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�-+PPLICATION FO�< <��,�„ <br />��� EH/O�N� C O N ST R U CT 1 O N e <br />CIP/ OF <br />everett PERMIT <br />BUILDING DEPARTMENT TO BE COMPLETED IN INK- PLEASE PRINT <br />259•8B 10 <br />❑ DEMOLITION O COMBINATION ❑ BUILDING fid MECHANICAL O PLUMBING ❑ SIGN <br />OH'��E� M�IL�ODiiE55 GIIY p ZIP FdONE <br />_ .. _. ._ ,, 1 I:,�-�n �F_ 7 Z�°f le I y-.,�.u.,,n,�� �1�i� 9� r1C? <br />OlNLtU�CONIMGIOP M�IVDORE55 , C��' 21P �9�ON[ Uf.lNSF • <br />MkC11l1MULCONf4�LlOp M�IL��ORES$ CIIV LIP Pi�UNE 4C[NSC� <br />,. . ,, , .._ � �...� � i5t"l/ � 5^ �-F $ W. / �'i�n! wo v�� �%�� � 77 G- S'STi � % <br />) <br />Oi WORII <br />NEW ❑ ADDITION ❑ ALTERATION ❑ PEPAIR ❑ DEMOLITION ❑ WOO�STOVE/FRPl.INSERT ❑ BUILDING RELOCnlION <br />� !j! �j�0 6 = -/' <br />orscn� fN'ORI( <br />i <br />J <br />usr <br />� 7 <br />io�— <br />� � o s w. ii <br />PLUMBING <br />NO. TYPE � <br />W�TERCLOSET <br />BATMTUB <br />U�ATORYIWA• <br />, r �� ��-�v .�su,c <br />/ /.-iZ irxi,l /, � <br />FI%TURE OR ITEM <br />jILETI <br />BASIN� <br />KITCHEN SINN d OISP. <br />DISHWRSHEfl <br />LAUNOFYTFRY <br />f:l OTHES WASHER <br />UPINAL <br />ON�NKING FOUNTAIN <br />FLOOR DRAIN <br />ROOF ORAINS — AAINLEADERS <br />SINH �SERVIGE — BnR. ETC 1 <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />�AU��� SE19�CK <br />USElONF �LOf�RE� <br />i� <br />FEE <br />f� � <br />SIDE SETB�GN <br />VRCANT SIfE <br />OYES ONO <br />NO.OF OWF.LIING UNIIS <br />Mnx occ. iono <br />�PF11 FORISSUANCEflV <br />L� <br />I HEREBY CERTiFY THAT 1 HAVE READ AND EXAMINED TIiIS AF'• <br />PLICATION AND KNOW THE SAMETO BE TRUE AND CORRECT. ALL <br />PROVISIONSOF LAWSAND ORDINANCESGOVERNING 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 />SIGNATUREOFCONiRALTOROBAUiHOR12E0AGENT DALE <br />X GtJ Z�U � , ' �- �1— <br />AFPIICRNiS LITY BOSINE55 ULEqSE NO <br />MECHANICAL <br />TYPE OF EOUIPI <br />A�C — A/HN�LG UNITS — HP. <br />REFRIGERATION UNI75 — H.P. F <br />BOILEPS — BS.0 /HP <br />GAS FIRED A.C. UNITS — B.T.U. <br />FORCEO A�R SYSTEMS — B T.U. <br />WALI HEATERS — B T.U. <br />UNIT HEATERS — O.T.U. <br />EVAPORATIVE COOlERS <br />CLOTHESORVEFS <br />VENTILATION FAN <br />FANGEHO00 <br />WATER HEATER <br />W000 STOVE <br />METAL FIREPIACE 8 CHIMNEY <br />FIREPLACEINSERi <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SU8TO7AL <br />PCNMIT <br />TOTALFEE <br />PLANI:HECKNl1M6ER FEE <br />FEES VALI <br />aw�oiNc S <br />PIUMBING <br />MECHANICAL <br />OTHER <br />STATE BUILO�NG SURCHARGI <br />STATE ENEF7GY SURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />M EA. <br />M <br />M <br />FEE <br />RECEIPT NO. <br />PROPERiVL��NELOCAilONSANDNRELA7EDE SEMENTISINGALL <br />