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X <br />m. cr.,p,«n <br />�ir �F <br />everett <br />BUILDING DEPARTMENT <br />259•8810 <br />,.PPLICATION FO�_ <br />CONSTRUCTION <br />PERMIT <br />TO BE COMPLETED IN INK • PLEASE PRINT <br />❑ DEMOLITION O COMBINATION <br />owru n � M�IL ADoIiG<. <br />' 1 MMl ��00[55 <br />NG ❑ MECHANICAL <br />cnv zm <br />e�eren <br />e <br />❑ PLUMBING ❑ SIGN <br />rnovc <br />�a��� <br />����FY <br />PIIONL <br />3�-yygFs <br />nuONl liLtNSf • <br />Mtf.�uwf.�l CONIIULIOB M�I� AODRE55 Gnr nr rno��t LiCF.NSE • <br />PIU�On�.LONIR�ClOf1 M�Il�0U�E55 CiIY 21P P��ONE liCtNSF • <br />❑ NEW ❑ ADOITION <br />�.w.nnN o`r w�nm �^cosi or nu <br />1 �i //�U V <br />ALTERATION ❑ REPA�R ❑ DEMOLITION ❑ WOODSTOVE/FqPL,INSERT ❑ DUILD�NG RELOCATION <br />use o�r ewiAou��u. � , <br />.�.�fNl ��i ��,�%-��i <br />l(Cel OESCAIfIION Oi PROPENIYISIIOWN <br />io�—eioc�_oo <br />�OIF.LI�pORE55 p[I,J J ��/ <br />�- ��cT <br />PLUMBING <br />TYPE OF FI%TUNE OR <br />W�TER LLOSET (TOILET) <br />BATHTUB <br />lAVATORY�WASH BASIN) <br />SHOwER <br />KITCNEN SINK 6 DISP. <br />D�SHWASHEfl <br />LAUNDHVTRAV <br />CLOTMES WASHER <br />URINAL <br />ORINNING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PPEVENTE�S <br />qOOF DfiAINS — RAINLEAOERS <br />SINN �SEPVICE — BI1R. ETC � <br />SUB TOTAI <br />PEHMIT <br />TOTAL FEE <br />noUNl5EI8�CK�_ <br />USt lUN! <br />G�/ <br />�nuu�i <br />� - �•h�,� � - �'G <br />SilE O� �I U6 NO 0� SIORIES <br />��30 � � <br />PLlNS <br />/,w <br />f <br />f <br />S <br />COPIESi <br />SE79�CN <br />FEE <br />VaCANj jlfE <br />OYES���:o <br />r+o orownunour�irs <br />ia <br />APFR !OR ISSU�� <br />L.G <br />�,l. � _ ►s �.•� " � <br />� _� — '� ►� <br />I HEREBY CERTIFY THAT I hiAVE RE�D AND EXAMINED TF11S AF• <br />PLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT. �Ll <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLETED WITH WHETHEP. 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 />SIGNAlUFEO� CONfRACTOf�ORAUTHORREDAGENi f/4iE <br />A/C — A/HNDLG UNITS — H P <br />REFHIGERATIONUNITS—NP F <br />BOILERS — B.T U.�H P. <br />GAS FIfiEO A.C. UNITS — B.T.U. <br />FOflCEO AIR SYSTEMS — B T.U. <br />WALI HEATEf15 — B.7.U. <br />UNIT HEAiERS — B.T.U. <br />EVAPOf7ATIVE COOLEFlS <br />CIOTHES ORYEfiS <br />VENTILATION FAN <br />PANGENO00 <br />WATEF HEATER <br />wO00SiOVE <br />METAL FIREPUICE d CHIAINEY <br />FIREPIACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />M EA <br />M <br />M <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />aLaN t;M GN NUMBER FEE �, 5 <br />Fs"1 �185�"� 7�O— <br />BUILD�NG S <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE BUILOING SURCHAfiGE <br />STATEENEPGYSUfiCHARGE <br />PUBUCWORKS <br />TOTAL <br />PECEIPT NO. <br />-�'ib55 <br />PROPERTYOWNERS AfiE FiESPON5IBLE FOR DETERMINING ALL <br />Pf70PERTY LINE LOCAiIONS AND RELATED EASEMENTS. <br />