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lne Everpreen <br />dTY OF <br />everett <br />BUILDING DEPARTMENT <br />259-8745 <br />❑ DEMOLITION <br />owr�m <br />� _ � � <br />� <br />CONiq�CtOR <br />APPLlCATION F�R <br />CONSTRUCTION <br />PERMIT <br />TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ pLUMBING <br />Mna nooness cirv zir <br />PIIONE <br />MAIL AODOE55 <br />cirv <br />evcrett <br />� <br />�GN <br />ucer�se . <br />_r... _ <br />mtt,rwrviCni.CON�1iFL�Oq MAILR�DBE55 CIIV ZIP PIIONE ULEHSE• <br />�LUMBINGCONiMC10R M0.ILADORE55 CIiV ZIP PIIONE UCENSE• <br />CLn $OF WOfV. <br />NEW ❑ ADDITION ❑ ALTERAI�ION ❑ REPAIR ❑ DEMOLITION ❑ WOOU:,TOVE/FRPL INSERT ❑ BUILOING RELOCATION <br />v5�t er'or or wonnicost or n nrenm�s rius ueoni - <br />� � �`� <br />oescAme wunre <br />USE Of DUILDiNG <br />�or_ <br />vao�ecrnooness <br />20NE <br />SIIE <br />oF anovenrv <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHEp <br />LAUNDFVTRAV <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLODR DRAIN <br />I HEREBY CERTiFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION ANU KNOW THE SAME TO BE TRUE AND COHRECT. ALL <br />PROVISIONS OF LAWSAND ORDINANCES GOVERNING iHIS TYPE <br />OF WORK WILL BECOMPLETED WITH WHETHERSPECIFIED HERE- <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NpT PRESUME TO <br />GIVE AUTHORITY TO VIOIATE OR CANCEL THE PROVISIONS OF <br />APJYOTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNANBE OF C�ONTRqCTOR OR AU7HORIZ[D A3ENT DAiE <br />X �// ///:�� i _ i <br />AIR COND. UNITS—H.P. EA. <br />REFRIGERATION UNITS—H.P <br />BOILERS—H.P. EA. <br />GAS FIPE� AC. UNITS—TONI <br />FORCED AIR SVSTEMS—B.T.I <br />WALL HEATEflS—B.T.U. M <br />UNIiHEAiERS—B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />Alfl HANDLING L1NIT— C.P <br />TOTALFEE SI I I I TOTALFEE SI <br />THIS PORTION TO BE COMP! ETED BY BUILDING DEPT. PERSONNEL <br />REAqSEtBAGN SIOESEiBACN P�pNCNECKNtIMpER PIANCHECn�EE <br />FEE REC[iPt NO <br />lO7RREA yAGANi51iE <br />❑YES ONO FEES VRLUA710N FEE <br />OCCUPRNLYGROUP NO.OFDWELLINGUNIiS <br />ACC BY <br />NO 06 <br />BY <br />BUILDING S <br />MR%. OCG LOAD <br />PLUMBING <br />MECHANICAL <br />OTNER <br />PENALTY <br />RPPR.FORISSUAlJQt BY <br />��'� �[_ TOTAL <br />./1„.��'�'� <br />,•�_�., x� <br />