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� <br /> `,-.PPLICATION CO�. ���,�„ <br /> '°.E""`°,aB° CO N ST R U C71(� N <br /> cin oF � <br /> everett PERMIT <br /> TO BE COMPLETED IN BLACK INK— PLEASE PRIN'f <br /> BUILDING DEPT. � <br /> 259-8745 ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNEfl , MAILA�DRESS CIiY ���./��5����G PIIOlIL <br /> /���� � v Gs ��ry,u �;c,z �a �rrrZa.e. ,v �. s��a �� es" _ assc <br /> RRCMITECTOflDE51GN F MRILNOORESS CITV ZIP PH01lE <br /> GENERALWNTflAf.TOR M4ILADDRE55 C�tR��! �iA/ 21P� �57PL/ PIIOIIE LiCGLCC� <br /> ��'v,vi,i cas>"�.� ,��o -�r-� s �� 3 r-E. ,�'�ea< :Y rl.s i� �,,,ay 3.f i G S"v� c ir -nn-�_�� <br /> MECHPNIGLCON*RACTOq MAILAO�flE55 �iTY Zi� �'������ � n����E� �j <br /> O' F� <br /> PWM6MGCONTRAGTOR MNILPDORE55 GIIY 21P PMOHF. LIGE�lSE• <br /> CLASS OF WOfiF <br /> Q NEW ❑ ADDITION ❑ ALTERATION ❑ FiEPAIR ❑ DEMOIITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUI�DING RELOCATION � <br /> VALUATION OF 1VOPK�GOST OF I,IATEPIAI$PLI15lABOP� <br /> '� �/ CYc� � <br /> DESCRIB�WOflK <br /> �a• /aC � /3 G�iF d'! ,J�o/"1 `�/ - <br /> USEOFBUIL�ING ��J I HEREBY CERTIFY TfIAT I HAVE R[AD AND EXAMINED ThiIS AP• <br /> Si �-�G ��ci /L � � ��` '�S PLICATIONANDKNOWTHESAMETOBETRUEANDCORNEGT.ALL <br /> LEGALOESGFiPTIONOFPflOPERTY�SHOWNOELOWO ATfACMF011flGOP1E5� PROVISIONSOFLAWSANDORDINANCC-SGOVF.qNINGTIiISTYPE <br /> or � � � CFWORI<WILLBECOMPLETEDWITHWIIETHENSPECIPIEDHERE <br /> �or�e�oc�_�r �� ` � � � �- INORNOT.THEGRANTINGOFAPERh11TDOESNOTPRESUMETO <br /> GIVE AUThIORITY TO VIOLATE OR CANCEL THE PROVISIONS O� <br /> ANY OTIIER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR TFIE PERFORMANCE OF CONSTRUCTION. <br /> }7_�(�� Z �. ,� GIGNATUHEOPCOtlTr�rTOROflAl1TMOHIZE[IAGENi DATE <br /> � O <br /> X �„� / � �'G ' - / <br /> �, <br /> PNOJECTRODPESS O, n� p� �P LIC/NTSCITYEii WESSIIC[NS NO <br /> O " n� /�- �r: S� '� � <br /> PLUMBING MECHANICAL <br /> �N TYPE OF FI%TUIiE FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILEA �� Alfl f.OND. UNITS-II.P.EA. _ <br /> BATHTUB � REFRIGERATION UNITS-H.P. EA. _ _ <br /> IAVATORYIWASH BASINI OO BOIlERS-HP.EA. <br /> � SHOWER 4U GAS FIRE�AC.UNI7 S-TONNAGE EA. <br /> � KITCHCN SINK 8 DISP. Ub �FORCED AIR SYSiEMS-B.T.U. M EA. _ _ <br /> / DISIiWASHER �OO WALLHEATEfiS-B_T.U_h� _ <br /> LAUNDRYTRAY UNITHEATERS--O.T.U. M __ <br /> / CLOTIIESWASHEq �BC7 EVAPGRATIVECOOLERS _ <br /> WATER HEATER Z O� CLOTNES DRYEflS .� <br /> URINAL �� VENTII.A710N FAN d� <br /> DRINKING FOl1NTAIN � RANGE IIOOD �'.� <br /> FIOOR ORAIN AI(i IIANDLING 11N1T- GF.ld. _ <br /> VACUUM BREAKEqS STOVE <br /> ROOF DRAINS-RAINLEADERS METAL FIREPLACE 8 CkIIMNEY <br /> SINK�SERVICE-BAR.ETC. WOODSTOVUFIFEPI.ACE II!SBRT <br /> SUB TOTAL 5119 TOTAL S �L 17C� <br /> PERMIT S PFflM1T S <br /> TOTALFEE 5 TOTALFEE 5 � <br /> THIS PORTION TO BE COMPLETED SY BUILDING DEPT. PERSONNEL <br /> FflONTSEi�ACN REAPS[TOnCK SIOESEiORCK PLnNC11ECNlII11A�[B 19ANC�1[CKFEE <br /> n ^ w -�l � �� ���� FCE�4�� 9S f1ECFIP�IlO. ���� <br /> V.i V� <br /> USF ZONE l/0T AREA L yqCnNT SIIE <br /> �� I d �OSO �r �5 ONO FEES VAI➢RTION FEE s_ <br /> i�i t ntq cd._ I 0 <br /> IYPEOFCONST. OCCIIPnNCYGRUUP NO.OFOWELIINGUNIiS � .�_�L .p. � � ['j{_ <br /> 1 +-it <br /> �-1� �'31 M'� � euuoi��c s?O�E�� ,3 BC� <br /> SI2E OF BLOG NO OF STOfilES MAX.OCC IOAD — �— -- <br /> �,S �3 �n M•i II/�' ^ PLU1.101NG � C� <br /> MECMANICAL �� �/ <br /> FIRE SPRINKLERS REQUIRED O YES O <br /> �eu�sa �hW Na .Id�u�f- o��' � <br /> PENALTY . ��_ � <br /> APPLiCATiONALC.BY PLANSCIIECKEDBY APPR FOqISSUANGEOY p�-'� <br /> TOTAL � "�✓ <br /> �(r��^�' �f.� L L . <br /> ■ <br />