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�,.PPLICAT�ON FC�.. <br />I.�� Ersrprsen CCl N ST ft U CT I O N <br />�iT. �. <br />everett PERMIT <br />10 BG COMPLETED IN BLACK INK - PLEA5E PPiNT <br />BUILDING DEpT. <br />259•8745 ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br />„w,,,,, - ueaeooncsa �-c,iv mr vr�n�rt <br />[rn� <br />�Q <br />riw.quqc� <br />MNI. <br />1U�L <br />zm <br />❑ SIGh <br />:Pv 1�r n�orlr V"rMsr • <br />3Z9 t.�� �1 a4Z�83'6Luo <br />�nriV6�-c / S'A'.L <br />,m nv rnoHt uuricr. <br />`_,� t Q$ Q�_Z,� 5EA60C31'1'1 RC <br />. SJ: Z.��_s�1` _��_� � <br />GIIY IiP '��UNL I if.I N'��1 + <br />� ... _ " ' '� "'.f�n�otT17�R�c <br />Gc� ��55 Of Wrnn. <br />,6I NEW ❑ A�DITION ❑ ALTERATION ❑ REPAIR ❑ D'SMOLITION ❑ WOOOS'OVE/FRPLINSERI ❑ BUIL�MG RFLOCAIION <br />vnUlnllnqur Wnlleif,USl0rMn1�11�nISf1U91nnOnl — " ^ .. ' " <br />J �1 1 � <br />.._.. {��,,,,. P_• � 3%a..{ � o�. r FJ�e PP'f'� �+ r L. l. D l <br />uor u cunowr, I HEREBY CEFTIFV THAT I HAVE FEAD AND E%AIdIMEO iHIS AP- <br />e,nQ f�(y'�o�� PLICA i IONAND KNOW THE SAIdE TO �F THUE AND CORRECi. ALL <br />iTi•i.nEscniruoNorrno�cn�r�auowr�ncwweneruu�rooneom[s PROVISIONSOFLAWSANDOPDINANCE:.GOV[RNIHGTliIS1VPE <br />G- �_ OF VlORK WILL BE COMPL[iED WITH N9 rtTI1CR SPF(:IFIED HEf76 <br />iui�moc.—.or�� T.L8� ��^�� '--- IPl OR NOT, TNE GRANTINC OFA PERM� I DOES NOT PRESUb�E TO <br />GI'/E AUTHORITY f0 VIOLATE 017 CANCGL 7HE PHOVISIONS OF <br />ANV OTHER STA I E OR LOCAL LAW fi[GULATING CONSTf7UCTION <br />- OR THE PERFORMANCE OF CONSTRUCTION. <br />sicNntuneor �i naan�unumon�zcnnriul nntr L//�/�G <br />�/o /ZI SrS� SE Ei.ERE'rr "--=�� --- <br />ML�• _ <br />PIlOJ61 �UU11l55 APPUC�NI'9 CIIY f1U5i11 ..S I�CCNSF NO <br />PLUMOINO <br />NO. TYI'E OF <br />WAIEII CLOSET �IOILF. q <br />_ _ .BAi117U9 _ __ <br />L�UPf111Y TRRY '__ <br />CLC ENES W�511.'.R <br />WAIEI111EA1ER <br />URIN4L <br />ORINI:RIO FOUNIAIN <br />vioon onni��_Sa <br />VACUUM OnCnK[f1S <br />noor onnnis-neu+�ei <br />I IIUrI� 51 �O�I:Y <br />u �� rau <br />�.r� orcuqst <br />�,�n o� ui uu <br />TYPEOFEOUIPMENT ___ __ ____FEE __ <br />Alq CONO UNIIS _II P EA ___ <br />f1FfRIGEPNION UNIIS-11 P [.\ ____ __ _ <br />BOILEIIS-11 P. [A '_ _' __ <br />G�5 FIRED AC UNI15-TONNAOE EA __ <br />FORCED AIR SYS7EIA5-Il I U. M EA __ <br />WALt HEAT[PS-B T U M ___ __ <br />UNILHEATE�iS-BiU: 1A ____ __.. <br />FvnPnreTIVECOOI[I15 .-_ ______ _ __ <br />VE <br />- CFM --i'7'___ <br />' _� � f ��:.___. _ _ _. <br />_ J- !!.1., <br />__'_'_-_-" ____ _ -_ <br />CHI6INGV._......_...""___._'__"_-.. . _"_ <br />�nee u�senr birv-o�- .v[�Cj� o�-- <br />---- ------- �„�c:�__ � <br />--- suntoTa� �_ _ sun rorni.__ _ _� --_�7 c"} <br />--- <br />renMit s r.=.nMir s __ _ _..3 � . <br />-- --------_ . ._.. <br />--- — ----- � --- ( � � <br />701ALFEE ! a` _ TOTALFEE _ _ .._ 3 _ . � <br />THIS PORTION TO BE COMPLCTED BY BUILDING DEPT. PERSONNEL <br />OI.�IISCIp�CN SIOESEII1�Lh PL�NCII[CNNUMpL11 ---�---���V'IC�OGkllf � -��� ' — <br />ICf ��� IILfPi`INO <br />_ �ai — ------ --- <br />IOf4f1EA ��f,M11411E fEE! WIWIION �E[ <br />r,�[s rn�o _'___._ _._ __—__— I ._ _ <br />occprnr�crcnour noorownuNauNns ___.r_, ..- <br />PUILUINO �-) �7i� n�-) <br />nn ar ,iun¢s <br />n'�riic•nnrvei.[nr r��,�i,��;�r <br />M��t CCJ LOAp ___ ___ --- _ - <br />r�uemu+a __ � i?f..� <br />-_ MEGUIIICAL '_ ___ � J_- (�I� <br />r <br />011lE�� I n�% z,� /�� i _-_— _ —� i� <br />h <br />rer+utr <br />nrrn ronissunHCeer — � --"' � � ,) <br />.oT.� 3 � � " � �. <br />L. G — -- ��� - <br />. n _f <br />.-- y� � � '1'�'t C�['rT /.!,..�.�� . <br />