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EL,FETFFR APPLICATION FAR-- PYFTF„ <br />IAF <br />CITY OF CONSTRUCTION <br />everett PERMIT <br />TO BE COMPLETED IN BLACK <br />INK-- PLEASE PRINT <br />BUILDING DEPT. <br />�/ <br />259.8745 ❑ COMBINATION ,9C BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADOnESS <br />city ZIP PHONE <br />MDftma UAILpets 12803 <br />E% i2E[T' 982o1- -142-7-ug <br />AMIN.TINIE OR DESIDNIN MAIL ADDRESS <br />CHAw-� c'. LEG_ 90-S— 10� SSE. �4U <br />CITY ZIP`ZI 132�t 2 I nOU[ -146 - G� <br />L, _ � <br />GENERAL CONTRACT IR MAIL ADDRESS <br />L DN , LpiiFs IZ79gp! <br />❑IN Pn` PNONI LICENSE• <br />EST' `I13264' -142 201 LA-mo-14-24111% <br />MAIL ADDRESS <br />MI CHANICAL COMPACTOR_ <br />.:IIY fm PHONE LICENSE E <br />wee-0 TeEG, 16122 <br />sa 98145 34pq-297(0 <br />PI UMDING CONITIACIIq MAIL ADDRESS <br />_'SoR <br />CITY ZIP PHONE LICENSEE <br />,ttae PLuwLP.tl - 67-1 WeasTwl� Kd fiRL1�1�1Uu 98'ZZ3 691-9 �2 <br />C( AKS OF WORK <br />NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOOOSTOVEIFRPL.INSERT Cl BUILDING RELOCATION <br />V DI PLUS LABOR) <br />O�K(COST�ERIALS <br />DESCRIBE WORK <br />USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />LEGAL DESCRIPTION OF PPOPEPTYISHOWN BELOWORAIlAt"IAOURMITIEST <br />PROVISIONS OF LAWSAND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLETED W ITH WHETHER SPE -IFIED HERE - <br />LOT 1J �BLOCK—OF <br />IN OR NOT. THE GRANTINOOFA PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OK <br />'LTIOTJ S I ewE.><�P Z>3_ <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />THE PERF RMAN <br />F STRUCTION. <br />SIGNA <br />OF N <br />RACTOR <br />OR <br />UT O )ZED AGENT DATE <br />�� <br />PL <br />�I A <br />X <br />� <br />A]E Ft <br />) 2ST L) . <br />OIF,EET AIlORE �•+ S 8 �5 <br />APPUCAN CII BUBINEBB IICENBE NO IF <br />GCl 3SZ <br />PLUMBING <br />MECHANICAL <br />N <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET TOILE <br />AIR COND. UNITS-H.P. EA <br />BATHTUB <br />REFRIGERATION UNITS-H.P. EA _ <br />�- <br />LAVATORY WASH GASIN <br />BOILERS-H.P. EA <br />_ <br />SHOWER <br />OAS FIRED AG UNITS -TONNAGE EA <br />-(� <br />KITCHEN SINKII DISP. <br />ft <br />co <br />FORCED AIR SYSTEMS-B.T.U. M EA <br />_ <br />A^ <br />DISHWASHER <br />Co <br />WALL HEATTRS-• B.T.U. M <br />LAUNDRYTRAV <br />r7l <br />0 <br />UNIT HEATERS-B.T.U. M <br />I <br />CLOTHES WASHER <br />tj <br />EVAPORATIVE COOLERS <br />�+ <br />r± <br />WATER HEATER <br />CLOTHES DRYERS <br />7 <br />URINAL <br />VENTILATION FAN <br />Ob_ <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT- C.F.M. <br />VACUUM BREAKERS <br />STOVE <br />_ <br />ROOF DRAINS-RAINLEADERS <br />METAL FIREPLACE B CHIMNEY <br />SINK SERVICE -BAR. ETC. <br />WOODSTO FIREPLACE INSERT <br />SUB TOTAL <br />8UB TOTAL <br />_ <br />E <br />PERMIT B <br />_ <br />_PERMIT <br />TOTAL FEE E <br />TOTAL FEE E <br />THIS PORTION TO BE COMPLETED <br />BY BUILDING DEPT. PERSONNEL <br />111UN2T y111It <br />ALA 11 S[I�II <br />SIDE BEK <br />PLAN CITE NUMBER <br />BAN pI[CCK'E <br />Elrj <br />F <br />PS y 9/S <br />FEE <br />USE !U L <br />LOT AREA <br />VACANISHE <br />FEES <br />VALUATION <br />FEE <br />OYES ONO <br />IYPE OE COI. - <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITSPC <br />_ <br />BUILDING <br />S I o COD, <br />--E.:� <br />Op <br />SIZE OF BLDG <br />NO OF STORIES <br />'2 <br />MAX OM. LOAD <br />PLUMBING <br />. U <br />31 O s.Ii <br />I c, <br />VES <br />MECHANICAL <br />l4e- <br />FIRE SPRINKLERS REOUIRED O H NO <br />OTHER <br />PENALTY <br />APPLICATION ACC BY <br />PLANACHECKED BY <br />APPR FOR ISBVANC& BY <br />TOTAL <br />-- <br />OBSESSION <br />