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� <br />APPLICATIQ�N F(.rt <br />M�Ewp�•vn �pNSTRUCTION <br />LIfY Of <br />everett PERMIT <br />TO BE COMPLE7E0 IN BLACK INK — PLEASE PRINT <br />BUILDIN(3 DEPT. <br />259•8745 � COMBINATION ❑ BUILDIN6 ❑ MECHANICAL <br />III➢ <br />` errretl <br />� <br />❑ PLUMBINl3 ❑ SIGN <br />vnnru <br />��3 <br />OEHEfl�I CONlR�f.iOR M�II �OPNESS CI1Y TIP PHOIU l�CE115E • <br />�9� /�'• <br />MECN�NIG�I COMNACfOq MMl �DOHE99 CITY lIP 1'llulll llf.fNSE • <br />GlOM81NOCONI:UCfd1 M�II �[IORES� CItY lIP YIUINF IIGEN$E � <br />f <br />❑ ADDITION ❑ ALTERIITION ❑ HEP�IR ❑ DEMOLIiION ❑ WOODSTOVE/FNPLJN9ERT ❑ BUILDINO RELOCATION <br />VONN�LO![T�01 M�IE^RHl6PlUtlU0M1 <br />' 1.41 �1,t!`^ _ <br />�EBCPiBE WORN ' � <br />C(� )Si1)�le♦ Jr/�=7J �. <br />�9c ar em�oiHa <br />lEO�L DEBCPiPf �ON Of PPOPEf11Y �BIIOWH BEI OW [ <br />wts.aZ eiocK_ or�Fil�l.E <br />__ {71 � � ' .i 6 . ' <br />PNOiECf�DOREBD <br />�/`�- //�t <br />FLOOR ORAIN _ <br />I HEREBV CEI�TIFV THAT I HAVE READ AND EXA�dINED THIS AP- <br />PI.ICATION ANU KNOW TNE SAME i0 f1f THUE ANUCOf1RECT. ALL <br />PROVISIONSOFLAWSANDORDiN4NCES aOVEFNINGT111STYPE <br />OF WORK WILI BE COMPLETED WII H WI IETHEH SPECIFIED HERE- <br />IN OR NOT. THE GFANTINQ nF A PEH�AII DOES NOT PRESUME TO <br />61VE AUTHOqI7V TO VIOI.ATE OR CANCfL THE PROVISIONS OF� <br />ANVp7hIEF. ST qTE OF LOCAL LAW RFGUI.AiING CONSTRUCTION <br />O�iFIE PLRF(�riMANCt OF CONSTRUCfION <br />Si' •IUR`J �ONI/fl�(:IO�T�f.f�Ai11N1 p,�ji�j <br />� <br />X � S ^ <br />„ i/ /S- d � <br />.PPL �Nt9f.IlYB115MF 5 �(M fN0 <br />- \Ty.- . <br />MECNANICAL <br />____. _._.__ __-__.----_ .__ <br />TI1R! FFE NO. TYPE OF EOIIIPMENT __ <br />_ _ __L�_ _ _ AIRCONO ONIIS-11 P E� __ <br />PEFIII(iERAiIONUNIfS-HP E� <br />U1�9 tRS-11 P EA �' � -' �' -"""�--'- <br />G�SfIREDAC UNI75-10NNA6EEA <br />_� __ FOI7CE0 �I(1 SYSIEMS=B' U M EA__ <br />3 _ Wr111 IIEAIERS-�B I U_ M _'_ __ __ <br />IlN1I11FA1ER5-BTU M <br />EV�PnH.V IV! COOIEflS <br />- . --.__ _"____. ___._______ " <br />� CL07HC51/nYERS <br />_ 1._ VENTILATION F�N_ - <br />'_'I R�NGE IIWD . <br />AIRIUNOLIN6l1N11- CFM. <br />!UB TOTAL _ y� / 6118 tOT�I { 1. _� <br />PERMIT � PENMIT -..-__ � <br />fOTAL F!f __� .�U.. _' _ ' _ TOT�L Ff! _.. _ _ � � �___ <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />IEIB�CR RE�F9EIP�CF SIDEBEIB�CN PUNCIR-.fl111iMflfH 1'I�NLIIECItiFE <br />Z �//' !FE /��J'% ��EGEII'INO <br />1[ O l(li Allf� VAC�NI� �� /�� `�—. --�f`'LG <br />^ Flt� V�LWfION_ IF! � _ <br />R- �08� �Es ����o -- — - <br />nr[ or toeei oc'rur.r�cr r.nou <br />� a rz-3 <br />91lF Oi BL Q NO OI SIOPIF9 <br />12 � SF 1 <br />•PPIIL�bON�CC BV <br />•r�s iTkf.nko Ov <br />�JE� <br />�.cct i <br />N� <br />nv,n ranis,u.r¢i <br />9un mNa_ <br />Pl UMtlINO —_ <br />MECI IRNIf,�I <br />OIIIER --- <br />�tN�IIY <br />TO1Al <br />t�l o��YO�— <br />