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m. e.•�On.n <br />Gltt OF <br />everett <br />BUILDING DEPARTMENT <br />2ss•eeio <br />❑ DEMOLITION <br />:.PPLICA�{ON FOI�-' <br />CONSTRUCTION <br />PERMIT <br />TO BE COMPLETED IN INK- PLEASE PRIIvT <br />❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />� M�II �DOOESS CITY IIP <br />.,�, 9�a n- �.o,�.���, ftiu.�,/,�,�, sazui <br />M�IL�DORESS GIIY 21V <br />❑ PLUMBING <br />GQLN[R�/LGONTF�GIOA MMI+DDRE55 C�h' 21n �NONE LICENSE• <br />/"✓�e�scsAi�:,n �.t9n � , .zS��yol�ciC..4�T"� ?r ,�+v.+,.ac,�.a.LfM 98�-s« 3s�,bsy3 �'S� ;;BN <br />IAF.CN�NIC CON1N�Lipq� MMI�ODNE55 CIiV ZIP PIIONE IIGENSE• <br />f'LUMBIN�CONIR�GTOR MNL�ODRE55 GI1Y IIP PIIONE lIClNSE• I <br />l9 NEW ❑ ADUITION ❑ ALTERATION ❑ REPAIR ❑ GEMOLIiION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILOING RELOCA710N I <br />v.w�noN o� wonr �cos� or Merenuis rws ueoni <br />�,2s7nn `�S . - <br />LP� � <br />� oi— e�oc�_ <br />�ROJECT��ONE59 <br />so� �� �� <br />PLUMSINO <br />No. rrrei <br />W�TERCLOSET <br />B�THTUB <br />NITCHEN SINK 6 DISP. <br />DISHW�SMER <br />LAUNDRYTRAY <br />CLOTHES W�SHER <br />ONINNING FOUNTAIN <br />FLOON DR�IN <br />BACXFLOW PNEVEMERS <br />ROOF DRA�NS — R111NLEADEFS <br />S�NK �SERVILE — BRR, ETC ) <br />�1 <br />, Puoja.r— <br />�wUNiSCiB�Gk RE�ASEiB�CR SIOESEIB�CI <br />n5E ZONE LOf �RE� y�C�NT SITE <br />avES ONO <br />�v�'[OfCON51 C�tCUP�NLYGFOUF NOOiOWEI <br />I <br />SRE Of B1�6 NO OF S10RIE5 M��t OCG. LC <br />FIRE SPRINKLERS REOUIRED ❑ VES ❑ NO <br />AI+pL�CR110N�CC Bv P��NSCNECREDBY 1PPR.(OHIS <br />" {� <br />oe-6�. �o n �l /O V %u-�+i-(�t.t .O�t1-�. "�y �� Slai_ <br />a <br />1 HEREBY CERTIFY Tk+AT I HAVE READ AND EXAMINED THIS AP• <br />PI.ICATIONAkD KNOW THE SAMF TO BE TRUE ANDCORRECT. ALL <br />PROVISIONS OF LAWSAND ORDINANCESGOVERNING THIS TYPE <br />O� WORK WILL BE COMPLETED WITH WNETHEF SPEC�FIED HERE- <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PR[SUME TO <br />G�VE AU7HOHITY TO VIOLATE OR CANC[l THE PROVISIONS OF <br />ANV OTHER STATE OR LOCAL lAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTtON. . <br />SIGN�TUFE O/ff CONiRnCTOR OB RUiNORIZEO AGENi D47E <br />XX/'�//.C�ytw� �""i'� // /�, <br />�PPLIGANTSLITYBUSINESS ENSEHO <br />o��s�-s�9 <br />MECMANICAL <br />— MNNDl6 UNITS — HP. <br />iIGF.R�TION UNITS — H.P. EA. <br />BOILERS — B.T.LLM P. <br />6�5 P�RED I1.C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — B.T.U, <br />wAIL MEATEFS — B.T.U. <br />UNIT NEATERS — B.T.U. <br />EVAPOR�TIVE COOLERS <br />CIOiHESDRYER$ <br />VENTIUTION fAN <br />NANGEHOOD <br />WATER HEATER <br />METAL FIREPIAGE 6 Ci�IMNEY <br />FIREPUL': INSERT <br />NEATPUMP <br />GAS PIPING <br />E%NAUSTFAN <br />5U! TOTAL <br />P(p W T <br />P1.AN CHECN NUMBER I FEE � NECEIPT NO. <br />BUILDING S <br />PLUMBING <br />MECMANICAL <br />OTHER <br />STATE B W LDIIJ(i SUPCHARGE <br />STaTEENENGYSURCHARGE <br />PUBLIC WORKS <br />TC�TAL <br />PROPERN OWNERS ARE RESPONSI�LE FOR DETERMINII.3 ALL <br />PROPERN LIIJE LOCATIONS AND RELATED EASEMENTS. <br />