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� "APPLICATION FL�R <br /> ««""'"" CONSTRUCTION ";I`� <br /> everett PERMIT <br /> BUILDINO DEPARTMENT <br /> 259•8810 TO BE COMPLETED IN INK- PLEASE PRINT <br /> ❑ DEMOLITION O COMBINATION O BUILDING �] MECHANICAL ❑ PLUMBING ❑ SION <br /> ��irG[ i0. ��It.tfa.v�- M.�i��-liaAlut�n �lva��t�r'r�- �&761 2�2-�£r�5 <br /> 11PCMIfFC Dl3i4NER MAiUDONFS4 Ci1V Iio PHONE <br /> 6ENEMLGON�R�GION M�II�OpRES4 Ci�V PP o��OHE LIGENSE• <br /> MECN�NiLLLCONiN�LTOq //� M�IL�DDQRE39 /� '{'' �C/i�tt� /� DP/�w11 ���/�P��OnN1E��/ffA.y'� IICEN/SE• <br /> V�ON 1C10B �-1./l� I�•��.7 5\ \ -�l`�1 ` \ LNCa� —1� �++1{ �rJ'1 IW l LMEqpt'�� <br /> C1�3301 WO11M <br /> ❑ NEW ❑ AODITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOOOST0IE/FRPL.INSERT ❑ BUILOINO RELOCATION <br /> WIU�TION O!WOHN�COS10f MATEN4L9 PLUS UBORI <br /> OFlCllilE NWORM <br /> � l� �� <br /> ueeorsui�owg � I HEREBV CERTIFY THAT I HAVE flEAD AND E%AMINED THIS AP� <br /> F � PLICATIONANDKNOIVTHESAMETOBETRU:ANDCORRECI.ALL <br /> IEO�LO[lCRIPTqNO�PPOVENIYISNOWNBELOWON�111CHfOUPCOFiES1 PROVISIONSOFLAWSANDORDINANCESOO��ERNINGTNISTVPE <br /> OF WORN WILL BE COMPLETED WITH WNETHER SPECIFIED MERE• <br /> ioi—s�oc�—or IN OR NOT.iHE GRANTIN60FA PERMIT DOES NOT PpEBUME TO <br /> 61VE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIO"IS OF <br /> ANYOTHER STATE Ofl LOCAL LAW REOULATIN6CONSTRUCTION <br /> OR THE PEHFORMANCE OF CONSTqUCTION. . <br /> SION�TUPEOiCONTR�LTOFO AUTHO �2EDAOENT DATE <br /> X /C�-'�7 <br /> MIOJ6T�DOMt! �oPLIf.11NTA LIf V BUSMCS!UGEN9F NO <br /> lD. P1�1 81�ld� <br /> Ku�� M[CNANICAL <br /> Mo. nra or nmMe o�irir rn ►a. rni or rouwmr ne <br /> — w•nnuouTttoam ac-�nx�owuwis-Hr. <br /> MTMTIN NEFRI6EPATION UNI'f!—N V.EA <br /> UVATOIIY�WASN�1181N� BOILER9—B.T U./ll P. <br /> ypyy[� OAS FIFEO A�C.Ul11TS—S.T.U. <br /> KITC/IENlINIf�DIS►. FOIICED AIR DY9TEMIS—l.T.U. M G. <br /> p��ryy��[p W�LLIIEATERS—BT.U. M <br /> IAUNp1YTMY UNIfHEATERS—B�'.U. M <br /> CLOT/1p WANKR EVAiORATWE COOlER9 <br /> UNtNAI ClOT11E9 ONYERS <br /> pMNMINO fOUNTAIN VENTILAiION F�N <br /> ROp1 DIIAIN MNOE NO00 <br /> MCIfROW MI[VlNTE116 WArER HlATER <br /> IIOOf dU1N6—MINLGOERS WOO�BTOVE <br /> �M I��C[—B�P.EiC.I METAL FINEPLACE�CHIMNEY <br /> fIREPIACE IN9ERT <br /> HEATPUMP <br /> OA8 WPINO <br /> ' EMHAUBTFAN <br /> - w�mru � wN ro►u <br /> nwn t rqrr <br /> TOTK H! � t01111 Ht <br /> 1110Nf Mt4CM� RE�RlEIMCM f�oE OE/MCN � R�N I:MECN HIMIBER il{ RECEIPT NO. <br /> i <br /> uueoni IOT�RF• �•cu�Tane /E[! VALUATON i[t <br /> arta oHo ' <br /> BUILDINO S <br /> IYYE Oi CONbf OLCUVINCY 6ROUP NO OF OWELLINO UNIT! <br /> PLUMBINO <br /> e�i[or uoo Ho oF sroni[s M•+oec iwo MECHANICAL <br /> OTMER <br /> FIRE PqINKLENS qE UIRED O YE9 O NO 9tATE BUILDINO SUACMAHOE <br /> i <br /> STATE ENEPOY SUIICNAROE <br /> �YFliCA1qNACtiv P��NlCNECKED�Y �PiPfOR��lU�NGEBY �B�ICWORIW <br /> TOTAI <br /> PiiOPERTV OWNER8 ARE RE8PON91BLE FOR OETERMININO ALL <br /> vROPERTV LINE LOCATIONS AND HELATED EABEMENT& <br /> i <br />