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'�PPLICATION FO�K e��,�„ <br /> '"""'°'"° CONSTRUCTION O <br /> an ov <br /> everett PERMIT <br /> ( TO BE COMPLETED IN BLACK INK— PLEASE PRINT <br /> BUILDING DEPT. <br /> 259•8745 ❑ COMBINATION �� BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> owH'cfu " / M<�uooi�rs. urv z�r mwr+[ <br /> /I Gt'�/1�F' L � /1 -2 � � ll L� [iL � �� L� �� �" ]�,f/'l�Ct� <' <br /> +n � ��CIORDE51pNEH MPi��00RC55 CIIY IIP IIIONC <br /> GCNEPI�kCON sGION /� � Ma11.�00R[$ � , fliV � LP ^^ CIIpN! llC[NSFI <br /> ��� � ��� .�� � ����=f�„-/,� r/��/ �P�-� i�-zs� 3:3-11xr ss�u.�p <br /> NECN�iuG�ICONiP�GIOq M�i��DOHE55 CIIY lu PUONE ICERF. �p(�/� <br /> ^WM0INOCONiRACiO� M�IL��U��[55 C�IY 2iP PROH[ l�C(N>C• <br /> CL�55 0�WOPM <br /> ❑ NEW ❑ ADDI710N �I ALTEPATION ❑ PEPAIR ❑ DEMOLI110N ❑ WOODSTOVEiFRPLJNSER� ❑ �UIWING F7ELOCATION <br /> J�WAiIONUFWONKIGOSIOfMAfCR145�LUSl�PORI . ,`� <br /> 1 �J ,/ �r // / � _ 1 <br /> . ✓L-rtt-.n�L,,...�i�, �V�t � �f U /il.�lf(/ 'f llLY' ( �{ '�'.--.-:.. �li--. C��.. . �C[."I. ��' <br /> � yorscnmewon'K .g / � �--� ' ;o U S,YS.G. <br /> ��-4_.L / <br /> �use o�ewio�Na <br /> I HEREBY CERTIFV THAT I H�VF READ AND EXAMINEO THIS AP� <br /> PLICATIO��AND KNOW iHE SAME TO�8 TRUE AND CORRECT.ALL <br /> �ccn�oescnivnor+orvaovenrrisrowNec�owoa•ri.curour�co���ea PROVISIONSOFLAWS�NDORDINANCESGOV[RNINGTHISiYPE <br /> OF WORK WILL BE COM1IPLETED WITH WHETfiEli SP[CIFIED HERE- <br /> io*—e�ocK—or IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PR[SUME TO <br /> GIVE AUTHORITY 10 VIOLATE OR CAIJCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOC�L LAW i7EGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSiRUCTION. <br /> SIGNAIU OfGONiRACtO�OR IIIOR12[�AGC11t U>lC <br /> X �C c�--� <br /> j � ..e � � E> . N' ' �w�a <br /> � � OJEG1e0DPE55 APPLiG�NiSCIlY9U51NC55UCCN5EN0 <br /> / ,'�, "� <br /> PLUMBING _ MECNIINICAL ________ _____ <br /> NO. TYPE OF FI%TUHE F[E N0. TYPE OF EOUIPMENT ___ FEE _ <br /> Y:AiER ClOSET�TOILEA AIR COND UNITS-11 P EA <br /> �A7MiUP H[I PIGLRA710��VNITS-HP.ER ___ <br /> LAVAiONY�WR5H6ASIN� _ OOILEHS-H.P.EA. ___ <br /> _J__ $MOWER _ Gn=PIRf:O A C.UNI75=70NNAGE EA. <br /> ft1TGNEN$INKB OISP. _ �OfiGED AIR SYS7EMS_B.T.0 M EA. _ Z <br /> CISMWASHER WALL N[NCRS-P T.U_M _ � <br /> —�� IAVNDRVTRAV _ UNI7NEAlERS_UlU Id___ __ ' f, <br /> CLOTHESWASNER EVAPORAI�V[COOLERS _ ___ �: <br /> WATEN HEATER CLOTHLSDRYFNS_ ._ <br /> URINAL VEN7ILATION F?N _ _ <br /> DHIfJNING fOUNTAIN F�NGE HOOU ____ <br /> FLOOR DRAIN FIR MANDUNG UNIT- QF.h7. ___ ._ <br /> H F- <br /> V�CUUTA ORE�KERS STpVL __ �-3 " <br /> POOP DRAINS--RFINLEAOERS _ 61ET�L f"IREPLAC[8 C1111ANBY '..� � <br /> SINK�SERVICE-t1AR,ETC. WOODS70VE/FlHEPLACE IIJSEP� _ N <br /> - — — oFr <br /> � ��� � � ` <br /> _. — — � � <br /> �SUOTOTAL _ _SUBTOTAL _ _ 3 _. . . <br /> PENMIT S PERMIT '___"'_ S _ ._ �- <br /> _ TOTRIFEE S1 __ _ TOTALFEE___.__S_ -. . � ` <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL � � <br /> � ` <br /> ni0Ni5CiB�Ce AE�RSEtB�CN S�OCS[1PALN �'�������«KNUTAbfn �'�^°11O''"«< Q c <br /> r[[ raLcfinlNo '"+7 � <br /> I USEZONE LOtPREA — — ��- "-� � `�. <br /> Wf:/.If Slif. F[E9 V�LU�TION FEE <br /> ❑�FS IJNO �y <br /> '+P{lp�CONSi p[GUPANC�Gi10VP NUU�OWCIIINGUNi15 I__ x � <br /> nuaou+o <br /> = 1 � I <br /> ,�ze ur ei.n, r�o or sronits �a+r �cc iono F,�i � <br /> PIUMBING y ', <br /> M[GIIANICAL i : <br /> FIPE SPRINKLERS REOUIRED ❑YES ❑ NO <br /> on�en <br /> PENALTY <br /> �PPLIC>IION�CG �Y fUNSCMEGhCOBV 4�'�'�� ��A�SS��NCEAY <br /> TOTAL <br />