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,ME,��.� APPLICATION F(.,R everetl <br /> °��°F CONST�RUCTION e <br /> everett PERMIT <br /> TO BE COMPLETED IN BLACK INK— PLEASE PRINT <br /> BUILDING DEPT. <br /> 259-8745 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING � SIGN <br /> OWNER MRILAD�RE55 Cltt ZIP PHONE <br /> T.arson's 3oo'�cs � i13 �3rd Lverett no��� Z5Z_(�456 <br /> �RLHITEGTORDESIGNER MAILAUORE55 Cltt ZIP PHONE �� <br /> GENER�LCONTRAGTOR MAILADDRESS CITY 21P PHUNE LICENSE+ <br /> � ity "i;,a ^ervice Tnc 4937 ^vrrereen ^sv ^verett 93�03 339-2644 CITYScT_] S.qD1C _ <br /> MECHANICALCONTRACfOq MRILAD�flESS CITY 21V PHONE LIGENSE• <br /> PLUMBINGLONTRACTOR M�ILADDFE55 Cltt 21� PNONE UGENSE• ' <br /> CLASS JF WORK <br /> � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INStRT ❑ BUILDING RELOCATION <br /> VpLUATION OF WONK�GOST OF MATEqIr1LS PLUS LFBOR) <br /> 1900.00 <br /> DESCRIBE WCAK <br /> G' x 3' doublefaced illuminated si�n <br /> USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THESAMETO BETRUEANDCORRECT.ALL <br /> �EORLDESCFIPTIONOFPROPERTY�SMOWNBELOWORATfACNFOURCOPIES� pROVISIONSOFLAWSANDORDINANCESCaOVERNINGTHISTYPE <br /> OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br /> �or—e�ocK—oF �N OR NOT.THE CaRANTING OFA PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS O� ' <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATl1FEOFCONTR/�qC�TOR�O_P�AUT RIZE�D7AGENT DATE <br /> X `-����'�� ^� -� /UCi�S` %^,��� <br /> PHOJEC7 ADDRESS, C,/ APPLICANTS CITY BUSW E55 4CENSE N . <br /> �23rd 15406 <br /> PLUMBINO MECHANICAL — <br /> NO. TYPE OF FI%TUpE FEE NO. TYPE OF EOUIPMENT FEE <br /> WA7ER CLOSET�TOILE7) AIR COND. UNITS—H.P.EA. <br /> BATHTUB REFFIGERATIOP!UNITS—H.P.EA. <br /> LAVATORV�WASH BASINI BOILER^rH.P.EA. <br /> SHOWER GAS FIRED AC.UNI7S—TONNAGE EA <br /> ' KITCHEN SINKB UISP. FORCED AIR SVSTEMS—B.T.U. M EA <br /> DISHWASHER WALL HEATERS—B.T.U. M - <br /> LAUNDRYTRAY UNITHEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATI�'E COOLERS <br /> WATER HEATER CLOTHES CRVERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR ORAIN AIR H(,NDLING UNI7— QF.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF ORAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEV <br /> SINK(SERVICE—BAR,ETC. WOODSTOVE/FIREPLACE INSERT <br /> SUBTOTA� SUB70TAL s <br /> PERMI7 f PERMIT s <br /> TOTALFEE t TOTALFEE s <br /> 7HIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> FRONT SETBACN REAR SETBr1CK SI�E SETBACK PLAN GHECN NUMBER PLAN:HECK FEE <br /> FE[ RECEIPT NO. <br /> JSEZONE LOiAFEA yqCANT5ITE VAIU�TION FEE <br /> FEES <br /> OYES ONO <br /> TYPEOFCONST. O�CUPANCVGROUP NO.OF�WELLINGUNITS <br /> 9UILDING $ <br /> S2EOFBLOG. NOAFSTOflIES MA%.00GLOAO <br /> PIUMBING _ <br /> MECHANICAL <br /> FIRE SPRINKLERS REOUIRED ❑YES ❑ NO <br /> OTMER _ <br /> • _ PENALTV . <br /> APPLICATION ACC.BY P�ANS CHEGKEO BY APGR.FOR ISSU�NCE BY <br /> TOTRL <br /> 5t��c/ To � �� � <br /> �!G?07� f�'Y M�x-, � <br /> �� �cv e� c�rz, <br />