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`.�RPLICATION F�:;� <br />'""'""°""° CONSTRUCTION <br />LItY OF <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259•8910 TO BE COMPLETED IN INK - PLEASE PRINT <br />�e���No�� �u.+E'61C'ie� <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL <br />OW R // MAI �DORE55 Y ,rIV <br />'�er` l� �t �i �c,�" �c�-lGc.rP,���/ /��Y� L9 (^c�s�t dvi <br />• CNi1kCtOADkS�ONEs MULe0�NE55 [nv no <br />G <br />❑ PLUMBING <br />N <br />everelt <br />e <br />❑ SIGN <br />PL'JMBINOCONIN�G�OR M�qApOPESS CIIT IIP PIIONE UC[115E• <br />GL�SS Oi WORN <br />❑ NEW ❑ ADDITION ❑ ALTERATION <br />�FSGAiBE W PK <br />�USE Of ewioino <br />. �� <br />�ca+�oescnir�u <br />� <br />PLUMBING <br />UVATORY �WASM 8�; <br />SHOWER <br />KITCMEN SINK 8 DISP. <br />fiEPAIR ❑ DEMOLIIION ❑ WOODS70VE/FRPL.INSERT ❑ BUILOINO RELOCAIION <br />ci �J rN � �� <br />P P � <br />�onettecnvauacomes <br />OR ITEM <br />DRINKIN6 FOUNTAIN <br />FLOOR ORAIN <br />BACKFIOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK �SERVILE — BAR. ETCJ <br />YE�U�f.K <br />SUBTOTAL <br />VERMIT <br />TOTALFEE <br />°{e� <br />V�LAN7 SifE <br />OYES pN0 <br />NQ OF OWELLIN6 UNIIS <br />M�F <br />e <br />I HER[BY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL <br />PROVISIONS GF LAWSAND ORDINANCES GOVERNING THISTYPE <br />OF WORK WIIL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br />IN OR NOT. THE GRAMTING OF A PERMITDOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFOqMANCE OF CONSTRUCTION. /J G <br />SIGN4LUREOfCONi OROBR ill fiREUAGENI f1ATE /^�/r'Q � <br />x /� �'� <br />tiCEN9E NO <br />MECHANICAL <br />NV �N111VV1V VIYIIJ—�lY. <br />REFRIGERATION UNITS — HP. EA. <br />BOILEBS — B.T.U.MP. <br />6AS FIREO A�C. UNITS — B,T.U. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALLMEATERS—B.T.U. M <br />UNITHEATERS—B.T.U. M <br />EVAPORATIVE COOIERS <br />CLOTNE5 ORYERS <br />VENTIUTION FAN <br />qANGEHOOD <br />WATEH MEATER <br />wOOD570VE <br />METAL fIFEPUCE 6 CHIMNEY <br />FIREPLACE INSERT <br />OAS PIPINO <br />EXHAUSTFAN <br />PInN CMECN NUMUER <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />IFEE <br />BUILOING 5 <br />PLUMBiNG <br />MECHANICAL <br />OTHER <br />STA7E U7ILDING SURCHARGE <br />STATEENERGVSURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />RECEIPT NO. <br />FEE <br />PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMININO ALL <br />PROPERTY LINE LOCA710NS ANO REUTED EASEMENTS <br />