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0 <br />M�Evuprn� <br />GITT OF <br />everett <br />BUILDING DEPARTMENT <br />259-8810 <br />f:�`i�PLICATION FOI�=� <br />CONSTRUCTION <br />PERMIT <br />TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ DEMOLITION O COM8INATION �BUILDING ❑ MECHANICAL ❑ PLUMBING <br />�� <br />O SIGN <br />PLUMBINGLONIpAGiOR MRIIRDDRE55 GItV ZIP PIIONE IICENSE� <br />❑ NEW ❑ ADDIiION ❑ ALTERATION ❑ REPAIF ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUI�DING RELOCATION <br />USE OF <br />OELOW OR A1TAC11 <br />PPOJECTAODRESS V�'� •'�"����'��+ <br />�� SG WIWt�tf MAv- W�Y <br />PLUMBING <br />HO. TYPE OF FIXTUHE OH <br />WATER f.LOSET �TOILET) <br />BATHTUB <br />LAVATOAY 1�"1ASH BASINI <br />SMOWER <br />KITCHEN SINK 6 DISP. <br />OISHWASHER <br />LAUN�RVTRAV <br />CIOTHES WASHER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DNAIN ' <br />BACKFLOW PREVENTERS <br />i700F DRAINS — RAINLEADEFS <br />SINK iSERVICE — BAR. ETC.1 <br />SIZE OF OL�O. <br />/�'93 <br />ION ACC OV <br />SUBTOTAL <br />PERMIT <br />TOTALPEE <br />RERP SETBRCN <br />GnOUP <br />� Z <br />� <br />I HER[BY CERTIFY THAT I HAVE REAU AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAMETO BE TRUEANDCOFRECT. ALL <br />PHOVISIONS 01= LAWSAND ORGINANCES GOVERNINGTHISTYPE <br />OP WORK WILL BE COMPLETEG WITH WHETHER SPECIFIED HERE• <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PqESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTNER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OF THE PERFORMANCE OF CONS7RUCTION. . <br />SIGNA7URE OF CONTRACiOR OR Al1THORIZEO AGEHT DATE <br />X ��_ /� n.. I%� L�i� �N <br />MECHANICAI. <br />FEE NO. TYPE OF EOU�PM�NT <br />AIC - A/MNDLG UNITS - H.P. <br />HEFRIGEFATION UNITS - M.P. EA. <br />BOILEFS - B.T.U./H.P. <br />GAS FIRED A.C. UNITS - B.T.U. <br />FORCED AIF SYSTEMS - B.T.II. M EA. <br />WALLHEATEFS-B.T.U. M <br />UN�THEATERS-B.T.U. M <br />EVAPORPTIVECOOLERS <br />CLOTHES�RVERS <br />VENTILATION FAN _ <br />RANGEHOOD <br />WATER MEATEH . <br />WOODSTOVE � <br />METAL FIREPLACE d CHIMNEY <br />s� � <br />SIDE SETBRCK <br />VACANTSRE <br />DYES�lO <br />no. or oweuu+c uNrts <br />� <br />MqN.OGC LORU <br />ZO <br />APPR. FOR ISSU�NGE BY <br />�� <br />HEATPUMP <br />GAS PIPING <br />I PERMIT <br />� TOTALFEE <br />PLAN CHECK NUMBER FEE �� 7O <br />�g�ZO !(i g <br />dU1LDING 5 <br />PLUMBING <br />MECHANICAL <br />OTNEF <br />STATE 8UILDING SURCHARGE <br />STAiEENEPGYSUFCHARGE <br />PUBUC WORHS <br />TOTAL <br />�EC <br />RECE/IP�T NO. <br />! �/ <br />PROP�RN OWNERS ARE RESPONSIBLE FOR DETERMINING ALL <br />PROPERN LINE LOCATIONS AND RELATED EASEMENTS. <br />