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� ��,,PPLICATION f0►� ���,�„ <br /> �� '"""'°'"" CONSTRUCTION <br /> I CIT1'OF <br /> �: everett PE R M I T <br /> �� BUILDING DEPARTMENT <br /> I: <br /> 259•8810 TO BE COMPLETED IN INK• PLEASE PRINT <br /> I ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �MECHANICAL �PLUMBING ❑ SIGN <br /> OWNER M�il���NE55 G��� IIF pNONE <br /> e Ic L �f��/2/Crs ,� 7��20/ ----- <br /> • GMITECi OH DESIUNEN �� ` ��l�D�RE55 ' Cin' IIP PNONE <br /> 6EN1E/R�I CONIP�CiOA /� M�IL�OURE55 Glrv IIP n1�pNE LIClNSE• <br /> —/{i/F tll)e�, ( G,uc� <br /> MEGM � CpN H�Gi N M�IL�DDRE55 Crtv iP PUONE IIGENSE• <br /> �'Ce�►-r� �,arN��e �e,Ar�er �y6r3 �«�� Clcs �7�/ �' . �'825'Q S6�'7c�z5 fi-ruizt�/: <br /> PLUMBINGCONiP�C�ON MML�O�AE55 GiY IIP P��ONE LIC �SE• <br /> CUSS Oi WORN <br /> ❑ NEW ❑ ADDR�ON �ALTERATION ❑ REPAtR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BU�I.'1tHG RELOCATION <br /> V�LU�110N Of WORN�CO51 O(M�1ERI�LS PlUS LABOfli <br /> Z3ao ' <br /> DE CRIB WORN � <br /> s s P�' � o u N � — C' r�e2 k�(u.c�{a,d,e k <br /> uee ore�ua^o�no I HER[BY CER7IFY THAT I HAVE READ AND E%AMINED THIS AP• <br /> O�'c I CC S _ PLICATION AND KNOW THE SAME TO BE TRUEAND CORRECT.ALL <br /> lEO�lDESCRIPiIONOFPROPERiY�9HOWNBEIOWOA�TTACNF4UHGOFIE51 PROVISIONSOFLAWSANDORDINA�JCESGOVERNINGTHISTYPE <br /> �: OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br /> io�_e�acK—or IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOIATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> � <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> �' SIONATUPE OF CONiRRCtOR OR AUIHORIZEO AGENT UAiE <br /> X �'�-�; ' I a-3e-87 <br /> PPOJECT�D��� � A>MIC�NTSCIiYBU51NE55LICkN5EN0 <br /> 3 Ofl- �S <br /> PLUMSIN6 MECHANICAL <br /> NO. TYPE OF FIIRURE OR ITEM FEE NO. T'PE OF EOUIPMENT fE! <br /> WATER CL04ET�TOILETI AiC—AMNOLO UNITS—MP. <br /> BATMTUB REFRIGERATION UNITS—H.P.EA. <br /> LAVATORV I WASM BASINI BO�LERS—B.T.U.MP. <br /> gHQyyEp GAS FIPED A�C.UNITS—B.T.U. <br /> � KI�CHEN$INK 6 OISP. FORCEU AIR SYSTEMS—B.T.0 M EA. <br /> 019HW�SMER WALLMEATERS—B.T.U. M <br /> � ��_ UUNDRV TRAY UNIT NEATERS—B.T.0 M <br /> CLOTHES W�SMER EVAPOR�TIVE COOLERS <br /> URINAL CLOTHESDRYERS <br /> .i ORINNINO FOUNTAtN VENTII.ATION FAN <br /> � FLOOR DRAIN RIINGE HOOD <br /> BACNfLOW PREVENTEF9 WATER MEATER <br /> �, ROOF ORAINS—RAINIEADERS WOOD STOVE <br /> � <br /> SINN�SERV�CE—BAR.ETCJ METAL FIREPLACE 6 CMIMNEY <br /> FIREPLACEINSERT <br /> HEATPUMP <br /> GAS PIPINO <br /> E%NAUSTFAN <br /> SUOTOTAL f SUSTOTAL <br /> PERMIT f �p�T <br /> TOTAIFEE f TOTALFEE <br /> �RUNt5Et0�Cn RE�RSEfBACN SIDESEIB�CK �'IANCHECNNUMBER FEE RECEIPTNO. <br /> use zone �or en[• VACANI S�TE FEES VALUATION FEE <br /> OVES ONO <br /> BUILDING S <br /> iYPEOiCON51 OCCUPANCYGRWP NOOFOWFLLINOUNIIS <br /> %.UMBING <br /> SIZE OF B106 NO O�STO�iES M�a OCC LO�O MECHANICAL <br /> OTHER <br /> FIRE SPRINKIERS REOUIRED ❑ VES O NO STATE BUILDING SURCHARGE <br /> STATEENERG�SURCMARC.E <br /> �VPIICAfION�CGB� PUNSCMECNEOB� APPRlORISSWNGEBY pUBLICWORKS <br /> � TOTAL <br /> ��J� <br /> PROPERTY 0 WNERS AflE RESPONSIBLE FOR DETERMININO ALL <br /> PROPERTY LINE LOCATIONS AND RELATED EASEMENTS. <br /> .<.+. . . . . . <br />