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In. Er.,p,e.n <br />GITY OF <br />e�verett <br />BUILDING DEPARTMENT <br />259•8810 <br />r�±�PLICATION FO�.'� <br />� :, , <br />CONSTRUCTlON <br />PERMIT <br />TO BE f OMPLETED IN INK- PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINATION <br />UR <br />❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />$IV <br />❑ SIGN <br />GENERALCONTN�GIOR MAII PpUR`SS Giv Zi� �upNE LICENSE • <br />PLUM1�BIII� CONiFFG10N <br />V <br />CU55 OF WORK <br />❑ NEW ❑ ADDITION <br />VAIWt NOlWO�YICOSIOFM. <br />�//_/9.ui� <br />MNIL <br />Clrv <br />-// <br />PI10NE <br />LICCNSE � <br />ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODS70VE/FRPL.INSERT ❑ BUILDING RELOCA1iQN <br />r W 5 LaBOB� <br />iROJECt�tlORESS^ ^ <br />!l <br />7 0 � �i <br />PLUMBING <br />NO. TYPE OF F�%TURE OR ITEAI <br />WATEN CLOSET �TOILETI <br />BATMTUB <br />�qyATORY�WASHBA5IN� <br />SHOWER <br />KITCHEN SINK d DISP. <br />OISHWASHEF <br />LAIINORY TFAV <br />CLOTNES WASHER <br />URINAI <br />DRINKING FOUNTAIN <br />FIOOR ORAIN ' <br />BACKFLOW PRE�ENTERS <br />ROOF �RAINS — RAINLEADERS <br />SINK �SERVICE — BAR, ETC.) <br />Of COHiT <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />S <br />I HEREBY CER7IFY THA! I HAVE READ AND E%AMINEO THIS AP- <br />PLICATION AND KNUW THE SAME TO BETRUE AND CORR[CT. ALL <br />PROVISIONSOF LAWSAND ORDINANCES GOVERNING7HISTYPE <br />OF WORK WILL BE COMPLETED WITH WHETHEF SPECIFIED HERE� <br />IN OR NOT. THE GRANTING OF A PERMIT DOF.S NOT PfiESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTF'�ER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMAtJCE OF CCNSTRUCTION. . <br />SIGNA�RE� OP GO��ACI /4/ ��ZEp AG[Nf � ^�� �� <br />X � // <br />�9. <br />NO <br />MECHANICbL <br />FEE NO. TVPE OF EOUIPMENT <br />A/C — A/HNOLG UNITS — H P. <br />REfRIGEHATION UNITS — H P. CA. <br />BOILERS — �1.T.0 /HP. <br />GAS FIPED A.C. UNITS — B.T.U. <br />fORCED AIR SVSTEMS — 8 T.U. M EA. <br />WALLMEATEHS—B.T.U. M <br />UNITHEATERS—D.T.U. M <br />EVAPORnTIVE COOLEflS <br />CLOTHESDFVEF$ <br />VENTILATION FAN <br />RANGEHOOD <br />WHTERHEATER �, <br />WaOOSTOVE <br />METAL FIREPLACE 8 CHIMNF� <br />FIREPLACE INSEflT <br />HEATPUMP <br />G�5 PIPING <br />E%HAUSTFAN <br />FIAE SPRINKLERS REOUIRED ❑ YES <br />o� <br />Br <br />or <br />SUBTOTAL <br />PERIAIT <br />FLANCHECKNUMDER �FEE <br />BUILDING 5 <br />PLUMBING <br />MECHANICAL <br />�TNER <br />STATE BUILDING SURCHARGE <br />STATEENEFlGYSURCHPAGE <br />PUBLIC WOFKS <br />TOTAL <br />RECEIPT NO. <br />PFi01'ERTY LOINE LOCAiONS A D F1ELA ED E SEMLNTISING ALL <br />Sa <br />