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HPNLICAI'ION FO�.'`' everetl <br /> Ms EverO�Nn C O N S T R U C T I O N � <br /> CITY OF <br /> everett PERMIT <br /> BUILDING D�P�RTMENT <br /> 259-8745 TO BE COMPLETED !N iNlC• PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION Y�BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNE(i MAIIROOfl[$S LILY ZIP PIIONE <br /> -� Fl���,F_. C_�>>��T �:"� �.� `�C��f�'411i<�s< <r-1� ����,�J�( :�; �;� -nl�� �� ? <br /> ARCMIIECTGB�ESiGNEN MAILn��BGSS Cltt 21P PnOIIL <br /> GENEPALLONTflACTOR MAILnO�flESS Cltt ZIP FI�01lE �IC[NSE� <br /> '� �"1��'� � <br /> MECHANICAL CONiRACTOq MAIL R0011[SS CIIY ZIP P11011L lICC115[� <br /> PLUAIBIIlGCONTRACiOR MAIL��OFESS Lltt ZIP PI�ON[ lIC[NSE• <br /> CL SSOFWORK <br /> �� NEW ❑ AODITION ❑ ALTERATION ❑ flEPAIR ❑ GEMOLITION ❑ WOOOSTOVE/FHPL.INSERT ❑ BUILDING REIOCATION <br /> aIUaTION OF 4VOPN�COSi Of IAAT[lilALS PW S LROOB� <br /> �� � �L71 ���i�� . <br /> oescnioe woaK <br /> ,nh �': n� i? -�� ���- I�om�r <br /> use or auaoiHc <br /> � I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED TIi1S AP� <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT.ALL <br /> IEGAIOFSCRiPTIONOFPFiOPERTYISNOWNBELJWOHRRACNFOURCOPIES� pROVISIONSOFLAVJSANDORDINANCESGOVERNINGTHISTYPE <br /> I� � 1.rt� I CI_ �Q.- �IS)��- �F WORK WILL BECOMPLETED WITH WHETHERSPECIFIED HERE <br /> �or�e�ocn__or IN OR NOT.THE GRANTW G OF A PERMIT DOES NOT PRESUMC TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANYOTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERfORMANCE OF CONSTRUCTION. <br />� SIGNATURE OF CONi11ACiGB OR AUTMORI2E�AGE!!i CATE <br /> X 51.�!Y_Z_� n'1 �C�u��!..-,� ��) - ��c -'�tr <br /> PPOJECT POOFESS APPLICnNTS CIIY dU51NE55 LIG[NSE NO <br /> � 2� L 4-"CN � .S.�'-=.. <br /> PLUMB�NG - MECHANICAL <br /> NO. TYPE OF FIXTl1NE FEE NO. TYPE OF E�UIPMENT FEE <br /> .S LYATER CLOSET�TGILEn �— QO__ AIR COND UNITS-II.P. EA. _ <br /> I BAIHTUB �UQ FEFRIGERATION UNITS-N.P. EA. <br /> LAVATOflY�WASH BASIN� �S QO BOILEflS-H.P.EA. <br /> � SHOWER � GAS FIfiEO P C. UNITS-TONNAGE EA. <br /> I KITCHLN SINK 8 DISP. �O FORCED AIR SYSTEMS-B.T.U. M EA � <br /> � DISHWASHER S � WALL HEATERS-B.T.U. M <br /> LAUNOflYTRAY UNIT11[ATERS-O.T.LL M _ __ <br /> —�� EVAPOPATIVE COOLERS <br /> I CLOTHES WASMER Q <br /> WATER HEATER CLOTHES DRYERS ___ � �SQ_ <br /> URINAL VENTILATION FAN I� � <br /> ~— DRINKING FOl1NTAIN I RANG[NOOD CQ <br /> FLOOR DRAIN AIR HANDLING UN:T- QF.M. <br /> VACULIAI�REAKERS STOVE <br /> ROOF DRAINS-RAMLEADEflS � METnL RREPLACE 8 CHIMNEY O Q O <br /> SINK�SERVICE-6AR.ETQ) _ WOODSTGVE/PIREPLACEINSERT <br /> 4�lLi7�Q H6�2 _ � <br /> SUB TOTAL 'SS d SUB TOTAL 5 _ 3�Q_ <br /> PERA:IT 5 PEflM1T S ,�/� <br /> TOTAL FEE 5 �S TOTAL FEE f �. _5�y� <br /> THIS PORl'ION TO BE COPAPLETED BY BUILDING DEPT. PERSO�JNEL <br /> fi10NT5EiBACN REARSE�LORC^N SIOESETUAC/H_ PLANCII CKNl1h10ER VLPNCIIKMF[[ <br /> � ' L.L.� ' CU , ci��fi / y F�� i� �i�i PLC�I!'1�1 �G <br /> ❑SE20NE ' LOTAREA IT�A(�[,� � —�!�""—'� �— �• � <br /> VACARTSRE FEES VALtI>TION FEE <br /> �� �YES ONO — <br /> P\ <br /> TVPEOF1C'ONST ' 1 OLCl1PaNCYGR04P NU.OFpWELLINGUNITS � <br /> .JL ^ ' • �^� � B111L01NG E���� �� .?+�I � <br /> 511QCp04 pLOG NO Of S10NIE5 M�K OLL LOAO -- -- � ~�- <br /> I/7G� 7i IIZ PWhIBING �__ S � <br /> MECMANICAL (^� � <br /> rs c <br /> FIRE SPRINKLERS REQLIIRED ❑YES ❑ NO � S✓ <br /> OTHER �s-� <br /> PENALTV �J �J� <br /> APPIICniIONACCBt PLANSLMECKEDBY APPR.FORISSU�NCE6Y — <br /> I ///f -TOTAL ' � (� <br /> //� • ��10 � .�, <br /> ✓G% <br />