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x�� <br />hi � <br />ro <br />t"t'Cy <br />H�f� <br />�H7�d <br />� � � <br />[A H <br />[�1 O � <br />OH <br />�/��,g <br />yH�V C] <br />H <br />Zy <br />�HH <br />gy <br />Cq� C7 :n <br />tll � Crrl <br />HO��i+ <br />� ,...:. <br />,�PPLICATION FO�. ��«en <br />,^.`'.,°'"° CO N ST R U C� 1 O N O <br />��r o� <br />everett PERM IT <br />BUILDING DEPAFTMENT <br />259•3810 TO BE COMPLETED IN INK • PLEASE PRINT <br />6�] BUILDING ❑ MECHANICAL Cd PLUMBING ❑ SIGN <br />❑ DEMOLITION ❑ CONIBINATION ._ <br />Mui .om��ss an. ru• ����ovr <br />°w'•`" Ev�netC� (Oa. 98Y03 353-2991 <br />Cnnof D. Bar✓c 6814 Bevc�cCi� Lnne , <br />1ROURC,1 On DI 5 Gq[I� <br />� M�'l ApON155 '•.��Y •� <br />Uivnen <br />nt Hcnn� corvrrucioe <br />ui�i aunntss cr. t�v ���oer ucrai. <br />ti1R. BUILD fViCCinms Coitia.t. 8929 4Ui PC. S.E. Evcnc�:t, (Va. 98208 743-1925 61RBUT(UC142 <br />.i n�o. nu ccian.aoq _'_ �nu� .onuiss <br />r.n. ro� r��aHe i�cnivi . <br />N/A <br />i�w�eom,coNi�uuon M�i�.un��iss rn, �n• i���om ��cnu�. <br />AQa�i'e PQumbi.nn 22510 DuGuquc Rd Snnficmieli (!!a. 9&290 335-0366 ALANSP120C0 _ <br />c�.ssor wae. <br />❑ NEW � ADDITION � ALTERATION ❑ REPAIR ❑ DEMOL1110N ❑ WOODSTOVE;PRPLJNSERT BUILDtNG RELOCATION_ <br />v�iwuor�orwoer�rosrarr.uanu�sr�usi.orm � �� � _ ��... .� �Al //:,.... <br />u �Added 6�tivioum/eit('n��le exih#ii�� bednaom <br />us[ o� nm�o r.a <br />RC6�f.[ICItCe <br />oa.n.r,�� roua <br />03 <br />ccr�ooacss <br />6814 BevehCy Laiie, Evenex�t, ('�a. ?8203 <br />PLUMBING <br />TYPE OF FIXTI <br />WATER CLOSET �101LET� <br />BATMTUB <br />LAVATORY�WASN BAS�NI <br />SMOWER <br />NITCHEN SINK 6 G�JY <br />LAUNORYTRAY <br />CLOTHESWPSMER <br />URINAL <br />OPINHINu FOUNTAIN <br />FLOOR �RAIN <br />BACKFLOW PREVENTEPS <br />ROOF DRAIN$ — RAINLEA�ER: <br />SINK ISERVIGE -- BAR. ETC � <br />SUB TO <br />VEXM17 <br />TOTAIi <br />�na�us[ie�in� i�t.ase�nu <br />�V <br />IISI 101�lu^ �piP11LR <br />y <br />mcorcrnur occoP.�¢r <br />" IJ <br />uinr, <br />I HEREBY CERTIFV THAT I HAVE RhAD AND E%AMINED Tt115 AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT. ALL <br />Pi70VISIONS OF LAJ. �.1ND ORDINAN(:ES GOVERNING THISTVPE <br />OF WORK WILL BECOh'FLET[D WITH WHETHER SPECIFIED FIERE� <br />:N OR NOT. iHE GRANTING OF f, PEFMIT DOES NOT PRFSUME TO <br />GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANV OTHEF STATE UR LOCAL LAW REGULATING CONSTRUCTION <br />OR 7HE PERrORMANCE OF GONSTqUCTION. <br />1XI�.NAIUAfU�LON���AC1 O�AUi��ORILE�>GlN! 0/+i[ <br />'/ � <br />X , � r <br />' �� �I-i�-`�r, <br />sm��sa�, ous�m �sucu�et �. i <br />MECHANICAL <br />ITEM FEE NO. n'PE OF EOUIPMENT <br />q�C—A�HNpLGUNITS—MP _ <br />REfFIGEPATIONUNITS—MP EA <br />OO�LERS — B T U�H P <br />GASFIREDAC 11N1T5—BTU <br />fCRCE�AIF5V5TE�A5—BTU M� <br />WAILMEATERS—BTU M <br />UNITHEnTERS—CTU M <br />EVnPORATIVE COOLEPS <br />— CLOTNES�RYfRS _ <br />VENTRATION FAN <br />— qANGEMOOD <br />WATERHEATER <br />WOODSTOVE <br />METAL FIREPLACE �1 CMIMNE� <br />FIREPLACEINSEiiT <br />NEAT PUMP <br />GAS PIPING <br />E%MPUSTFAN <br />•;tonics <br />�,;y���..w--M�--•• v�nm.,cirtcnt <br />T � 1... � e <br />�YA M �. �� <br />�' ____'_'_._—_.'_ <br />VR(:�Nl illl. <br />Ylti �NO <br />110 Of OWfLIiVGU��i�'i <br />/ <br />u.v occ io.o <br />—�L_. <br />u�rr� ronitisu�rin or <br />VLnN CF�ECK'�UMBER <br />Go%��31� <br />�UI�DING <br />PLUMBING <br />MECMANIf.AL <br />OTIIER <br />STATE DUIL�ING <br />SUe TOTAL <br />PENMIT <br />TOT�LFEE <br />FEE <br />J/� o� <br />5 <br />PECEIP� NO. <br />�� <br />STATEENERGYSUFCNA�GE <br />�—�-- <br />PUBLIC WOFHS <br />—_ -- �1. <br />TOTAL <br />PHOPER�Y OWNERS ARE f1ESPONSIBLL FOR �ETERMINING RLL <br />PPOPERTYLWELOCAl10N5ANDR[LATEO EASEMENiS. <br />