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la�l�� �I � � <br />k'PPLICATION FO1:'� <br />'".E",°`"" � CONSTRUCTION <br />arr ov <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259•8810 TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINATION O BUILDING ❑ MECHANICAL <br />�w,.�r _ _ _----- <br />ly%in.qc G%%i.�ait,2. 7�6-.SG' �'u'��Frr /J�is..� �y <br />�qCNiTECTON0E5:GNER M�il�0�HE55 LIiY � ZIP PNONE <br />MAIL ApORE55 <br />NG <br />❑ SIGN <br />ZiP FNONE UGENSE • <br />MECN�NICQCONTPPCiOq MMLAODFE55 CIIY 21P PHONE �LICENSE• <br />CL�SSOF WORN <br />❑ NEW ❑ AODITION � ALTERATION ❑ FiEPAIR ❑ DEMOLITION ❑ WOODS'fOVE/FRPL.INSEFiT ❑ BUILDING RELOCATION <br />V�LU�TION OF WORN �W ST OF MAfERIALS PW 5 LABOPI <br />OESCR:I7E wORM <br />PROJEGT�DDRE55 <br />�//-S'� �JE�P�rr /, <br />PLUMBING <br />NO. TYPE OF FI%TUHE OR <br />WATEFi CLOSET �TOI:ET� <br />BATMTUB <br />LAVATORV �'NASN BASIN� <br />SHOwE.i <br />KITCMEN SINK d DISP. <br />IAUNDRYTRAV <br />CLOTNES WASHER <br />URINAL <br />ORINKING FOUNTAIN <br />fLOOR �RAIN ' <br />BACKFLOW PREVENT <br />ROOF �HAINS — RAI� <br />SINK �SERVILE — BAi <br />FEE <br />fPON�SETBRLN <br />S12E OF BIOG I NO.OF STORIES <br />AYPI.ICAl10N ALC. BY <br />COPIE51 <br />amcocmncn <br />VnCANT SIiE <br />OYES �NO <br />I HEREBY CERTIFY THAT 1 HAVE READ ANO EXAMINED THIS AP- <br />PLICATIO�; AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIGNSOF LAWSAND ORDINANCESGOVERNINGTHISTYPE <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 />ANYOTHER STATE OR LOCAL LAW REGULATIIJG CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. . <br />SIGNA7UREOFLON�OROflAI;Tyqq12EDAGENT �ATE <br />X ,���. <br />APPLIf.ANTSCITY ❑SINESSLiCEN5EN0 <br />� � /'�'9 J'� <br />MECHANICAL <br />FEE NO. ' TYPE OF EQUIPMENT <br />D 00 A/C—A/HN�LGUNITS—H.P. <br />REFRIGERATION UNITS — H.P. EA. <br />Q 601LEP5—B.T.U./H.P. <br />GAS FIREO.I.C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — B.T.U. M <br />WALLMEATEFS—B.T.U. M <br />UNITHEATERS—B.T.U. M <br />EVAPOPATIVECOOlEHS <br />CLOTHESDRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />wOOD STOVE � <br />METAL FIREPIACE 8 CHIMNEY <br />(� PIREPIACEINSERT <br />HEATPUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />PENMIT <br />TOTALFEE <br />PLANCMECN NUMBER FEE <br />FEES VALI <br />BUILO�NG S <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE BUILDING SURCHAR�E <br />STATEENERGYSURCHARGE <br />PUBLIC WORNS <br />TOTAL <br />1-i �-Bfr <br />RECEIPT NO. <br />PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING ALL <br />PROPERN LINE LOCATIONSAND RELATED EASEMENTS. <br />