEGNANIGAICONTR�LTOfl M�IL�DDRESS ❑IY Si�� fl�nr!!. IICCNSE� <br /> VLUM91N6CO�IIPAQOR M�ILPDD�Ecs CnV :In I'nn41. lR.V6l• <br /> �f.L• Of WONN <br /> EW ❑ ADDITION I�ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ 1NOODSTOVElFRPLJNSERT ❑ BUIIDING RELOCATION <br /> � VA 110NOfWORNIGOSTOFM�iERIALSPWSLA�OR1 <br /> � � <br /> � DESGPiBEw N � O <br /> � �/i�.-/��4r�� ��• .0 �� � � <br /> use or ew�ou+c ^ I HEREBY CERTIFY iHAT I HAVE FEAD �ND EXAMIN6D THIS AP- � <br /> yyy --ly� �j,��. A_� PLICATIONANDKNOWTHESAMETOBEIRUE.INDCORRECT,ALL m <br /> � �ec� DESCRIPtiOHOFPROPERlY�SNOWN2ELOWORRTiAGNfOURGOPiE51 PROVISIONSOFLAWSANDORDINANCESGOVEHNINGTHISTYPE � <br /> �y��� �-/ %�o�` _ OFWORKWILLBECOMPLETEDWITHWHETfiC-RSPECIFIEDHERE- <br /> tot�e_e�oc�ov�d�L.�e/ INORNOT.THEGRAN?INGOFAPERMITDOESNOTPRESUMETO. ,� T <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> �O V� �p ,rf /�.rr� �/J ANYOTHERSTAT[ORLOCALLAWREGULATINGCONSTRUCTION '"" � <br /> OR THE PERFORMANCE OF CONSTI7UC110N. o m <br /> SiGNAiUREOFCONINAGIORORAUfH01i17C0AGEN1 DAIE m0 <br /> fD � <br /> � � <br /> im�`—' �- � �:, <br /> , PROJECi�DDRE55 APPUf.A ..Clt BUSiN[SSULENSENO 'i � <br /> ! `m <br /> � " <br /> — < .o z <br /> PLUMBING MECNANICAL _ __ ____ � <br /> NO. TYPE OF FI%TUPE FEE NO, iYPE OF EOUIPMENT __ _ FEE �� <br /> � WATER CLOSET�TOILEn AIR COND. UNIiS-11 P [A. __ __ � N <br /> � AAtHTUB — <br /> HEfRIGLRA710N UNITS-11 P_[A _ O A <br /> ± LAVATORV(WASH BASIN) �OIlERS-HP.[A. _ � y <br /> � SHOWER — GAS�IRGD AG.UNIfS-TONNAGE EA.— --- — �m <br /> NIiCHEN SINN 8�ISP. iORCCD AIR S�S7LM5-O.T.0 M@A = <br /> m � <br /> �ISNWASMER WALLHEA7CR5—D.TU. M � <br /> IAUNORVTRAY UNIT HEAlERS—U.TA. M O r <br /> - n m <br /> � CLOTNES WASHER EVnPOAATIVFGOOLERS — C N <br /> WATEF MEATER LIOiHESDNY[RS fn <br /> � UR�NAL Vf:NTILATION FAN �r <br /> �RINKING FOUNTAIN _ RANGE HOOD __ — � m <br /> n <br /> FIOOR ORAIN AIR HANDUNC UNIT— CF.M. ___ '� <br /> VALUUM BREANERS S70VE _ <br /> � ROOf�RAINS—AAINLEA�ERS METAL 1_INEPLPC[8 C��IMNEY _ � <br /> SINK SERVIGE—BAR,ETC. WOODSTOVE/FIREPLACE INSERi <br /> � — — — � <br /> ._-� <br /> N <br /> � — _— O <br /> SUB TOT�L SUB TOiAL t <br /> .-�. <br /> PERMIT s fTl <br /> PERMIT 6 --- <br /> • __ —"—"_-- _—_—__ <br /> � TOTALFEE S TOTALFEE ____S ____ <br /> � THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> iRONiSEtB�CN AERRSEiBALM S��ESEIBACN PlFN6���C HUMIiE�1 PIANf,uFCkllC <br /> ` � ' 33 ncr.cir r�o <br /> r n' <br /> s6=c� /Z�Z c���` ��yv ��- �2 -- -�1531� <br /> ' u5E20NE IOT�R[� y�UNiSRE V�LUAl10N fEE _ <br /> �/ ��`Z ,5�. ❑�ES NO F[[5 <br /> � �' S 5'-1.3 ` k - <br /> ttPE OF CONST OCGUP�NCY GPOUP NO Of DWELUNG UNI15 <br /> T� -r/ �M-/ � e���o���, s <br /> � sRE or eloa �/ '/ No oF AioR�ES MnR.acc.Lo�o <br /> �l� x S'��/' / N PLUM�ING <br /> W <br /> 1 IdCGII!NICRL <br /> FIPE SPRINNLERS REOUIRED O VES <br /> on�En <br /> rn+nu r <br /> nP�LICAl10N�GC.BY PUNSCNECnEO BV Av�R iGR ISSUANCL Itr --- --— � <br /> TOTAL <br /> __--'---__—.__—__._. —. . ____.._- _ _'—__ <br /> JE� —, __— /, ;-, , ,r.r <br /> i , � �i . , �. G�� ��. „_ <br /> i <br /> I <br /> � <br />