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-=�_=��=_- '-=- <br /> �:�,:.� -- _- __ - <br /> fbe Evarpreen ��'P L 1 C A T I O �? �O �-� eYPfPfl <br /> ����F CONSTRUCTION e <br /> everett PERN9 ;T <br /> TO BE COMPLETED IN BLACK INK– PLEASE PRINT <br /> BUILDING DEPT. <br /> 259•8745 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBIPIG ❑ SIGN <br /> � en Mni�nooness arv ri� vnor�t <br /> ��" sc�'�- 4�b� �� 98"zo1 z��-���� <br /> ' zpC �ECtO pFSi NER M.��La0�RE55 ���' 1iP P�bNE <br /> �y w. Gr ,a �'�, � .��✓ �i — s: .,C._,�a-1-pz�/q <br /> �P1 RAICONTRAGIOR IfFL DORE55 (:Itt DP PNCVF LIGENSE/ <br /> o r3 drs 7s:�f C/�a.v, .- t�r: � d�� •1�7� <br /> MEGIIPNICAL GONTRr1CTOfl IAAIL AOOPESS CITY 21P PIIONE LICENSE• <br /> v f'�IGCONiRAGiG� MNILADpRE55 CITY ZIP FNONE LILENSE• <br /> � ,� � �169 <br /> CUSSOf wOFe <br /> ❑ NEW �ADDITION ❑ ALTEFATION ❑ REPAIR ❑ DE�/OLITION ❑ WOODS?OVE/FRPLINSERT ❑ BUILDII�G NeIOCl+IION <br /> VA�U�LIONOf YD KICOSIOFMALERUy�Sf ySIAB 1 <br /> /�D�r��da - <br /> OESy�lif.w0y� � <br /> iYd�ho.v �o t rt�/•�i .�e�ye - 13�r� �C�b/� ��r t <br /> usc�ypiii�o�r�c <br /> / � I HEREBY CERTIPY THAT I FIAVE READ AND EXAMW[7 THIS P.P� <br /> v�Y`./r'JL PLICATIONANDI:NOWTHESAMETOBETRUEANDCORRECT.ALL <br /> LEWL�[SCPoPii NOFFROPEPiV�SHOWNOCIOWORATlALNFOUPCOPIESI PRO\'ISIONSOFLAWSFNDORDINANCESGOVERNINGTHISTYPE <br /> OF WORK WILL�E COMPLETED WITH WHETHER SPEC�FIED FIERE- <br /> LOt_BLOC�OF IN OR NOT.THE GRANTING OF A PERMIT DOES NOT FRESUME TO <br /> GIVE AUTHORI7Y TO VIJLATE Ofl CANCEI THE PR�JVISIONS OF <br /> ANY OTIIER STATE OR LOCAL LAW REGULATING CJNSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCiION. <br /> smNAiu o� onTnn � onnun�o� onc�m onre <br /> X _y��� ��� �'��I` <br /> PROJECtA00N[55 -/ �PNUGqNI'SGLYBUSi � ICENSL�NO <br /> 1��� � — �1�1� � �• <br /> PLUMBING MECHANICAL _ <br /> NO. TYPE UF FIXTURE FEE NO. :YPE OF EOUIPMENT FEE <br /> �' WATER CLOSET�TOILEn ' G� ' AIR COND. UNITS—/I V.EA _� <br /> � BATHTUB kC�L'.� �CFRIGERATION UNITS—H P EA <br /> LAVATORVIWASH BASIN) � _� �OILERS—HP.EA. ___ <br /> SMOWEFl GAS FIl7ED AC UNITS—TONNAGE EA <br /> NITCHEN SINK6 OISP. �ORCLD AIR SVS1Eh�5—BS.U. M EA <br /> DISHWASHER W�LL MEATERS—B.T.U. M <br /> LAUNDRY7RAY UNITHEATERS—�T.U. M I � <br /> CLOTHES WASHER EVAPORATIVE COOLERS _ r[� <br /> WATER HEAT[R CLOTMES DF�ERS t*] <br /> URINAL VENTIL"�iION FAN__ � � <br /> _ DRINKING FOUNTAIN RAN3E HOOD I <br /> FLOOR DRAIN AIR HANDLING UNIT— GF.M. _ <br /> VACUUM BREAKERS STOVE _ _ � <br /> ROOF�R�IKS—RAINLEADERS METAL FIREPI�CE 8 CI�IRINEV ' y � <br /> _ SINK�SERVICE—OAR,E7Q) WOODSiOVE/FIREPLACE INSERT � H _ <br /> _ U% �. <br /> — _ — -- — O <br /> � �. <br /> SUB TOTAL SUOTOTAL f ___ _ ' � F�'� <br /> _ PEHMR 5 PERMIT 5 _�___ __"' ' � F ,I <br /> _ TOTAL FEE S _ _ TOTAL FEE S __ __ � <br /> THIS PORTION TO BE COMPLETED BY BUILDINu DEF'T. PERSONNGL �' � <br /> � ii <br /> ��0'115E1NACN RE�RSETBACN SIOESEiLBAGR PLANCNE HNU1.1pEN �'����CI�ErkCfl: � � <br /> G�is] 4 �_ 4� G� � � /y�7� �Ee�S.7'`3 ntc�r,j�r�,�S�S � U ; �I <br /> L ` L �' <br /> 115EZONE LOTRHEA - � '�7 i. <br /> /? / S� „� VNCFbi51TE iEES V1LU�TIUN FEE � ' <br /> � f5 ❑rEs pr�o ;. <br /> tVPE OTF CONSi OCGUP�!NJCY GiVOUP NO Oi DWELtv1G UNRS � � � <br /> 1�-,� /l ' S. I BUILDING 5[ �' � I � S_(� 8 � <br /> SIZE Of f1L�G N0.OF STORIES MPt OC^..LOAp . n � <br /> ZL�'2S.400� '� r�un+owc �D OC) , � ' � <br /> MEGHANICAL �' � <br /> FIRE SPFINKLERS REOUIRED ❑ YES H NO ' � <br /> O7HER <br /> VENALiV ,— "_— i <br /> APPL�C�110NACC.BY PL�NS Cr�ECKEO BV �PFR.fOR ISSUANCE BY <br /> TOTAL ( ,_ 5� ' - <br /> �. L ✓EL L. C - <br />