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fMEnryr�m . .PPLICATION FO._� ���.�„ <br /> �� CONSTRUCTION O <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259•8745 TO Br'. COMPLETED IN INK• PLEASE PRINT <br /> � DEMOLITION O COMBINATION ❑ BUILDIN6 O MECHANICAL ❑ PLUMBIN(i ❑SION <br /> NFR MML�p�DRJ�E!�! pIV IiV MONE <br /> IC�fA�,Q��•�� S�S//^�"/'�'���.��/Zd �-� �1'iL 7 �SI-3o6z <br /> •RCM�II[•C�TORpE610NER M�LL�DDRESS � Crt'/ Sio VHONE <br /> ""V��� <br /> OENEMIGOMIR�1L�Oq MI1IL�ODFES! LiTY bV PNONE LICENSE• <br /> ���i"� <br /> MECHNlIC�I fqNTP�CiOq M�IL�ODRES! WtY ZiP PNONE L�GEN]E• <br /> PLUMlINOCONIMCtpq MMI�ppREB! CIiY 21V Iq10NE IILEMS[• <br /> CU1!!OF Wpllt�,,� <br /> ❑ NEW !7 A�DITION ❑ A�TERATION ❑ REPAIR ❑ DEMOLITION. ❑ WOODSTOVE/FRPL.INBEqi ❑ BUILDINO RELOCATION <br /> v��uen��M�coer or w�rEnuie v�ue ueom <br /> oExme rron� �� <br /> /�Ct1 ,� ,�v/�nk.�r/.v .s��c Cc.� �i�uE C�ucic -- <br /> uec a uao�Ha <br /> /�� �L�� I HEREBY CERTIFY THAT I HAVE READ AND EXAMItJED THIS AP• <br /> PLICATION AND KNO W TH E SAME TO BE TRUE AND CORRECT.AL L <br /> lE01�10E RIIIIONOfPROPEpry�eN lEIOWORIITT�LMFWRCOPiE9� pqOVI310NSOFLAW3ANDORDINANCES00VER�IINOTHISTYPE <br /> OF WORK WILL BE COMPIETED WITH WHETHEq SPECIFIEO HE RE- <br /> �or_e�oc�_or IN OR NOT.THE IiRANTINa OPA PERMITDOE3 NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANYOTHER STATE OR LOCAL LAW REOULATINO CONSTRUCTION <br /> E PERFORMANCE OF CONSTRUCTION. <br /> BIONAf REOFCONTRACTORORWiNONIZEO�.ENf O�TE <br /> X,(� ��"�Y �_/u- d"7 <br /> rno.recr.00nsee �PP�iCANi!CIfY SUlINElS LICEN'�wu� <br /> S%z � <br /> M.UM�INO MECXANICAL <br /> MO. TYV[OF IIXTUIIE FEC NO. TYPE OI EOUIPM[NT pEE <br /> WATEH CLOSET TOIIE �IR COND.UNITB—M P.EA <br /> BIITNTUB qEFRIOERATION UNiTB—H.P.EA <br /> LAVATOqV W�BH 0�81 BOILER3—H.P.EA <br /> BH�p 0�9 FIflEO AC.UNITB—TONNAOE EA <br /> 1(ITCHEN 91NK\DIBP. FORCEO AIR BY9TEM9—B.T.U. M EA. <br /> D19NWABIIER WALL MEATER9—B.t.U. M <br /> LAUNDRVTR�Y UNITHEATERB—B.i.U. M <br /> CLOTNES W�SHER EVAPoMTIVE COOLERS <br /> WATER MEATER CLOTHE9 UPYERS <br /> URINhL VENTIIATION FAN <br /> DRINI(INQ FOUNTAIN pANOE HOOD <br /> FLOOR ORAIN �IH HANDLINO UNIT— C.F.M. <br /> V�CUUM BRE�KERS BTOVE <br /> NOOF ORAINB—RAINLEAOERB METAL FIREPLACE 6 CHIMNEY <br /> BINI( BERVICE—BA ETC. WOODSTOVE/FIREPLACE INSERT <br /> We TOTAL SU!TOTAL • <br /> MIIMI� • p[IIMIT ! <br /> _ TOTALFEE • ror��rce { <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> fRONTOEfMCk PGR6ETMCK BIOClETMCK VL�NC11EC1tHUMlER PL�NCI1EC�iEE <br /> FEC RECEIPt Np <br /> UlE20M! LOfM[� y11CdNTlITE <br /> OYE! ONO Fd�� �µV11TI0N I!� <br /> IYPEOiCOMef. OCC11N1NCYOROUP NO.OIDWELIIMOUNII! <br /> BUILDINO { <br /> !I!E 011LpQ NO.OilTORIE! M�A OCQ Lp�D <br /> VIUMBiNO <br /> MECHANICAL <br /> FIPE BPRINKLER9 REOUIHf:O O YES O NO <br /> OTMER <br /> PEN�LTY <br /> •wucerroM•cce. PUNlGMlCNEDBY �VVq.fONOlU�NCEBY <br /> TOTAL <br />