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fR� EvuprHn <br />arr ov <br />everett <br />BUILDING DfPARiMENT <br />259•8810 <br />❑ DEMOL�TION <br />�<. <br />, <�. <br />;. <br />A`PPLICATION FOh-` <br />CONSTRUCTIOf�I <br />PER1viiT <br />TO BE COMPLETED IN INtC- PI-EASE PRINT <br />O COMBINATION 0 BUILDING �I,MECHANICAL <br />M.neoonass _ c�i I �.. /1 _ �/nv . <br />❑ PLUMBING <br />❑ SIGN <br />M�II �O��E55 C�IY ZIP P��ONE IICENSE • <br />GE�IEI��LCONIR�CIO� L�'C IG '� 2� 2L� <br />. ___ .... m�nuc LiCENSE • <br />1� i, VLl � <br />M�IL <br />SS 22 2U�� <br />GU55O� YIO�K <br />�. NEW ❑ AODITION ❑ AL7ERA710N ❑ REPAIFl ❑ DEMOLITION ❑ WOO�STOVE/FiiPL.INSERT ❑ BUILDING f�ELOCnTl0�1 <br />vw+uonov wonK�ws� or u.icnu�s rws uaani <br />wonK <br />ICir�i-�tv �:��+.a.vS <br />PIUMBING <br />Np, TYPE OF FI%TUHE OR i'. <br />� WpTER CLOSET �TOILET� <br />-- BATMTU� <br />� �/1VATOf�Y (WASM UASIN� <br />SHOWER <br />NITCHEN SINK 6 OISP. <br />DISMWASNER _�_ <br />LAUN�RY Tfi�Y <br />LLOTHES WpSNEFi <br />URINAL <br />DRINKING FOUNTAIf1 <br />FLOOR ORAIIJ <br />BACKFLOW P�EYENiEf15 <br />ROOF ORNNS — RAiNLEn0EP5 <br />SINK �SERV�CE — B�A. ETC ) <br />� SVBTOTAL <br />��ONi5EI0�Cn <br />USE tOME <br />rYPE Of CONSI <br />SRE 0� OLW <br />FIRE SPFINHIER; <br />♦VPI�CRIILNACC 0� <br />TOTALFEE f <br />nE�I15El0�CN 51[ <br />lOt ME� <br />OCCUPPNCYG�OUP <br />NC 9F S10B�E5 <br />RED � YES ❑_ <br />�PLu�SCnECNEO OY <br />FEE <br />v�CANT SIiE <br />UrES ONO <br />MPk OCG. <br />�PPfi fORI55u <br />(�� <br />i-I'UD f� S <br />I fIEREBY CERTIFY THAT 1 HAVE F7EAD AND EX�DdINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE A�lD CORRECT. ALl <br />PROVISIGNS OF LAWS AND ORCINANCESUOVERNINGTHISTYPE <br />OF W('�'K WILL BF. COMPLETED WITH WHETHERSPECIPIED iERE <br />IN OF �.OT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />31VE AUTFIO�ITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCl�I lAW FEGULA flNr CONSTRUCTION <br />OR iHE PEFiFORMANCE OF CONSTRUCTION. . <br />SIONAiUB/E JOF GONIRACLOR OP. AUfN0012EU �GENT [IATE <br />X (Y.JAO/Y/AA.� �^Z�S7/� <br />MECHANICAL <br />TYPE OF EOUfPMEnI <br />A!C — A/HNOIG UNITS — H.P. <br />REFrlIG4RATION UNIiS — H.P. EA. <br />UOIlEPS — B.T.U./H P. <br />GA$ FIRED A�C. UNITS — O.T.U. <br />F017CED �i� SYSTEMS — B.T.U. M En. <br />WALLHEAiERS—B.T.U. M <br />UNITYEnTEf75—�.T.U. M <br />EV�PORAi1VE COOIEPS <br />CLOTHES DR�EfiS <br />VENTILATION FAN <br />RANGEHO00 <br />WATER HEATER <br />1vOOD STOVE �� <br />A:ETAL FIREPV�CE 6 CMIMNEV <br />FIREPIACEINSERT <br />MEATPUMP _ <br />GAS PIPING <br />E%HnUSTFAN <br />-- PLAN CNECKNUM�EB <br />FEES <br />�UILDING <br />UNIIS <br />PLUNBING <br />MECHANICAL <br />pY <br />SUBTOTAI <br />PEOMiT� <br />TGThLIcE <br />' IFEE <br />OTHER <br />STATE BUIIOING SURCHA�iG <br />STATEENERGYSURCH�RGE <br />PUBLIC WORKS <br />TOTAL <br />S <br />FiEGEIPT NO, <br />FEE <br />PROPERTY OW NERS ARE RE°PONSIBIF. FOA �ETERMININ(3 ALL <br />PROPE9TY 11NE LOCATIONS AND PELA7ED EASEMFNIS. <br />