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. �PPLICATION FO►• rrrrell <br />,°.E'.,°`"° CO PV ST It U Cl' 1 O N O <br />cirr os <br />everett PERMIT <br />BUILDING DEPARTMENT <br />2ss-a�ns TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />oWNER Mn�l a[Jt�RI ;5 tm T�r iq�nrvl <br />� a�s�(.�-1�'1. 27�-12� '� pI.SE �uE,��+�-itp, 9��pB 337-5ln31 <br />,,,�,,,<<-�, �A �� z��,,,F,� ,..�, .�,o,�� ss � , � :,� ,,,,o�� <br />�T"�ME✓' .f d6� 9o¢S—S/�"A��: �i/� c%�.er>�; l�.� y�8ir�s2¢�`9B <br />.lN�e cuHIH�Crna M�il<n[�n[55 G�t�' �� M��^� nc[NSc. <br />/�w��lYi��/� ��L Q <br />l �f 1 I�Qi��i <br />MI{.IIAryIC�I �nNtqA�i(lf� (�M�IL �I)nNE$S LIfV ZIV 1'lIf1NC IICENS: • <br />PWMBM9CONIR�CIpfi �Uil.Api1R[SS GItY Z�' I4�OHF ULCNSE• <br />CU55 O! p/pqn <br />❑ NEW �ADDITION ❑ ALTERATION ❑ fiEPAIR ❑ DEMOLITION ❑ WOODSTOI'E/FFPL.INSERT ❑ BUILDING RELOCATION <br />v.i���o� � w� �:osr or ��r[nu�� rws i neoA, � �� � �� ' <br />O <br />urscm��[ war.n <br />us� o� ounowc • <br />r�Nyt�_ F,on� <br />1 tf,+l DEscnirnOp pr pqo�ER1r <br />iu�.—y_owc�Gor� <br />vqn,�c+�ooaEss <br />PLUMBINa <br />.. NO.' -- T1'PE ilF FI% <br />� WFTEFCLOSET�TCILEq _ <br />� BAiNTU� _ <br />_� LAVATOAV114AS1/[iA91Nl _ <br />SNOWER <br />NITCHEN $INN 6 DISP <br />OISNWASNER <br />LRUNOHYTFAY <br />CI.OtHES WASHEP <br />Wn7Ef71iEATER <br />URIN4L <br />UPINNING POUNTAIN <br />FIOOR ONAIN <br />VACUUM BREAKERS <br />ROOF OHAINS-RRINLEADEF <br />SINN iSEFVICE-BAR. ETC! <br />l <br />� 0.�� I HEREBV CERTIFY THAT I HAVE READ AND E%AMWED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND GORREC7. ALL <br />c��rouncown;� PROVISIONSOFLAWSANDOR�INANCESGOVERNINGTHISTVPC <br />OF WORK WILL BE COMPLET[D WITH WHE7HERSPECIFIED HEF[� <br />IN OR NOT. THE GRANTING OFA PERMIT DOES NOT PRESUME TO <br />GNL AUTHORITY 7p VIOLATE OR CANCEL THE PROVISIONS O� <br />ANYOTHER STATE OP LOCAL LAW REGULATING CONSTRUCTION <br />OR TH[ PERFORMANCE OF CONSTRUCTION. <br />s�:HnruncorcoHt�inGiononnun�pnipCDno[Ht unR <br />�,�. 9dqol/ X �.,�. f?� ,-�,v .�.29-87 <br />.ori iruir; ur. nusiHcss uccnsc rio <br />PERMIT f <br />4iRCOND UNI75_NP [A __ <br />fi[�RIGC�AiION UNI75-N P EA <br />OOILERS_H P CA <br />�AS FlN[D AC UNITS-TONNAGE EA <br />FpRCEO AIP SYSTEMS-B 7 U ' EA <br />RIR <br />ITHFAiEPS-BT.II M <br />r <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />nuqSElu�cn SioE5Fr0ecK MWcr�ICKq�iMBtR �4�Mpq<...r[[: <br />C <br />� � <br />i<<.�/N91 . / <br />V ' N <br />� .^ <br />/1 ���. <br />-3 <br />MC�N� iC <br />nvFs �o <br />NO OipWEllI4GUIIIfS <br />/ <br />MAM OCf, LO�D <br />I' <br />cl•f�i„qtIONAf.C, N� PLANSLMECI(E09Y Al�pq IOPISSIIANC! <br />�j.l� %:r G.G <br />� � _- --- <br />t/l � <br />ou��oiea <br />PI.UMBiNG <br />MCGH�NIC�L <br />urHFn <br />i°r���� rv <br />TOTnI. <br />��%� I11 �����_i nli.liP�pU�� � <br />1 <br />FEEf vAW�1�OM FEE <br />—..— __._— ___.___.- __ • <br />_ I :Sb <br />:1��.— - - /536C� <br />----- -- ----�51� <br />� <br />—'—' _" -J__ . <br />I <br />— -- - --- t_._. <br />-- ----- I - -- ---,- f�� �� <br />n <br />