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APPLICATION FOK <br />TAE E„ro.»n <br />CITY OF <br />CONSTRUCTION <br />EYETE„ <br />everett <br />PERMIT <br />BUILDING DEPT. <br />TO BE COMPLETED IN BLACK INK - PLEASE PRINT <br />259.8745 <br />COMBINATION ❑ BUILDING ❑ MECHANICAL <br />❑ PLUPI13ING <br />❑ SIGN <br />IIWNIn <br />MAIL AoonE 9S LTY ZIP <br />m11L <br />10 <br />' <br />eeldrE�C ff/ius <br />ARCNiIELT <br />1>'n/ncs $d!v Sr ecc2cM m�ru cv/g Fcca�Err z <br />��ss Y <br />OR DESIGNER <br />MAIL ADDRESS 'CI•V Zi <br />PHONE <br />OENUTAL coNIOACTOR <br />061(416n <br />MAIL ADDRESS CITY ZIP <br />pNONL OCT RISE <br />CP'93-Ol-lil"C <br />-/N-+3??L(o <br />MECHANICAL ONTRACTOR <br />Safi /��p1iN(a <br />MAIL ADDRESS CITY ZIP <br />IMb /UE ( ` Re-Dlmolu,3 ifiA- Ijk,45D <br />PHONE <br />//S3C634ao <br />a TICE" <br />C <br />b3fAj50,_I j[6AMy/AI(A &0'7 :56 &Vc-KfV In/ILL L.OAY c`Vd-rWfr— �7FzC)y 355=(0/71 t< a/ea' <br />Cl 90F WORM <br />NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPLANSERT Cl DUILUING RELOCATION <br />VALVAII04 OF WORK (MST Of MATERIALS PLUS LAB9RI --� <br />53900 <br />OESFRIBE WORK <br />>(A Ak r-- %f%7)'1/L y kt7<16% UCH <br />us�E-•or BUIlpINO `�— <br />�S/NC Ce F/l/1//� y J�GS%Qt NEC: <br />-- <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIr AP - <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORKWILL BE COMPLETED WITH WHETIIERSPECIFIED HERE- <br />IN OR NOT. T HC GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHOR11 Y TO VIOLATE OR CANCEL THE PROVISIONS OL" <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION, <br />31 ATU �Of CONTRACT OR AUTHORIZED AGENT DATE <br />LEGAL LEaAL or9cmpuoN or rnoPERnlSHOWN BELOW on ATTACP FOUR COPIESI <br />LOT./L?BLOCK-.—OF /6 R/iCL•Urr- L '4' fs <br />�`��_ o r� <br />6 <br />PROJECT AODPES9 I <br />es a <br />S <br />APPL ANPS CItY BUSIN B9 CENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />1 <br />WATER CLOSET TOILE <br />_ <br />(ILA_ <br />MR WND. UNITS-H.P. EA. <br />BATHTUB <br />LAVATORY IWASH BASIN) <br />SHOWER <br />REFRIGERATION UNITS -HP. EA. <br />BUTLERS-H.P. EA. <br />OAl FIRED AC. UNITS -TONNAGE EA <br />KITCHEN SINK& DISP. <br />T9Vs <br />d <br />FOFCED AIR SYSTEMS-B.T.U. M EA <br />DISHWASHER,% <br />WALL HEATERS-B.T.U. M <br />_ <br />LAUNDRYTRAY <br />_ <br />UNIT ItPATERS-B.T.U. M <br />_ <br />_ <br />CLOTHES WASHER <br />EVAPC 9_ATIVE COOLERS <br />44f <br />X) <br />WATER HEATER <br />_ <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HAND .ING UNIT- C.F.M <br />VACUUM_ BREAKERS <br />STOVE <br />_ <br />_ <br />ROO' L RAINS-RAINI EADERS <br />METAL FIREPLACE A CHIMNEY <br />SINK SERVICE -BAR, ETC.) <br />WOODSTOVI /FIREPLACE INSERT <br />_SUB <br />_ <br />TOTAL <br />PERMIT S <br />SU_B_TOTAL <br />PERMIT ! <br />TOTALFEE <br />TOTAL FEE & <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />SETBACK <br />>< lop-Y Z.C. <br />SUE or SLOG NO OF STORIES <br />?A,3'to' f,?s M,/ 2 <br />USE zoN LOI AREA <br />' -3 <br />tio,Poo <br />TYPE Of CON9T <br />IX:CIIPANCYC OUP <br />u. Mil <br />APPLIC.AHONACC BY PLANS CHECKED BY <br />L> K I I vIgrlr-- <br />VACANT BITE FEES VALUATION <br />r&Wr0 NO <br />BUILOINO <br />E5�1BW'• <br />MAX. OCC LOAD <br />... <br />PLUMBING <br />- <br />MECTI 11ICAL <br />OTHER <br />PENALTY <br />APPR FOR ISSUANCE BY <br />TOTAL <br />��'rni�C <br />