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E__'PLICATION FOR �� �veren <br /> '^•EY•'9r�^ CO N ST R U CT 1 O N ,� <br /> cin or <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259•8745 TO BE COMPLETED IN INK- PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> owr+en M�anooness cm zir Pr10NE <br /> �,f�f�i�r— �7� �ri�� t� . az/� _i.2CS1. .=��ax� i�ln . 5.�.�a/ ,7�5`.2 -_5'D/_3 — <br /> ARCNIfECtOR�E5IGNER MAIL/OUB[55 CIIV 21V PIIONE <br /> T / �r '� � �i� G'a � ltJr u 5 T��c- l'n SS i1 7 '�n A- 5�3 - y G y.Z_. <br /> OENEReLf.OFIR�CIOR M�ILADOf1E5$ CIIY � ZIP PIONE UGE15E <br /> ���11V� N� <br /> MECN�NIC�L CONIMCIOq M�IL�U011[55 GItV 11P 1'l1UN[ LICENSC• <br /> PWMBiN.CONtR�CiO�i MAIL�UDNE55 Cltt ZIV PHONE IILE��SE• <br /> CU55Of WORN�y <br /> ❑ NEW IJ�ADDITION ❑ ALTERATION ❑ 17FPAIR ❑ DFMOLIIION ❑ WOOUSTOVE/FRPL.INSERT ❑ BUILDING NELOCATION <br /> vewenonorwonrc�r,os�arr.un.mn�nrtus�.nuoni� /�t/p�. <br /> . <br /> L�a�-r c „ f2_� ��or�T,�-�Covzr� d � -+� Rerao-(- E'xisT'�/_ Prs , d� ..c � <br /> oescniee wonk <br /> � � ( iZ S CrG �= _ <br /> use or eunowc <br /> I HEREBY CERTIFY TfiAT I HAVE FEI1D AND E%�A11NED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUEANDCORRECT.ALL <br /> IEG�L0E5GRiPliONOFP00PERlY1SHOWNOELOWOf1alIRG11FOURCOPiES� pROVISIONSOFLAWSANDORDINANCESGOVEaNINGTHISTYPE <br /> UF WORK WILL BE COMPLETED WITH WHETHER SPEClFIED HERE• <br /> ior1CG._ewc�—ov IN OR NOT.THE GRANTING OFA PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER ST�7E OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE Of CONSTRUCTION. <br /> SIQNATURECPCONIf1�C70ROFAUi110RIZE0AGENT OA1E <br /> _ X � .x ' '�-/, <br /> .� � � � l � � �� .. ,-� �� i� ,s�o : — :- . �� • �.<_..._ X <br /> PPOJ[CT�ODRE55 � �PP�� �NI'SGILYHUSINESSLIGENSENO fg�'.vt, <br /> _ / <br /> PLUMBING MECHANICAL _ <br /> NO. iYPE OF FI%TUflE FEE NO. TYPE OF EOUIPMENT. FcE <br /> WATER CLOSET(701LEi1 � AIR COND.UNITS—H.P.EA. _ <br /> BATHTUO REFRIGERATION UNITS—H.P.EA. <br /> LAVATORYIWASH BASIN� BOILERS—H.P.EA. <br /> SHOWER G�5 FIRED AC.UNIiS—TONNAGE EA. <br /> NfTCNFN SINK 8 DISP. FORCED AIR SVSTEMS—B.T.U. M EA <br /> DISIIWASHER WALL HEATEf75—B.T.0 M <br /> LAUNOFY TfiAY UNIT NEATERS—B.T.U. M ___ <br /> CLOTHES WASHEF EVAPORATIVE COOLEPS <br /> WATER HEFTER CIOiHES ORVERS _ <br /> URINAL VENTILATION FAN _ <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DFAIN AIR HANOLING UNIi— GF.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RNNLEAUERS METAL FIRFPLACE 8 CHIMNE`.' <br /> SINK�SERVICE—BAR.ETC. WOOOSTOVE/FIREPLACE INSERT __ <br /> SUBTOTAL SUBTOTAL f _ <br /> PEIIMIT S PERMIT S <br /> TOTALFEE 3 TOTALFEE S _ <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> fNONI5Ei0�CNC�� ! OE�RS[i?CC/ SIOLSEI`;C/ �LANCII�KNUAI ���� FEE "IC� �/LAN �'EC[II'tN0 C � ��� <br /> 7 � �� <br /> USE 20NE LOI af1E� r' yACANt fiIfE <br /> ��. � `: II� ��V � ❑rE5 O}!0 FEES VI1WA110N FEE <br /> TYPEOfG�'/ 1 OCCUPRINICYGROUP NOOFDWELLINGUNIIS <br /> 3— �� / 'Y � I '�` pWLDING s <br /> 5¢[Of pLl1G ��O Oi i�OIUES Mn%OCC LO�O <br /> �/(i' �� I ^�� �4� PLUMBR:. <br /> � a <br /> MF.CHAf IICFL <br /> FIRE SPRINKLERS REOUIliED ❑VES NO <br /> OTIIER <br /> PENFLTY <br /> PVPIICAIIONACCOY �'lAN5C11ECNE0BY RVPR.fOf1155UANCE�Y <br /> � TOiAL <br /> '/�,� ��i , /,3,('i � -� <br />