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IneEvarpieen APPLICATION F�R i,�� <br /> �ILYOF CONSTRUCTLON O <br />, everett PERMIT <br /> TO BE COMPLETED IN BLACK INK- PLEASE PRINT <br />� BUILDING DEPT. <br />� 259-8745 [f COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> i <br />� owr�in unit.won[ss u�v zir rv�ane <br /> C C �( � <br /> ��.,,.f� � �. ..�� 'c'.� _��� '! � � � �. , �yii�.i., ..� ; ..rl�� �� �����" �j4' ��)� ? � / .i� , c- - <br /> nno��arecronoesi r.a n�a�nuancss� uir m� ruon� � , <br /> y r <br /> (3i" � W i ' {;'� tu .1 �� 1. ('��ll,� �;:l; _��'Z;e'fj �i � ?Oi 2 �? ��5 � <br /> I r}E��ERAICpN!114L10� M1INIlPD0�F.55 C.I�v TIP f91UtlE ilf.fN;l• <br /> / 7 <br /> , . - !�.,..c�r_.� �� . ; i ����.�..'[Yt) �"�] i�L'":�: 1: )�{���G7 � 3u7ij�.i" �..�� C �'/' •J> <br /> MFGIIPNIf,ALCONIBPCiOfl '�AntLAU0NE5$ GIIY ZIP PHON[ LI(lfilit� <br /> 1'LOMpIIlGCOfIIROf,lpO IANLAUDREiti CIiV IIP fq1UNL 1iC11iSl. <br /> f.US$Oi WONR <br /> ❑ NEW ❑ AODIiION O ALTERATION ❑ REFAIR ❑ OEMOLITIOH ❑ WOODSTOVE/FqPL.INSEiiT ❑ BUILDING RELOGATION_ <br /> VAl W Ilpq OV KORN ICOSI O�1.I�ILNALS fID$LFUOtp <br /> �% �.�: <br /> pESf.RipE WOfIR <br /> : /'� .y� UL��$ 71 �S�Ci�r� L. /'i'SC:'cP.i., ��,���� `..i;r-�: e�i� 1��. '„i5 <br /> u;� nr euaon+, I HER[9Y C[f1fIFY THAT I HAV[ READ AND EXAIdINFD THIS AP� <br /> "� !,�•�;�� V^,�� �� �,.`.il `� PLICATIO�JANDKNOWTHESAIJElOBFiRUEANDCOHRECT.PLL <br /> irr,«nesciar�rioaovrno�cniriseuwnue�oeia�+rucr�rounr.o�iEsi PROVISI�NSOFLA6VSANDORDIIJHNGESGOVERIJINGi1�11STVPE <br /> OF WORk:NILL BE COIdPLETcD WITH WHEiIi[fl SP[CIFl[D li[R[- <br /> �or_eioc�—oF . INORNOT.��HflGRANTINGOFAPERIdRDOESNOTPRF5U1dET0 <br /> GIVE AUTII(1RITY 10 VIOLATE CR CANCEL THE PROVISIONS OP <br /> ANY OTHER STNE OR LOCAL LAV/H[GULAil1JG C01JS1 RUCTION <br /> - OR TNE P[RPORtdANC[OF CONSTRUCTION. / <br /> s�Gun�uneorcuN�nnaono��nun�on�zBenGeN� nn�r � ������ ��i� <br /> X __�- i <br /> ! .t M1.\ �� l.._� �� <br /> PqOJtl:�ADDHC55 PPPLILAN 1'S GfV p1191!!C:5 LIC[NS!NO <br /> 7C�jl - /;�tl�, ���P111 ( 1 , �� %� �r_'U� — <br /> L PLUMBING __ _ MECHANICAL _____ ___ ____ —_ <br /> NO. TYPE OF FIXTURE FEE NO _ TYPE OF EOUIPMENT __ _� ___ FEE _ <br /> W_VEFCLOSET�fOILED _ __ AIFCOND.UYIIS HP.EA_ ___ __.... <br /> --- gA7HiUB __" _. __ �E�lUILfiAIIONU�11�5-HPEA. ___"_ __... _ _ _ <br /> -- �AVAIORYIVIASHB451NI f3UIlE.RS-11RCA . '"'__.__.._. _-._ <br /> _ '"__ '___-—_ <br /> - -_'_ _'_'"--""_ '__'-'____—'_-'_ <br /> SHOl9Efl GASfIRCLACUtIII_IOtJIJA.____ ____ _.. . . <br /> _____--'__ '_"_ _... .__ _" __-__._ . <br /> KI�CHENSINNBDISP. fORCEO�IqSY51l.tdS_�.iU. ME0.____ _____ _ ___ <br /> "-'-� �pISMWA511[li _ -- -_ �W�LLIIL4iHR5_�.T.U_ M______ _"'__.._ _. . <br /> �___'"LAUNDRYTAAY ----- -- " UNIiHEAT[R5=8_I.U. M _ __ '____ ___ <br /> CLOTH[S WASMER EVAPORA�IVECOOLERS , ____ -_ ____ <br /> WATER HEATER -'— Gl_OiHES ORYEPS -- "--'_' _-' <br /> UHIN4L �ENiILA�ION FFN _ __-- ____. <br /> DRINKING FOUNTNN fiANG[IIOOD __ _____- - -_ <br /> � FIOOR OHAIN AIR NNJDIING UNIT- C F.fd. ________ ,. _ <br /> VACWIdBFEAKEPS S�OVE ____-- ---. <br /> ROOFORAINS-RAWL[ADERS ___ L7ElALfIfiEPL�CL8G11111NEY ____ ___._ <br /> � __ SIIJN�SERVICE-B�F:ETCL ____ _ ___ ___. ��00(JS70VFIfIRF�'LAC&INSER! ____ ____ __ <br /> _"'_ ___ <br /> ____ "__ ___ .' "____"_____'_'_._'"_'__ "____"_- _ . <br /> SUO TOTAL SU9 TOT _ _ . _ _ ._ _ _. <br /> _" _"__ __-__ ' ___ -_ '_ '_ _' "'- - " __'.__ _ __. _. . - --I - ; <br /> ._._�__'_'_ TOTALFEE____-_S - _-__ _. "-'"_ . __ ._ . TOTALFEE _.... 5 ___ . __._ . ._ . ' <br /> THIS PORTION TO BE COMPLETED BY BUILUING DEPT. PERSONN[L � <br /> ----- --------- � <br /> in,'�qI5El0iGN Rk4RSElgqCe SIOESEiBACR PLnqG111CHNUA�OLl1 1`IAfI!lqCri�l <br /> (�.Sy/� ���'��� �� rer � ���j �uctir�rvn ._.__._ � <br /> yJ - /v�,�� - <br /> " USf !OVE LOiARCA VACANi$11F FEES Y�WRTIOH FEE . , <br /> rncs oao - _._—__". _ <br /> IY:EO�CJ��S� OCCUPANCYGPOV�' NCIOFDWCILMGUt1115 —___ r <br /> / _�_.__—_— .. <br /> "�. 1 !-i�'� ,L,I.Tr�.._ E � — COiLOiNG S b �U —._�'>2- SV- I <br /> SIlE O!0'.[lG NU OF$tO�lES �AA% OCC I.OaO — ' —� ' <br /> ,-�� �"•, I r 1 - ��i.unioiNu __ ----�-�-- - -�--- 1�� <br /> MFG114pIC�L _____._,"_ ,_ _ 1 <br /> � FIRE SFRIiJKLERS REQUIREO ❑YES �NO <br /> on�er� � <br /> -- '--- -- - -- - I <br /> P[IALfY <br /> _�_ _._—_ _____' -- <br /> l,14'IiliNl01lPlILOY PIANSC1�fLFEDOY APCqf(:!�ISSUANf,lllv -. � ' ' ' � � ---�` ' <br /> TOTAL �� S v <br /> �J / � a]�/t i 11 ------ —�---- ------� <br /> __.—__— __' <br /> d <br /> � <br />