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' AP�'LICATION ^FOR : � evere8 <br />the Everp�een , � O�� T R U C T��/ � � <br />GITY OF � <br />everett PERA�IIT <br />TO BE COMPLETED IN BLACK INK — PLEASE PFINT <br />BUILDING DEPT. <br />259•87A5 ❑ COMBINATION ❑ FIUILDING ❑ MECHANICAL ❑ PLUMBII�G ❑ SIGN <br />OWIIER IAAILA�C�E:3 Cltt iIP PIIONE <br />G(2�1.5'rJ GUS7QWl l-II�m�Ps' G+JG �— r— — <br />nncw�ecronoEsiancn Mu��noness crtr zir PHONE <br />4Ce� � �t�g�c�+.l P►2�JN�1,•;'��r:�gi�-e �I� Si'euc�s q�b�`d 33Y-s49s8 -- <br />OENEqPLCONIDPCTOR AIAILADDfiE55 .-�� ✓ ti`i .n/ ��n��2"j,�� �„�' 21P Pu011E ��/C�F� , j�.� <br />� v. rT K.C7 N j� <br />�GiR��Pco��� o u`�7 `UY11 {-(Ma���oonE�llC: ��L2ET7'� �/1� q�L�aoy 353'G�-�'�$ <br />PLUTABIIIOCOIIiMCiO� M�IlA0�f1ES5 CIiY 21P PHONE LILENSE� <br />CUSSOF WOIiK <br />� NEW ❑ ADDITiOM ❑ ALTERATION ❑ REPA�R ❑ DEMOLITION ❑ Y/GODSTOVE/FRPLINSERT ❑ BUILDING FlELOCATION <br />vnwnnon or wonK 1co'r cy�f¢( i�.ran�s v�us �nooni <br />-��,� /yy]'� 6+U <br />v�y�tS� <br />OESGR�OE W[]RK y�--- <br />� .c%�,-Tvri� �- �l�.![tL�: f x3+vli�Y E�/��—�f�G� _ <br />iot �7..mca�—_or <br />���, <br />PPGJECTROUP <br />� <br />�nonr <br />r� <br />V— <br />Rs��or q� <br />! <br />A.� �_ .l 1 <br />I HEREBY CERT�FY TFIAT i HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW TfiE SAMETO BETRUE AND CORN[CT. �LL <br />wrics� ppr�VISION50FLAWSANDORDINANCESGOVERNINGTHISTYPE <br />41 OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHOR�TY TO VIOLATE OF CANCEL THE PROVISIONS 4� <br />ANY OTtIER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THF PFRFORMANCE OF CONSTHUCTION. <br />SIGNATIIPE OF CONiRACTOR OR AUT110 2E AGENT DA1E <br />_� X f,�� 9 � ��es <br />�PPLILANI'S GI1 V IIUSINCSS LIGENSE NO. <br />TYPE OF EOU <br />AIR COND. UNITS—H.P. EA. <br />REFHIGERATION UNITS—H.I <br />UOILER�H.P. EA. <br />GAS Fi9ED hC. UNiTS-70� <br />FORCEL AIR SYSiEMS—B.T <br />WALL HE.\iERS—D.T.U. � <br />UNITkEATi�RS—B.T.LL M <br />EVAPORATWL'COOLERS <br />CLCiHES DR"ERS <br />VEN7ILATION FAN <br />RANGEHOJD <br />AIR HANDLING UNIT— Q <br />THiS PORTION TO BE COMPL��ED BY BUILD!NG DEPT. PERSONNEL <br />fIF�RSEtpAGH SIGESEfOACN PLBNCIIECNNUM�ER PL�NCIIECNiEE <br />2�Lf y �� �`/ /� �J �j FEE �,G G- FECEIPf IlO. <br />� / 0 � � 7 19 <br />LOI�REA V�CANiSrtE <br />FEES VAIUATION FEE <br />OCGUPANGYGnnOP <br />-�Nt <br />no or siomes <br />P�ntlS CMECNEb BY <br />i1YC�.a ONO <br />NO. Of U\YEL <br />L , c. <br />BY <br />BUILDING <br />PLUIdBING <br />MEGNANICnL <br />OTHER <br />PENALTY <br />TOTAI <br />S <br />