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A.�PLICATION FOR _ ' <br />�"r�'""" CONSTRUCTION <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259-8810 TO BE COMPLETED IN INK- PLEASE PRINT <br />7 DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />w„� M�II�DORE55 c�rr ziv <br />/�/n+.el.f l/cLic�e.k. 90� ii F)ue_.F.,.� ' Cd�..,tt, lUct 9�iei <br />..�.....�..... .��n.,ee ueu�ooaEss Crtr 2iP <br />r,.. Ce . �V3'f <br />uea �ooaEss <br />l:��♦ L��• <br />/P,Q F�.,e�¢c� lUa 9BZ�F <br />O PLUMBING <br />PNGNE <br />kfSIGN I <br />'IUMB�N.COH1n�G10R MMI�DDRE55 C�:V 2�P MICNE IICCNSE• I <br />.USSOf WORN <br />B�NEW ❑ ADDITION ❑ ALTEf1�TION ❑ PEPAIR ❑ DEMOLIiION ❑ WOODSiOVE/fRPL.INSERT ❑ BLIILDING REIOCAt10N <br />�+1. W*iON Of WOue ICOSf O� i�iL111M5 M119 LnB0111 <br />�a�6a - <br />45CPiBf WORR . n <br />,�.e�,�C. s�.1'. ,�2ti rc�y... e--- J�i,e,.-! !�.!-Ca�. ��xe....�.-.e- 7s` �uaJ dj 8- %'f 3`�syr ffue=.�d. 'ue°atu.4J <br />� LD-ILLE�' /1J--1'-�4�Q., '� <br />O� PROPERrvISNO'MN BELOW OR �iT�CN fOUP LOPIE51 <br />9�.i '� • <br />PLUMl�IN6 <br />No. T— <br />W�TER ClOSET �TOILET� <br />B�TNNB <br />UV�TCRY �WASH B�SIN� <br />RITCHEN SINR 6 OISP, <br />DISNW�SMEP. <br />UUNDRY TRI1Y <br />CLOTMES WASHER <br />URINIIL <br />� ��oNT SE IB�LK <br />�SE ZONE <br />rvr[ o� con�ST <br />•;iP[ oi' e�Do <br />' Dii�INS — RAINLEAOERS <br />ISERVICE — BAp, ETC) <br />ITEM <br />sus tot�� s <br />PEIIMIT t <br />TOTAIFEE f <br />aE�RSETB�CK 'T 5� <br />�RE� <br />OGCUPIINLY <br />V�CIIHT SITE <br />ores nNo <br />erAn. ron ise <br />'b� <br />0 <br />I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED Tf115 AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE ANDCORREC7. ALL <br />PROVISIONS OF IAWSAND ORDINANCESGOVENNING THISTYPE <br />OF WORK WILL BE COMI�LETED WITH WHETHER SPECIFIED HERE� <br />IN OR tvOT. THE GRANTING OF A PERMIT DOES NOT PRESUME t0 <br />GIVE AUTHORITY TO VIOLATE OR CANCEL TNE ('ROVi510NS OF <br />ANY OTHER STATE OR LOCAL LAW RE•:ULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTR�;:TION. . <br />SIGN�IURE Of CONiR�CTOR OR �l1THORRE� �GENT DRT[ <br />Y Q � �', . <br />1PPLIf,1NT5 LITY BUANE55 L�C[NSE NO <br />V <br />/� /& s�S' <br />MECNANICAL <br />TY�E OF EC <br />A/C — AIHNDL6 UNITS — <br />RFFFI6ER�TION 11NITS — <br />ev��cna — o. �.v.mr. <br />GAS FlNEU AA. UNITS •-B T.U. <br />FOHCED A!R SYSTEMS — B T U. <br />N'ALL HE�TERS — B.T.U. <br />UNIT MEATERS — B 1.U. <br />EVRPORATIVE COOLERS <br />CLOTHESOHYERS <br />VENTILATIDN F�N <br />RANGEHOOD <br />WIITER HE�TER <br />wOODSTOVE <br />METIIL FIREPUCE S CHIMNEV <br />FIREPUCE INSERT <br />MF.ATPUMP <br />O�S PIPING <br />E%MAUSTFAN <br />SI,'! �OTl1t <br />P[11M1T <br />TOT11L FEE <br />PIAN CHECNNUMBER �FEE <br />BUILOING S <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE BUILDING SURCMAFGI <br />STATEENERGYSUPCNARGE <br />PUBLIC WORKS <br />TOTAL <br />M EI1. <br />M <br />M <br />RECEIPT NO. <br />PR�;�PERTY OWNERS AfiE fiESPONSIBIE FOR DETERMININO ALL <br />PROPERN LINE LOf:ATIONS AND AELATED EASEMENTS. <br />