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IMEr�rprNn APPLICATION fOR� ,��„„ <br /> °�^°` CONSTRUCTION e <br /> everett PERMIT <br /> TO BE COMPLETED IN BLACK INK— PLEASE PRINT <br /> BUILDING DEPT. <br /> 259-8745 ❑ COMBINATION ❑ BUILDINO ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER i) qui_�OORE9! CIIY !IP OHONE <br /> •�-�( l��i'�tiv l:��rf�� �k.�l� ,r/�r (�,c�c-n�_ �r�t �l=rt �?YaC � -� ;�i '/> � ,�� <br /> ♦n�rufEUO��ESiONEn MAILIID�REB� Glry !IP PIION[ <br /> UfN �ICONIR1�tON M�IL�D�REl� LIIY ZIP PHON! �K.ENSf• <br /> � ���� �, �� �}(�0 c���� CT ti �'— �� UL� C/T '/ c��l �cl �� t`�S'/ 7Cit <br /> ME MMiC4CONIR�L�ON MIIII�ODRC06 . �IfY pi� PIIONL 110EF4l • <br /> Pl�lMBMOWN�PICIO� MML�DONE9� GIIY tIP PNON! IICFN51 • <br /> 1;� n � <br /> �.�,i,c' �;. �J /.<a�C.— <br /> ci�Ss or WonK <br /> � /NEW ❑ AODITION ❑ ALTERATION ❑ REPAIR ❑ OEMCILITION ❑ WOODSTOVE/iRPL.INSERT ❑ Bl'ILOIN6 REIOC�iION <br /> WlU�ilONOf WORItIG05�0i M�IlPql5pLU9l�BOPo <br /> , /' t � �% <br /> Ut 9LfU9L WOfIF <br /> �! C ( �. � � �� � / <br /> USE O�BULLtlMO "" <br /> ( �,�f �� i c r� G� I: T I� �-- I HEREBY CERTIFV THAi I HAVE FEAD ANJ EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT.�LL <br /> IfO�L�flC111GIIONOfVRQVERIYIlNOWHBEIOWORIlT�CNfOUPLOVIEA PROVISIONSOFLAWSANDOFDINANCESOOVEI7NINOTHISTVPE <br /> OF NOf1K WILL BE CONPLETED WITH WHETHER SPECIFIED HERE� <br /> �.oi_eioc�or IN 7R IJOT.THE aRANTINO OF A PEFMIT DOES NOT PRESUM'c TO <br /> OIVE AUTHOqITy TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> • •i r( ;f1��6'. r�� S �C: / B lwN ,���AJ ANVOTHEHSTATEORLOCALLAWREGULATINOCONSTqUCTION <br /> OR THE PERFOqMANCE OF CONSTRUCTION. <br /> ��� � L � - SION�TUIIEOFC N/RIIC�OROf1�lIf110f112E0�4fN1 p�tE � <br /> X ,% ��—�> h�5 <br /> �:- t. ; <br /> PROJEC��f10RE9! �PP/IC�N <br /> ,{�1 �USIHE llt Y O <br /> � . . ��f � �; C' i� ��� � �_ 7 '� � <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FI%tURE fEE NO. 'Yt�E OF EOUIPMENT FEE <br /> ri� W�iERCLOSEf�TOILEl) G� AIRCONO. UNIIS—MP.EA. <br /> BATI/TUB pEFRIOERATION UNITS—/1 P EA <br /> .� LAVAiORY W�SH BA91N� QO BOILERS—MP,EA. <br /> '� gM�WER O�5 FIRE�AC UNIIS—TONNAOE EA <br /> �__ NITCNEN SINK 6 019P. fORCEO�I{I SYSfEMS—B T.U. M EA. B� <br /> UISHWASNEN WALLME�tE05—B.1.0 M <br /> _ LAUNDf1Y TP�Y UNIi NE�lEf15—B.T.0 M <br /> T CLOTNES WASHER ^�- EVAPORATIVECOOLERS <br /> / W�fEH HEtiTER pCJ CLOTHES ORYERS <br /> URIN�L VENTILAfION FAN <br /> _ ORINKINO FOUNTAIN pANOE HpOD <br /> ROOR DMIN AIP NANOLINO UNR— flF.M. <br /> VACUUM Bf7E�KER3 STOVE <br /> ROOF OR�iNS—RAINLEROEF9 METAL F�REPLACE CHIMNEY <br /> SINk�SEAVICE—BAR,ETC. WOODSTOVE/FIREPUCE INSERT <br /> BUB TOTAL BUB TOTAL 3 �� <br /> _PERMIT t PERMIT � I � <br /> _ ___ 1OT11L FEE f L TOTAL FEE � lp <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> II�UN�9(19�CN fl{�RSEIB�LIt S�OEBEIB�GK PL�NLNECKNUMBEII � pPI�NCNEGxfff <br /> � �' (� � f(/�� � iEE��� /J RE�Li� NO���/� <br /> US[[ONE l0��11E� � r � <br /> V�C�NT1ifE iE[! WW�TION iEE <br /> N �. OYE9 {QNO __ ___ <br /> �rPEOfCOHlt Of:f,11P�HCYfROUP NODFOWELLINOLNIt� <br /> �'-h� /.>-Z. D — --- --- — <br /> BUILOINO f?0��, -- � A✓'� <br /> 9i/E UJ!1110U , NO OI 91pqIES MIII OCC 10�0 �T �•V <br /> JUf��Z Z �� PWMBINO �I • L�O <br /> _ V _ <br /> MECN�NIC�I u Q� <br /> FIRE SPRINNLERS HEOUII7E0 ❑VES NO — <br /> OINER <br /> PEN�LTY <br /> ♦vPL�Cl11iON�CC Pr i��eNSGMEtMEDBY �PPR iOP199U�HCEBV __ <br /> � .o..� 3 !oS c�a <br /> � Jf� G• �. - ----- <br /> ��r�� OUl(�tl �n.��r <br /> GUr c.,c._ �� ��2,� � E�►1�p <br />