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i:�'PLICATION FOh - <br />'".E".,°."" CONSTRUCTION <br />GITY OF <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259•8810 TO BE COMPLETED IN INK • PLEASE PRINT <br />❑ DEMOLITION O COMBINATION (�UILDING ❑ MECHANICAL <br />owrrtn Mertnuoms: cnv lrv <br />�1U1� rn.�N�o� �iz8 Br-u��e�.y �3c.v�..����r <br />❑ PLU:NBING ❑ SIGN <br />ivnH�: <br />3ss-ssz. <br />7� uu�eomRs, cnY zir ni�oNc <br />LCS�(J✓V <br />CT i'n //d 7_,F t//�/ S7 �.ST. sEi4lT1.E ��/1 % 7�i� D-dS9l� 7llVGEGC/SLll�il <br />MECIUWULGONiR�C�Oq M�IL�UURCSS Cnv [n• �•nONl L�CLrvSk• <br />PWMBINOCONl1UG10R M�II�DD�LtiS (l1Y !iP PUONF lILllltil� <br />GL�SSOf WORM^/ <br />� NEW �N AODITION ❑ ALTf.HATION ❑ �EPN(1 ❑ DEMOLIIION ❑ WOOflS10Vf:/ffiPL INSEfIi ❑ OU�! Gii:S RELUCAIION <br />vs�u��ioworwDaKicoSiorrauEnuiSvw uecm. <br />�Z��?TU� Dy �_J%�- . <br />�E9CPIOE WOHN . . <br />D11 <br />�caa oescnivnu.� u..� <br />�Or�ewt � <br />PLUMBING <br />NO. TYPE OF FI7 <br />WIITER CLOSET �TOILI <br />B�TNTUB <br />UVATt�RV (WASH B�: <br />SHOWFN <br />KITCMEN SINK 8 DISP. <br />DISHW�SMER <br />UUNDRV TR�Y <br />GL'JTHES WASMER <br />URINAL <br />OACNF�OW PREVENTERS <br />ROOi DRAINS — R�INLEAOERS <br />SINK 1SERVICE — BAR. EiC � <br />SUBTOTAI <br />PERMIT <br />1 fiEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT. ALL <br />PROVISIONSOF LAWSAND ORDINANCESGOVERNING THISTYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br />IN OR NOT. THE GRANTING OF A PEFMIT DOES NOT PRESUME TO <br />GIVE AUTHOtiITY TO VIOLATE OR CANCEL 1 HE PROVIS�ONS OF <br />ANY OTHER STATE O(i LOCAL LAW REGULATING CONSTRUCTION <br />OR TNE PERFORMANCE OF CONSTRUCTION. <br />$IGNAIUREOfCONIpnCiO RUIIIORILF:AGE^Ni OAIE <br />X �/.��/n. / 1 /�/�� '%A�QR <br />GIV OUi�NE51l�f.LNiE NO <br />MECNANICAL <br />FEE NO. TYPE OF EOUIPMEN7 ree <br />A/C — A/HNOIC UNIT3 — H P <br />REFRIGERATION UNITS — H P EA. <br />BOILERS — BS.LL/H P <br />GAS FIFED A.C. UNIT$ — B.T.U. <br />FORCED AIR SYSTEMS — B T.U. M EA. <br />WALLHE�TEAS—�.TU. M <br />UNITHEATERS—B.TU. M <br />EVAPOI?ATIVE COOLERS <br />CLOTHESORYEflS <br />VENTILATION FAN <br />RANGE MOOD <br />WATER HEATER <br />WOODS70VE <br />METAL FIREPUCE 8 CMIMNEY <br />FIREPLACEINSERT <br />MEAT PUMP <br />N,[IHI11:R �iUt ' <br />�25' zo' �S� 6 <br />/��� �� VAL�N Slil. <br />OYES <br />� ROIIP NO.OFpWELUN611N11 <br />�3i�- <br />�� � 2 <br />/ez �f �p <br />FIRE SPRINKLERS REOUIRED ❑ VES 9' <br />�VPUGIION�GC 0• PL�NSLIIECnEDBY <br />�'�' ` /� <br />' _ m•.,..- - <br />•f'1`R f011155U�HCE BY <br />F� <br />� <br />FAN <br />SUBTOTAL <br />PERMIT <br />TOTALiEE <br />PLAN C�[iE K NUMBER � FEE � n � pECEIPT NO. <br />BUILDING S ]� <br />PlUM01NG <br />MECMANICAL <br />OTMER <br />STAtE BUILDING SUHCHAFGE <br />STATEENEPG�SURCHARGE <br />puouc wuaKs <br />TOTAL � � � <br />PROPER7V OWNERS AHF_ NESPONSIBLE FON DE7ERMINING ALL <br />PROPERTY LINE LOCATIONS AND FELATED EASEMENTS. <br />