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, , . <br /> MSEver9reen �~A['P�.ICATION FO�{ . <br /> CONSTRUCTiON `°"°"� <br /> CITY OF � <br /> everett PERMIT <br /> BUILDING D[PARTMENT <br /> 259-F3745 TO BE COMPLETED IN !NK- PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECIiANICAL O PLUMBING C7 SIGN <br /> owii[n rani�nucner,s cnv nr PnONE <br /> `--`.�� � ��1���+Lb:�l-llt� P��Cre(( 9 �� ��/-S SC <br /> G�.:�SL.�-L C'G�ixT /7S ,{ <br /> �IICIIIIELIOl1UESIGNFII MAI�AOOlIE55 CIl 21P PIIONE <br /> 7Jli�'7r2���lOr� �1C��2—l� ���-3ZC� <br /> GENEIULLOl�O��tpR 'nm�n00�655 Cllv 2iP PI�ONE �ICENSE� <br /> .�'u��_ <br /> MECIUHICRLCONIt14CiOq M41L�DOf1E55 CIiY 21P PHONE LICENSE• <br /> .�.'tl1tQ <br /> PlUMOJ H:1.0 �RAC OIl MqIL ApDp[55 CIIY 21p �. JNE LICENSL• <br /> �7 l <br /> c�ns'�oF�on��{1:��)}� __.� <br /> ❑ NEW ❑ ADDIiION ❑ ALTEf7A710N ❑ FEPAIII ❑ UEMOLIIION ❑ WOOOSiOVE�FfiPL.INuEtiT ❑ BUILDING f7E�OCnTION <br /> vnwenorrorwonK�cosrorMen_inniepius�nnorii � <br /> S U�OC`JC.�• .� <br /> oEsrr�ioEv�onK (�' � — <br /> �21�f� �-7Qi�ii�i. r SrC('���C� 1�C.� � � SI �- <br /> us�.or ouaniH <br /> I HEFlEBY CERiIFY TFIAT I 11AVE READ �ND EXAMINED TIiIS A^- <br /> PLICATION AND KNOW THE SAME TO BE TRUEAND CORRECT.�LL <br /> �Eon�o[sCnirnoNOFrnorEnrvl+��o)wr�nk�owoann/�c;,urounconiESl pROVISIONSOFIAWSANDORDINANCESGOVERNINGThIISTYPE <br /> wc_o,oc�—ov ✓ (-� . �/�C ��C, OF WOtiK WILL BE COMPLEIED WITFI WI�IETHE(i SPECIFIED'�IERE• <br /> IN OR NOT.T��IE G�F�NTING OFA PERMITDOES NOT PFESUME TO <br /> GIVE AUT�IORITY TO VIOL�TE OR C�NCEL THE PROVISIONS OF <br /> _ RNY OTHEFi STAT[OR LOCAI LAW fiEGULATING CONSTRUCTION <br /> ON Tl1E PERFORMANCE OF CONSTRUCTION. � <br /> _ SICNAIUREOFCON qACiORGlIAUIIIORI2E AGEN� DAfE <br /> � � .f �G�'j1. . <br /> � , <br /> PIIOJECf�OOf1E55 RPPlIC4NT�5CnY OU5111[55 LIGENSE NO. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TUIIE FEE NO. TYPE OF EOUIPMENT FEE <br /> � WATERCLOSET�IOILEq __ (A AIRCOND. UNITS—H.P.EA. <br /> �L. BATFITUB (,YJ _ REFRIGEtinTION UNITS—H.P.EA. <br /> � IAVATOfiVIWASI{OASINI _ � _ BOILERS—Ii.P.EA. <br /> SHOWER a GI.S FI9E0 AQ UNITS—TONNAGE EA <br /> I NIiCNEN SINK 8 OISP. 'L�.% FORCED Alfl SY�I[MS—B.T.U. M EA. <br /> I DISHWASIICR �L^h I Wq��HEATEfiS—B.T.U. M <br /> LnUNDRY Tl7�V — � UNIT IIE�TEflS—D.T.U. M <br /> �— CLOTHES WASH[q _� (X} —/— EVAPORATIVE COOLERS <br /> I WA1Efl HEATER 7(f'd / CLOTH85 DRYERS s"� <br /> UfiINAL <br /> , _ Z �ENiILATION fAN � <br /> _ ORINKING FOUNTAIN _ I RANGE HO00 .A __ <br /> FLOOR ORNIJ — ''�' <br /> — AIR HANDLING UNIT— C.F.M. <br /> VACUUM�RL/1KGRS S10VE <br /> _ f100F DRAINS—RAINLEADEIiR [ METAI FIREPLACE d CHIMNLY 7 �S'ZT� <br /> _ SINK(SERVICE-9AR E1C.1 � WOOOSTCVE/PIREPIACEINSERi <br /> _ SUO TOTAL C� C�O SUB TOTAL S Z STJ <br /> __ PERMIT S PENMIT S <br /> _ TOTAL FEE S �� Q() TOTAL FEE 5 Z S <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> i110NI5EI0AC1t IIEAI�S[)IO�GH SIOESE1p4CN {'�pNG1ECNNOMOEfi PL4NC11[CKlEE <br /> � I f�/� � lD ' oYl���O�OL fEE /lTJ C�J� �ECEIPiNO. �O S� <br /> USFZONE LOIMf.A `C� <br /> �� I lp'/ES+ON'O FEES VAW4TION fEE <br /> IYPEOFCONST. OCCUI'ANC�GROUP NO-0FOW[ILINGUN115 �- <br /> J �7 <br /> sizEqr n�c� a y no ,r s�omes, Mnz.occl iono ouaoiNo s ���• 2 S3 00 <br /> � ' 4 U I rwn+owc � O� <br /> AIECIIANICAL �� � <br /> FlFE SPRINNLE�S REOUIRED ❑ YES ❑ NO — <br /> OIHEfi <br /> PENALTY -- <br /> �PpLILRIiONnCG OV PlNISCUECKEDOV qPi'� FOIliSSUm�GEOY - r <br /> TOT�L �'r �^� <br /> S:i <br /> t ' — <br />