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CPLICATION FOh�"� <br />'""E'"`°`"� ONSTRUCTIOF� <br />cin oF <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259•8810 TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ DEMQLITION ❑ COMBINATION ❑ BUILDING �(MECHANICAL <br />�PLUMBING <br />❑ SIGN <br />GENEfl�LLONTRRCiOP MnIL000HE55 Clrv 211' p110NE 4CEN5°• <br />PLUM9INGCONiP�GiOfl MMLAO�flE55 CITV ZIP PIIDNE LICENSE� —` <br />M.��.-�r i4�H�w�c.t� %630-�53'�9VE-N.s. iQEy�.�a^�D 92'05�- g83-9ZZ4 IGrt�rTw.rri63[a <br />CL�SS OF WORK <br />❑ NEW I� ADDITION � ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCA710N <br />VRLU�TIONOF ONR�COSiOFMA1EBUl5PW5LABOR� <br />'�q,spp «' pu�rna�u6 � Nvac.. <br />DESCRi9E WORN � . ` <br />[ZouG�—iN�D /-�5�t� z ��� <br />� �'`r` Ai2 (�ac.ts � <br />....� ... ............. /`t_ii'}-I L <br />PFOJECTAOORE55 <br />PLUMBING <br />OF <br />TYPE OF FI%TURE OR ITEM <br />WATER CLOSET (TOILET� <br />BATHTUB <br />UVATOHV �WRSH CASIN� <br />SHOwER <br />NITCHEN SINK 6 DISP. <br />DISHWASMER <br />UUNORY TqRY <br />C�OTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR OPAIN ' <br />ROOF DRAINS — <br />SINK ISERVICE – <br />ICC BV <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />VRCANT Slfl. <br />OYES ONO <br />MR%. OCC. <br />APVri. <br />I HEREBY CERTIFY THqT I HAVE READ AND EiCAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUEAND CORRECT. ALL <br />PROVISIONS OF LAWSAND ORDINANCESGOVERNING THISTYPE <br />OF WORK WILL BECOMPLETED WITH WHETHERSPECIFIEO 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 CONSTqUCTIOPI. . <br />31GNFIUR[OFCONTRFCTO O UTMO{i12E�AGENT pATE <br />X�.� � ��--�--� �/z�-�� <br />�mcmc rvu <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />A/C — A/MN�LG UNITS — N.P. <br />REFRIGERATION UNITS — H.P. EA. <br />801LER5 — B.T.U./H.P. <br />GAS FIHED A.C. UNITS — B.T.U. <br />FOHCED AIR SYSTEMS — B.T.U. M EA. <br />WALLHEATERS—B.T.U. M <br />UNI'f HEATERS — B.T.U. M <br />EVAPORA i IVE COOL ERS <br />CLO �liES ORYERS <br />VENTILATION FAN <br />qANGEHOOD <br />WATER HEATER. <br />wOODS70VE <br />METAL FIREPLACE 8 CNIM�EV <br />FIREPLACE INSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />—' Pl4N CHECK NUMBER <br />FEES <br />ur�lts BUIIDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />S7A7E BUILDING SURCHARG <br />STATEENERGYSUFCHARGE <br />FJ3LIC WORKS <br />�-orn� <br />FEE <br />VALUATION <br />$ <br />RECEIPT NO, <br />PROPERTY OWNERS ARE RESPONSIBLE FOR DETEtiM�MING ALL <br />PROPERTY LINE LOCATIONS AND RELATED EASEME�ITS. <br />