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._ APPLICATION F.��t <br /> ryf�"'°""' CONSTRUCTION "��`�`" <br /> everett PERMIT <br /> BUILDING DEPARTM�:4T <br /> 259•8745 TO BE COM?LETED IN INK• PLEASE PRINT <br /> ❑ DEMOLITION ❑COMBINATION �BUILDING ❑ MECHANICAI ❑ PLUMBING �SIGN <br /> OWNC� M�iI.�DURE53 GIiY 21P FNONE <br /> ���r/�r�/.� Ti-r.�5 �, e/n /���,Lrc� �79f. L��-e%����t �rrii :�� /fe�rr�if . EZ���eff <br /> �RGIIfCGIUROk51GHER M.11L�OOHE44 C�tY 2�O ��� NE <br /> R,-,.�;r����.t�; �Jf-�;�,,s5i�oi.�. ac�is ��t�� R��G(i., Cu;�r�a,�irz' iUA ��,�n.3� <br /> (iLNL��LCON�R�G10R / �Ms�1/U�00RE55 / ,/ Cltt ZIP CPONE�� �r uLENSE,�•//� <br /> ��/�/!��"coH,4�c��. �,2�� ��6A •oonEss�LU 'S///�t° ��'4- �L��Di� ��/� AI m 1�/(C,�J�I.%�/,�H/V T <br /> 947-iP�� <br /> FWM9iN.CUNI1UGfOR MAIL�OONE55 CITY ZIP PIIONE LILCNS!• <br /> cU55 0/wOnrc <br /> ❑ NEW ❑ ACOITION �] ALTERAiION ❑ REPAIR ❑ OEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ �UILDWG RELOCATiON <br /> v�iw��oN rn�wonn icosi o� M��UIIAlS PLUS L�BORI <br /> ���g��f- ����c��������r� �r�� ���o/icn (����� D.�� <br /> m scnm[wonn <br /> f�i?Gn,f i ���rc'c�P���i� Q kish . -s C.� <br /> uSf Or nWI.OiNG <br /> fiEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED Tli1S AP- <br /> �� ,fC PLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT.AlL <br /> irrni.n,[:/�cnu+uonornnonemr�isrwwHn[iowonpium�rouneoriES PROVISIONSOFLAWSANDORDINANCESGOVFRNINGTIiISlYPE <br /> � I'�7 �II1 /— �_)c�?£T� OFWORKWILlBECOMPLETEDWITHWHETHERSPECIFIEDHERE- <br /> io�_ewcK—or IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> CIVE AUTl10RITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR IOCAL LAW REGULATING CONSiRUCTION <br /> n / OR THE PERFORAIANCE OF CONSTRUCTION. <br /> �Pv.�+u�- \ � �(7Jl�Nn1�l�/Jfl G �[/SS SIONATUREOFCON711ACiORORAUi110R�LLDAGCN� unr[ <br /> ,:y'co� `- c.� X � �� `�,l� <br /> t'POIECI�0URE55 APP�IL� SCIi B INESSLIpENS[NO <br /> PLUMBING MECIIANIC�L _ _ <br /> NO. TYPE OF FI%TURE FEE NO. T'I'E OF EOUIPMENT FEE <br /> � WAIEfiCLOSET�TOILEp Lj � AIRCOND.UNITS—H.P.EA. �- <br /> BATN7UB REFRIGERATION UNITS—HP.EA. _ _ <br /> �. LAVATORY IWASH BASINI BOILERS—H.P.EA. <br /> 5/1bWER Gh9 FIPr�p,C.UNITS—TONNAGE E� <br /> NIiCHEN SINK 6 DISP. FORCED AIR SYSIEMS—B.T.U. M EA <br /> ___ _ ' —' — <br /> DISHWRSHER _ _ __ WALI HE�TEAS—B.T.Il M <br /> _ ___..._' ' _'____ ." _'"___ '_. _ ". <br /> _ 1 AIINI�IIY III�V____ ... ___ UNII IILAILICi -111 U_ M _ <br /> _ _—.._._— __'____'"_'_ . " <br /> CLO�HES WASNER EVAPORATIVE COOLERS ___ <br /> WRIERHEATER CLOTHESORYERS __ _ <br /> URINnL VENTIIATIONFAN _ _,_ <br /> ORINKING FOUNTAIN RANGE HOOD ___ ___ <br /> FLOO(7 DRRIN AIR HANOLING UNIT— CF.M. _ <br /> �AC�IUM BREAKERS STOVE ___ <br /> HOOF�RAINS—RAINLEAOER$ METAL FIREPLACE 6 CHIMNEY ___.__ <br /> � SINR�SERVICE—e�n,ETC.) WOO�STOVE/FIREPLACE INSERT <br /> — ' / LC� — --��sZ� <br /> sue rarn� �✓ C7 sue rorn� s --zi'SL� <br /> PERMIT S <br /> TOTAL FEE f �j TOTAL FEE S �_S� <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PER30NNEL <br /> �upNISCIpnf,N IIf4fI5E���GN SIpE5Ei9RLN �UNLIIEGRNUMOER ! PI�NC�RCnICC <br /> � � � � 11�9�fa �cE / ,/ J5 n�t[iriNo C��O� <br /> lJ 7 6 <br /> USE IONE LOf M1U 1 n. y���NT SIiE <br /> G�I IV�"• OYES �!0 FEES V�LU�TION FEE __ <br /> �r�•fOiCONS� OCCUPnt6vGIlOUP NO.OfOWELL�N�UN115 <br /> �� � �-{dZ. �-Z.. � eui�oiNa s�- �/�_ (�� <br /> SVC UI III Oq NO Of SIORIES M�%.00C.IOAD <br /> '�,j�� A�sZEe � C� PLUMDING � ' U <br /> MECMANICAL ((/ � <br /> FIRfl SPAINKLERS REOUIRED ❑YES NO <br /> ' OTlIER __L' _' <br /> PENALTY <br /> APPIiL�110NeCf, pv �`UNSCIIECMEOBY �PI'R{'OPi55OANCEBY -- <br /> pq I rd�aprov:d as nolcd iar omnliance � <br /> r�,l'\ i ���' L . G. —RT,��r;. .• . , �r �iscre�ionary, _ <br /> pcintii rc;;;i.i.nt:;ii�. <br /> UY -��___. _ ._ Dilc_1a7 P // <br /> I�(lnrui�, l�r, . !r /� �C.t W{ <br />