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3.` �:. " <br />A�PLICATION FOk�-� <br />'".E""°,"" CONSTRUCTION <br />cm oF <br />everett PERIMIT <br />BUILDING DEPARTMENT <br />259-8810 TO BE COMPLETED IN INK- PLENSE PRINT <br />❑ DEMOLITION ❑ COMBINATION �BUILDING ❑ MECHANICAL <br />. u.�..nnooee . WiY IIP <br />OA <br />nD0�E55 <br />M.ii ao/on/ess <br />-- > !n� <br />MAIL ApORESS <br />everetl <br />e <br />❑ PLUMBING ❑ SIGN <br />7ov/ d.�7 �c.7vSL_ <br />PHONE <br />�- asa-a6>� <br />PUONE uCENSE • <br />�� �s9-.�o� y <br />rHOHe _ �ctNse. <br />{�LwJJ Vr ����.. �y �y <br />❑ NEW ❑ ADD�TION Id ALTERATION �q REf'AIR C� DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ Bl11LDING AELOCATION_ <br />V�LU�110N O� W�AM IGO51 OF M�iEA�ALS PLl1S L��ON <br />��OG °='' <br />�ESLRIpE,�W�OA/N� / �j/I -jq'� /�/ / <br />�Y1!/I 'L i.�! /� ' "T-- •`" �" ' ��i FA'�4'%% . / �I i �(A/ Li/ <br />AiTALII <br />�OJECT�DORE55 <br />3ooy Gco.vA,�d D�? C��F�e< <br />PLUMBING <br />W�TER ClOSET �TOIIET� <br />BATHTUB <br />LAVATORYIWASH BASINI <br />SMOWER <br />KITCHE�I SINK 6 OISP. <br />OISMWACNER <br />LAlINO(IY TNAY <br />ORINKING FOUNTAIN <br />fLOOR ORAIN <br />BACKFLON�PHEVENTERS <br />ROOF ORPINS — RAINLEAOE <br />SINK �SERVICE — OAF. ETCJ <br />fPONISE��AGN <br />20 <br />� use zoH <br />-Z <br />TYPE Off'O/NSt. <br />i ' � <br />&2E Of O100 <br />/� z s F <br />Px.F�l� k <br />IU�tON�LC U� <br />�+' 1Y\ <br />OR ITEM <br />SU9 TOTAI <br />PERMIT <br />T07AlFEE <br />RE�A SElOACe <br />� <br />�ornne♦ <br />OCCUP�NGYGROII� <br />R-3 <br />NO Of SIORiES <br />/ <br />I HERE4Y/CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATIDNANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br />PROVISIODJS OF LAWSAND ORDINANCESGOVERNING THISTYPE <br />OF WORI<WILL BE COMPLETED WITH WHETHER SPECIFI[D HERE- <br />IN OR NC1T. THE GRANTING OF A PERMIT DOES N0T PRESUME TO <br />GIVE AU'HORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR IOCAL LAW REGULATING CONSTfiUCtION <br />OR THE nPERFORMANCE OF CO/NSTRUCT�ON. /� <br />SIGNATURFIOf'WNIfiAGhGROf1AUTNOhIZEOAGENf �n{�te <br />I5 <br />MECHANICAL <br />FEE NO. TYFE OF EOUIPMENT <br />A�C — A/HNOLG UNITS — H P. <br />AEFRIGERATION UNITS — N P. EA, <br />DOILEPS — 8.T U /H P. <br />GAS FIRED A.C. UNITS — B.T.U. <br />FOHCE�AIq5Y5TE615—B.T.U. MEA. <br />WA�I,HEATEFS—BT.U. M <br />UNITHEATERS—B,TU M <br />EVAPORATIVE COOLERS <br />CLOTHESORVERS <br />VENTILATION FAN <br />RANGEHOOO <br />WATEH MEATEP �� <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />F�REPLACEINSEFT <br />f�EAi PUMP <br />OAS PIPIW6 <br />E%HAUSTFAN __. <br />��{r <br />�ee <br />S SUBTOTAL <br />= pEpM1T <br />S I f I TOTAIFEE q <br />PLAN CHECK NUMBEP � RECEIPT NO. <br />FEE I �; <br />dDE SEt��K l .,_ f�-n ., � � r IJ �� I/ 1� r <br />n <br />� <br />9CC l0 <br />N.¢ <br />�EGrcEDOv ���'� �O�i55uni <br />� �..�i <br />11NI1S <br />BUILDING 5 � <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE 9111LDING SURCHARGE 7 <br />STATEENERGYSUPCHAnGE <br />PUBLIC W0�7K5 <br />TOTAL � <br />PfiOPEF7Y OWNERS A17E RESPONS�BLE FOR DETERMINING AlL <br />AROPEPT� LINE LOCATIONS AND RFLATED EASE�dENTS. <br />