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IN EwrVrEBn i.PPLICATION FOh - <br />CITY OF CONSTRUCTION <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259-8745 TO BE COMPLETED IN INK. PLEASE PRINT <br />O DLMOLITION 17 COMBINATION BUILDING ❑ MECHANICAL O PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CIIY ZIP PHONE <br />CC IA; I c1 AL„IC,�<_, � II.I In_-1�.,./ GI 4•.,�.. 11 rTO..-� I. -_ , . _.-. <br />-To12��1� 1E_.i:Eln./_ <br />OENEDAL GO IOACIOR <br />Y <br />b'�O� r n•yl•'J <br />NAIUDRDIS <br />c• <br />LV�1'E 11 <br />CITY <br />__ .... <br />9%:.*Lj11 <br />ZIP PHONE <br />1�TF,I( V�'G Tt. <br />LICENSE• <br />MLCNAIIICAL CONIIMCIOR <br />MAIL ADDRESS <br />CITY <br />ZIP PIIONE <br />LICENSE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CIIY <br />iIP PHONE <br />LICENSE <br />A NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODS:OVE/FRPL INSERT ❑ BUILDING RELOCATION <br />VALUATIONOF WOa ICOSTO f LB PLUBL ROM <br />C?CLl CLc%JZ C11I 00. n0 <br />i_1.I /­T-- <br />USE OF BUILDING <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONSOF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />LEGAL OESCIRPTION OF PROPERTY ISHOWN SEInW On AI TACN TWO COPIEN <br />LOT 1S_ BLOCK__OF 41 10 L,lgfk- VIKI I I <br />OFWORKWILL BECOMPLETEDWITH WHETHER SPECIFIED HERE• <br />U <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUM- TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIG TUREOFCONtRACTORORAUTHOnIZEDAOENI GATE <br />X <<Lr c•-�' t E ^C ! n Q� s TA <br />PROJECT ApO E99 <br />AP CANTS CITY BU81NES8lICENBE <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />T\PE OF EQUIPMENT <br />FEE <br />WATERCLOSET TOILE <br />AIR CONG UNITS-H P. EA <br />REFRIGERATION UNITS-H.P. EA <br />BATHTUB <br />_ <br />LAVATORY IWASH BASIN) <br />BOILERS-H.P. EA <br />SHOWER <br />AS FIRED AC. UNITS -TONNAGE EA <br />KITCHEN SINK f OISP. <br />FORCED AIR SYSTEMS-B.T.U. M EA <br />DISHWASHER <br />WALL HEATERS-B.T.U. M <br />IAUNDRYTRAY <br />UNIT HEATERS-B.T.U. M <br />_ <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTIH ORYER8 <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT- C.F.M. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS-RAINLEADERS <br />SINK SERVICE -BAR, ETC I <br />METAL FIREPLACE f CHIMNEY <br />WOODSTOVE/FIREPLACE INSERT <br />_ <br />BUS TOTAL <br />SUB TOTAL • <br />PERMIT f <br />PERMIT f <br />TOTALFEE .1 <br />TOTALFEE f <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />",•�1 <br />OV • <br />LO' <br />6611695O <br />TEE / ()g <br />1� <br />RECEIPT NO (�O .L/� <br />O g <br />TONE <br />y"1 I <br />T'Y <br />LOT AREA <br />_ <br />VACAOYESNT t0 E <br />FFEB <br />VALUATION <br />FEE <br />Or CON9I <br />OLCIIPANCY GROUP <br />1 <br />NO OF COJV��I'LLYLING UNITS <br />AJ <br />!w I. / ,./ <br />nUILDING <br />sc <br />(� <br />OF SLOG <br />Y) (3% <br />NO OF BIDDIES <br />I <br />MAX OCC LOAD <br />PLUMBING <br />! SPRINKLERS REQUIRED DYES ONO <br />MECHANICAL <br />CATION AM BY PLANSCHECREO BY FAPPRR ISSUANCEBY <br />M��p N, <br />OTHER <br />PENALTY <br />TOTAL <br />