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u <br />���,�f�PLICATION FO'�;' <br />`°.E�.,°'"° CUNSTRUCTIC)N <br />cirv oF <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259•8810 TO BE CUMPLETED IN INK- pLEASE FiiINT <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />9'PLUMBING <br />everen <br />� <br />❑ SIGN <br />�cu� <br />rn� <br />❑ N[W ❑ ADDITION 17 ALTERATION ❑ REPAIti ❑ DEAIOLITION ❑ WOODSTOVE/fRPL.INSERT ❑ BUILDING RELOCATION <br />V�L WTIDN OF WOOH�W51 OF hUIEAIAIS PWS L�00(11 <br />useoFowiomc <br />l0�-BLOL�_ <br />'POJEGT�O�RE55 <br />' %�D� <br />PLUMBING <br />USEZONE <br />� <br />e <br />� *rvEOFc <br />� <br />OR <br />WATER CIOSBT �TOILET� <br />BATHTUB <br />LAVATORY(WASHBASIN� <br />SHOWER <br />KITCHEN SINK S DISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />Ui7�NAL <br />ORINKING ��OUNTAIN <br />FLOOR DRAIN ' <br />UACKFLOW PREVENTERS <br />HOOF DRAINS — PAINLEA�ERS <br />SINH (SERCICE — BAN. ETCJ <br />moa <br />AVPIICAiIONPCC pY <br />� <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />NERRSETBACK <br />OCGUPRNCYGOOUP <br />FEE <br />VACRIR SIfE <br />❑rEs oeio <br />MN% OCG. LOAD <br />FPPR. fOR ISSU�NCE BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TI11S AP• <br />PLICATIONAND KNOW THE SAME TO BETRUE ANDCORRECT. ALL <br />PROVISIONS OF LAWSAND ORDINANCES GOVEFNING THISTYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br />IN OR NOT. THE GRANTING OF A PERMIT DOES 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 PERFORMANCE OF CONSTRUCTION. , <br />SIGNATURE O CONTRACTOR /O/,{� AUTNO(iIZED AGENT pA7E <br />X /L1XA.L�.G/SYIAl%�%/Yi.�..�f.r � � 7���� <br />3USINE55 LiCENSE NO <br />iy�l�l <br />MECHkNICAL <br />NO. TYPE OF EOUIPI <br />A/C — A/HNOLG UNITS — H.P. <br />REFRIGERATION UNITS — H P. I <br />601LEfl5 — B.T.U./H.P. <br />GAS FIRED A.C. UNITS — B.T,U. <br />FORCE� AIR SYSTEMS — B.T.U. <br />WALL HEA7ERS — B.T.U. <br />UNI'f MEATERS — B.7.U. <br />EVAPORATIVECOOLERS <br />CLOTHESDRYERS <br />VENTILATION FAN <br />WATERHEATER • <br />WOODS70VE <br />MEfAL FIREPLAGE d CHIMNEY <br />FIREPLACEINSER7 <br />HEATPUMP <br />G�S PIPING <br />E%HAUSTFAN <br />SUBTOTAL <br />PEFlMIT <br />TOTALFEE <br />PLAN CHECK NUMOER I FEE <br />FEES VALUATION <br />BUILDING 5 <br />PLUMBING <br />MECHANICAL <br />O7HEF7 <br />STATE BUILOING SUf.CH� ^uE <br />S7ATEENERGVSUFCHARGE <br />PUBLIC WORKS <br />T07AL <br />RECEIPT NO. <br />FEE <br />PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING ALL <br />PFiOPEPiV LINE LOCATIONS AND RELATED EASEMENiS. <br />