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���E..,o,..� `.,:�PLIC/�TION FU�. c�^ <br />�ONSTRUC � 10�� �sa ���9 "e�`,�`" <br />CITY OF <br />everett �ERMIT w�,�t ���P� <br />3U!LDING �EPARTMENT TC BE COM°LETED IN INK- PLEASE f�RINT <br />Y59•8810 <br />� DEMOLI'flnN ❑ COMBINATION �3(BUILDiNG ❑ MECHAIVICAL ❑ P�UMBING O SIGN <br />�vn�en rnu:ennaEss eirc zir vHovs - <br />t �'��u J ��' /� 9 <br />SIV pHONE <br />6tNERALCONlFPC10� M�IL<OORE55 Lirv ' LP �PONE I�CENfiE�1 <br />����,,�druc'�i0� �� f./ L���, �/4iJ7VJ7iaro,sa,.(lu�. �=vev��%f �`??�U� ,3�`'7-,.ri/„Z> -� <br />M[f.M��IIf.N1 C�JI�IHPC.iIJ{j M�II �DDRE95 CIiV ZI1� {`II(JNE �IL["C� • • <br />NEW ❑ PDOITION ❑ �LTERATION ❑ qEPAlfi ❑ OEMOLITION ❑ WOQOSTOVE/FRPLINSERT ❑ BUILOING RELCChTION <br />V1L Of BU�IUiNG <br />R7�f11 <br />PNp�EGinDORE55 <br />PLUMBING <br />NO. TYPE � <br />WaTER CLOSET <br />LAVATORY (WASH BASIN� <br />SNOWEF <br />KI?CHEN SINK d OISP <br />�ISHWASHER <br />LAUN�flYTRAV ' <br />URINAL <br />ORINKING FOUNTAIN <br />FIOOF ORNN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — NAMLE4 <br />SINK ISERVICE —BAR. FT <br />� uUii( SEtO<Cv <br />/o <br />u5E IONE <br />�c'-y <br />rrcE O� COJ�Sr <br />;' r/ <br />siec ov oiou <br />� �f� � <br />fIRE SPRINKLER' <br />>t�,Vl�C4ilONiCC �J� <br />( �t iN� <br />17 <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />11LAq SE�BACN <br />Lo <br />LOIPq[n � <br />G�fyo <br />OCCUPArvGYGIIOUP <br />M- � <br />rvo or 5*oniEs <br />REO ❑ VES ,i�l <br />P�qN$ CIIECNEO BY <br />/C�.ti <br />� <br />f <br />f <br />SIOE SEiBALK <br />� <br />VPCRNi SIIE <br />❑res �o <br />NO O� pWEIL <br />-e- <br />MN% OCC LO� <br />N/� <br />G - c- <br />I HEREBY CERIIFY THAT I HAVE RE�1D AND ERAMINED THIS AF <br />PLICATION AND P:NOW THE SAME ��O BE TRUE ANDCORRECT. pLL <br />PROVISIONS OF 2AWSAND ORDINAKCES GOVERNING THIS TVPE <br />OF WORiC JJILL BE COMPLETED WITH WHETHERSPECIFIED HERE� <br />IN OR NOT. THE GRANTING OFA PERtNTDOES NUT PR[SUME TO <br />GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVI510�l.i OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTR�ICTION <br />OR THE PERFOHMANCE OF CONSTRUCTION. . <br />SIGNATUFE OF CONfRAf.TOR R AU7HORIZED AGENi pnTE <br />X ',.' / <br />s. �� ,? � aY'-�vi <br />AVPUC4NT5CItYBU51HE 'UCE1lGENO <br />MECHANICAL <br />MC — p/NN04(3 UNITS — H.P. <br />REFRIIiERA?ION UfJI TS — HP. EA. <br />BOILEPS — E'.T.U./H.P. <br />GAS FIHEC A.C. 11N1T5 — O.T.U. <br />FORCEO AIR S': STEMS — B T.U. <br />WALL HEATERS — U.T.U. <br />UNIT HE�TEPS — B.T.U. <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTIlAT10�1 FAN <br />RANGEMpO� <br />WATER HEATER <br />wO005TUVE <br />METtiL fIREAIACE 8 CHIMNEV <br />FIPEPLACEINSERT <br />MEATPUMP <br />GAS P'PING <br />E%HAUSTFAN <br />M EA. <br />M <br />M <br />SUBTOTAL <br />VERIi�T <br />TOTALFEE � <br />:NUM9ER FEE <br />I �SSS �Z�b <br />FEES VAIUATl0�1 <br />v <br />BUR�ING S ( 5�%i7 .,r <br />VLUMBING <br />N.ECHANICAL <br />OTHEH <br />STATE BUILDING SURCNAfiGE <br />STATEENERGYSURCHAP.iE <br />PUBLIC WORKS <br />TUTAL <br />RECEIPT NO. <br />cl d(�� <br />PROPERiV OWNERS ARE RESPONSIBLE FOR OE?EFMINING ALl <br />PROPERiY LINE LOCATIONS AND PCiATEO EASEMENTS. <br />