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t �'r;. � :1 <br />�'PPLICATION FOh-�? <br />`".E".,°.»" CONSTRUCTION <br />C�TY OF <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259•BB10 TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ DFMOI.ITION O COMBINATION ❑ BUILDING RLMECHANICAL <br />OWNER M�ILADDNESS CI1Y ZiP <br />ST���c'�t� �1 �,2/OP - /�7T—� /�G (.f/EST MT �• ��,�iP.4CE� <br />AHCNITECTOROESIONEP MMlR00HESS ��TM -�P <br />�..�eournure�erno MaILnDOBE55 ���Y . Z�P <br />�NIGL NtReCTOq MAILAODHE55 � �� Z�� <br />L! i I / i �/ // <br />��u��.,.,•w.nnw u�.anoonEss ,,, tm' na <br />�LUMBING <br />PHO'lE <br />�� <br />PNONE <br />� <br />everetl <br />e�1 <br />❑ SIGN <br />�NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ bEMGLITION I� WOO'JSTOVE/FFPL.INSL'RT ❑ AUILDING FiELOC1ITION <br />W W�TION OF WOHK �COSi Of MqiEA���S YlUS UflORI <br />W] <br />PLUMBING <br />TVPE OF FIXTURE OR <br />WATER CLOSET �TOILET� <br />BATHTUB <br />UVATORV IWASH BnSINI AA) <br />UUNOHV TRAV <br />CLOTHES WASNER <br />URINAL <br />DRINKING FOUNTA�N <br />FLOOR �RAIN ' <br />BACKFLOW PREVENTE <br />ROOF DRAINS — RAINI <br />SINK ISERVICE — BAR. <br />fPONTSEiBACK <br />LGNE <br />JN ACG 6v <br />Y V`V \ <br />SUBTOTAL <br />PEPMR <br />TOTAIFEE <br />RE�HSETB�GK <br />LOT�PEA <br />— <br />OR AIIAGH <br />FEE <br />VAC�NT SITF. <br />OY[5 ONO <br />NO. JF OWELLING UNITS <br />BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUEANDCORqECT.PLL <br />PROVISIONS OF LAWSAND ORDINANCES GOVERNINGTHISTYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OFA PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF' <br />ANYOTIIER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONS7RUCTION. . <br />SIGNnTUREOF ONTRA TOR � 11iHOI112EDAGENT ��7E <br />� �-z.�--88 <br />MECHANICAL <br />A/C — A/NNDLG UNITS — H.P. <br />REFqIGERATION UNITS — H.P. EA. <br />BOILERS — B.T.U./M.P. <br />GA^ FIRF.D A.C. UNITS — B.T.U. <br />FORCC•O AIR SVSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATENS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHESDRYERS <br />WATEFHEATEF ' <br />WOODSTOVE � <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPIACE INSEHT <br />HEATPUMP <br />GASPIPING �TU.� "�I <br />EXHAUSTFAN <br />SUBTOTAL <br />PCpMIT <br />TOT�LFEE <br />P�ANCHECK NUMBER �FEE <br />RECEIPT NO. <br />BUILOING 5 <br />PLUMBING <br />MECHANICAL � <br />OTHER <br />STATE BUILDINI: SURCMARGE <br />STATEENEHGYSUFCHARGE <br />PUBLIC WORKS <br />TUTAL <br />PROPER7Y GINNERS ARE RESPONSIBLE FOR DETERMINING AlL <br />PROPERTY LINE LOCATIONSAND RELATED EASEMENTS. <br />