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i ' f <br />t:�'PLICATION FOF�-� <br />'°.E"'°,"° CONSTRUCTl�DN <br />�,n oF <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259•8810 TO BE COMPLETED IN INK • PLEASE PRINT <br />❑ �EMOLITION ❑ COMBINATION 49 BUILDING ❑ MECHANICAL <br />M�ii eooness <br />� <br />cirv <br />W� OA I \ <br />❑ PLUMBING <br />�Za�i 353' <br />❑ SIGN <br />�!N[R1L LONIH�G10fi M�II �OOPEYS Cilv [IP VPONE LiCENSE • <br />� w� <br />MEf.11ANIUlCONIf1�LtOq MAILeO�RE55 Cirv 1i� PIIONE UCENSE• <br />PWMOINnCONfH�L�00 MGIL�OONE55 {;i�Y IIV I410NE lKENSE• <br />CL�550! WONN�7 -- <br />❑ NEW 1W �DDITION ❑ ALTEf7AilON ❑ Rf.PAIR ❑ DEMOLIIION ❑ WOODSTOVE/FHPL.INSE(li ❑ �UILDING RELOCATION <br />:�wenoH or wonn icos� or Me�[au�s rw�s ueoni <br />� a�. ., 'if- / S �C�. � J <br />OESLFiBE WORrc ,/� .{ <br />.�'D.DiNG Fl ConG�7m�c Y....AR PUR,1 crn 'I�I�Q SUu.i�i ��AQ � �A�t1v�� I'�o✓11Q -- - <br />use ov <br />�o� 26 <br />PLUMBING <br />BATMTUB <br />UVATORY I��ASH BA; <br />SMOWER <br />KITLHEN $INK d DISP. <br />URINl1l <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOW PREVENTERS <br />ROOF ORAINS - NAINLEAOERS <br />SINK �SERVICE - BRR. ETC 1 <br />SUBTOTAL <br />OEPMIi <br />TOTAIFEF <br />�NONTSFiO�CN RE��9EIB�CN <br />2 � 7 � <br />O v <br />USE IUHf�.� �01111E� <br />k' i o l� <br />fYVE Oi COySi pCLUP�4GY GFO <br />N M-/ <br />NO OF StORiES <br />� s� � <br />sioe sere�cre <br />c <br />OxES <br />I^IIO�N��Cf,� BY PLIHSCHECNEDBY APPp fOqIgSU�NLI <br />V � � / �Y/ / �"�G/ <br />1 HEREBY CERTIFY THAT I HAVE AEAD AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT. ALL <br />PROVISfONSOF LAWSAND ORDINANCESGOVERNING THISTVPE <br />OF WORK WILL BE COMPLETED WITH WHETHEF SPECIFIED HERE• <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORI7'Y 70 VIOLA?E OR CANCEL THE PROVISIONS OF <br />ANY UTHER STATE OR LOCAL LAW flEGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGN�LlIREOICONiNRCiORONAUiMORIZE��GENi ❑�iE <br />X �Q� � r � — <br />NO <br />MECHANICAL <br />TYPE OF EO:IIPMENT <br />AIC - A/HNOLG UNITS - H P. <br />REFRIGEPATION UNITS - M P. EA. <br />DOILEPS - B.T.U.iH P. <br />GAS FIPEO A.C. UNITS - B.T.U. <br />FORCED AIR SYSTEMS - 8 T.U. M EA. <br />WALLMEATERY-B.T.U. M <br />UNIT MEATERS - O.T.U. M <br />EVAPORATIVE COOLEF75 <br />VENTILATION FAN <br />RANGEHOOD <br />WATER NEATER <br />WOOOSTOVE <br />METAL FIREPUCE d <br />FIREPLACEINSERT <br />MEATPUMP <br />GAS PIPINO <br />EXMAUSTfA�I <br />PIAN C CK NUMBEH <br />��ir��s�) <br />FEES <br />BUILDING <br />PLUMBING <br />SUBTOTAL <br />FE � �75 RECEIPT NO. <br />0�01 � q5.� <br />:j <br />MECHANICAL <br />OTNER <br />STATE UUILDING SURCHAHGE <br />S7ATEENEPGYSURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />PROPERTY OWNERB ARE RESPONSIBLE FOfl DETERMININO ALL <br />PROPERTY LINE LOCATIONSAND RELATED EASEMENTS. <br />� <br />