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..PPLICATION FO._ <br />G a"'�`'� CONSTRUCTION <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259•8810 TO BE COMPLETED IN INK • PLEASE PRINT <br />❑ DEMOLITION O COMBINATION �BUIL�ING ❑ MECHANICAL ❑ PLUMBIN(3 <br />�t <br />L'L➢1 <br />M�II <br />�ir ��ur <br />�2r3 �� <br />ziv r�a <br />❑ SIaN <br />o�-�S <br />iiCE NFE • <br />a 3 r .ft �i, <br />PLUMBINOCONIR�LIOR MML�OORE55 CIfY 21V PIIUNE IlllN�E� <br />CU55 or wonn �{ <br />❑ NEW ❑ ADOI7IUN L'1� ALTERATION �HEPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING F7ELOCAIION_ <br />VAlU�14IN Oi WO�� H:OSI Of AIi1E�uL5 �'�US I�BORI <br />,�13700 ,°`' <br />DfSCRitlC WOAK G ,/� O � <br />�g�r U � fz ..,� <br />i� /c�v <br />p5C OI BUROING <br />ICG�I OESCA�P��ON D� PAOPEPIY ISHO WN BELOW OR �iTALH FOUR COPIE51 <br />LO�-BIOCK��1F <br />,�-3 �urr1 �� , <br />VPOJECi�DDRE55 <br />PLUMBIN6 <br />NO. TYPE OF FIXTUHE OR ITEM <br />WA7ER ClOSET �TOILET� <br />BATMTUB <br />U�ATORY IW�SM BI15�N� <br />SHOWER <br />NITCMEN SINN 8 DISP. <br />i DISHWASNER <br />LAUNORY TRI1V <br />CLOTHES WpSNER <br />UN�NAL <br />DRINNING FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOW PREVENTERS <br />ROOF ORAINS — RAINLEAOERS <br />SINK �SER�ICE — BAR. ETC.1 <br />SUBTOTAL <br />PERMR <br />RE�R <br />V�CANi Si1E <br />OYES �NO <br />NO OF DWFL <br />FOFl <br />1 HER[BY CERT�FY THAT I HAVE READ AND FXAMINED THIS AP• <br />PLICATION AND KNOW THE SAMETO BE TRUC- AND CORRECT. ALL <br />PROVISIONS OF LAWSAND ORDINANCE�. GOVERNING THiSTVPE <br />OF WORK WILL BE COMPLETED WITH WHc�H�"R SPECIFIED HFRE- <br />IN OF NOT. THE GRANTING OF A PERMIT L10ES NOT PHC'SUA1= i 7 <br />GIVE AUTH6RITY TO VIOLA7E OR CANCEL THE Pi70VISI0AlS OF <br />ANY OTHER STATE OR LOCAL LAW REGULA?IN�, C'_`N �TRUC'IO^� <br />OR THE PERFORMANCE OF CONSTfiUC?wN. <br />SIGNAIUPEOFLONIRACTGRORAUTHOR4F.Dp�EN7 DA�i <br />X �i�5�h� V � / /�`^,._ �✓" <br />\PPlIC4NT5GIYBU5�NE554GtN5E NO <br />MECHANICAL <br />NO. TYVE OF EOUIPMEi•IT <br />A/C — A/MNOLG UNITS — HP. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — B.T.0 M.P. <br />GAS FIRED A.C. UNITS — B.T.II. <br />PORCED AIR SYSTEMS —0.T U. M EA. <br />WAILHEATERS—B.T.U. M <br />UNI'f HEATERS — B.T.U. M <br />EVAPORATIVE COOlEPS <br />CLOTHESOFYEPS <br />VENTIUTION FAN <br />RANGEHOOO <br />WATER HEATER <br />wO005TOVE <br />METAL FIREPLACE 6 CHIMNE� <br />FIREPIACE INSERT <br />HEATPUMP <br />GAS PIPINQ <br />E%HAUS�FAN <br />� SUB TOTA� <br />OCRMIi <br />TOT�LFEE <br />p�1N CHECK NUM9ER I FEE <br />BUILDiNG 5 <br />PLUMBING <br />MECHANICAL <br />07HER <br />STATE BUILOING SURCHARGE <br />STATEENEFGYSURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />RECEIPT NO. <br />PROPERTV LOINE LOCATIONS ANDNRELATED EASEMENTIS INC ALL <br />