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;`e�PLICATION f0�:'�` <br />f�� Etirprwn CO N ST R U CT I O N <br />��r o� <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259-88to TO BE COMPLETED IN INK - PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �ECHANICAL <br />.......�., MAII �DOIIESS • CIIY lJf , . <br />'�'li--� <br />everen <br />e <br />❑ PLUMBING ❑ SIGN <br />MLIIItEf.�Ofilll&(iN[R M�I��ppR[5S LIIV IIP WIpNE <br />�ifNf.MICON�RAf.ip11 M�IlApf10CA5 G��� IIP PI�ONC UCENSE• <br />FI <br />;USS Of WORN <br />❑ ��ew ❑ nooinoro n�tennnoN ❑ r�ernin ❑ nr:Moi.nioN ❑ woonsTovEirnr�..iNsenr ❑ n�anwca rir:iocnnoN <br />USE <br />lU I._ BLOCI(__ <br />PLUMBING <br />.•7� <br />�AVATORY�WASFIB�SINI <br />SMOWEH <br />KITCMEN SINN 8 DISP <br />OISHN'RSHER <br />LAUNDRVTRA/ <br />CLOTHES wnSHER <br />URIN�L <br />DRINNINQ FOUNTAIN <br />FLOOR DRAIN <br />— FAINLEADERS <br />. — OAR. ETC.) <br />SUS TOTAL <br />PEpM1T <br />TOTALFEE <br />RE�RSEiB�Cfl <br />LCf�P[• <br />OCLUFANGV GRC <br />SitF Of pl fW <br />F <br />�ly'1.11:R110N�Gf, pr <br />cor�esi <br />� <br />f <br />f <br />'iiDE SETB�CN <br />WG�NT 511E <br />OVES ONO <br />NO.OF OWFLLIN� UNIiS <br />MAM QCC IOAO <br />♦PPR f0f1 i55UANCE OY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />FLICATION AND KNOW THE SAMETO BETRUE ANDCORRECT. ALL <br />PROVISICNS OF LAWSAND ORDINANCES GOVERNING THISTYPE <br />OF WOqK WIIL BE C0�IPLETED WITH WHETHER SPECIFIED HERE• <br />IN OR NOT. THE GRANTING OF A PERMIT DOE3 N0T PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL lAW REGULATINO CONSTRUCTION <br />OR THE PERFORMANCE OF 0.�NSTRUCTION. J <br />SIGNRTUREOFGONiRRCiORU�AUTHOfil2EDA0ENT DRiE'�/I,I�V <br />X � -z-r�� �i � <br />LiCErvSE <br />MECHANICAL <br />NO. TYPE OF EOUIPME <br />AIC — A/HNOLG UNITS — H P. <br />REFRIDEPIITION UNITS —H.P. EA. <br />BOILEfiS — B.T.U.MP. <br />6A5 FIRED A.C. UNITS — B.T.U. <br />FOFCED RIR SYSTEMS —B.T.U. � ' <br />WAIL HEATEiiS — B?.U. <br />UNIT HEATERS — B.T.U. <br />EVRPORATIVE COOLERS <br />CLOTHE5^RVEF9 <br />VENTIUTION FA17 <br />HANGEHOOD <br />WATERHEATEP '. <br />wOODSTOVE <br />MEUL FIREPLACE Q CHIMNEV <br />FIREPUICEINSERT <br />HEAT PUMP <br />. . �ASPIPM� -- <br />P�AN(;HECKNUMBER <br />SUBTOTAL <br />O[RMIT <br />�OTI1L FEE <br />IFEE <br />M EA. <br />M <br />AI <br />RECEIPT NO. <br />OUILOING 5 <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE BUILOiNG SUACH�FGE <br />STATEENERGVSURCHARGE <br />PUB�IC WORKS <br />TOTAI <br />PROPF.RTY OWNERS ARE RESPONSIB.E FOfi DETERMININO ALL <br />P�OPERiV LINE LOCATIONS AND RELA7E0 EASEMENTS. <br />