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, <br />�� �i�`'�PPLICATION FO:��� <br />� ' '"'E"'°"'" CONSTRUCTION <br />i pT/ OF <br />� everett PERMIT <br />� BUILDING DEPARTMENT <br />259•8810 TO BE COMPLETED IN INK • PLEASE PRINT <br />❑ UEMOLITION O COMBINATION ❑ BUILDING �QMECHANICAL <br />�C-%�p/SE1C7 ��i.C_..�M�7M�n�oS��O ���`^��'��._ G�VI � <br />1i <br />PLUMBING <br />❑ SIGN <br />APCMrtECfOHDES�GNEP MMLADORESS GItY ziv rnonc <br />OENENAL GONiR�GiOR M�II ��ORE55 CiIY 21P PHONE 4LENSE • <br />a��-�� Av �/� <br />� <br />`i7.7�77�/T '-..�.,�.�i�7�-i�/•� <br />;LI1SS Of WOR1t <br />❑ NEW ❑ ADDITION � AITERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCAiION <br />..............e...nee �rnei nF YIIEPI�LS PLW I�BOPI <br />j l�l`. <br />i VSEOF <br />c <br />' � VROJECI�DDRE55 <br />� i l� <br />� ! v�.uMs�Na <br />�I �.�NO. ....... <br />j w11TER <br />I <br />BATMT <br />� <br />SNONrER <br />KITCHEN SINK <br />�,l- w�r�E�2 t��A"FQ[Q£coc.�TE�_-_ <br />• I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAMETO BETRUE ANDCORRECT. ALL <br />ORCOPIE51 PROVISIONSOPLAWSANDORDINANCESGOVERNINGTHISTYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRE$UME 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 />SIGNAIUREOFCONiRACiOAOHAUiHOf112EDAGENT [1ATE <br />X <br />URINAL <br />DRINKIN(i FOUNTAIN <br />RGOR ORI11N " <br />BACKFLOW PRE�'ENTE <br />ROOF DRAINS — HAINI <br />SINK (SERVICE — BAR. <br />a <br />� <br />i <br />i <br />rnontsere�cK� <br />j <br />USE20NE <br />. TYPE OF CON9T. <br />� siz¢or'e�oa <br />i <br />=1RF SPRI� <br />MECHANICAI. <br />OR ITEM FEE NO. TYPE OF EOUIPMENT <br />A/C — A/MNOL6 UNITS — M.P. <br />17EFRIGERATION UNITS — M.P. EA. <br />BOILERS — B.T.U./H P. <br />GAS FIRED A.C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — B.T.0 FJ�. <br />WALLHEATERS—B.T.U. M <br />� � UNITHEATERS—B.T.U. M <br />EVAPORATIVE COOLERS <br />� CLOTMESDRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATERHEATER : <br />�S WOOD STOVE <br />METAL FIREPUCE 6 GHIMNEY <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPINO <br />� 'E%HAUSTF�N <br />6USTOTAI <br />PEHMIT , <br />LOT�REA <br />OCCUPANGY GNi <br />NOAF S10RiE9 <br />SIDE SEl9�Gi <br />WC�NT SILE <br />OYES ONO <br />APPR. F011 <br />SUB TOTAL <br />P[NMIT <br />TOTALFEE <br />PLAN CMECK NUMBEP IFEE <br />f`ECEIPT NO. <br />BUILDING S <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STA7E BUILDING SUHCHARGE <br />STATEENERGYSURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />PROPERN OWNERS ARE RESPONSIBLE FOR DETEFMINING ALL <br />PROPERTY LINE LOCATIONS AND R[LA'i ED EASEMENTS. <br />