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�, . �,E,�,� `�:��PPLICATION FO�.' ����„ <br /> � ��r« CONSTRUCTION O <br /> ��: everett PERMIT <br /> BUILDING DEPARTMENT <br /> � 259-8810 TO BE COMPLETED IN INK- PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION O BUILDING ❑ MECHANICAL O PLUMBING O SIfiN <br /> •' ayry � ` M�i �ODIIC55 CIIV }IP PNONE <br /> :, � N�-r e �� �/,�?I l'(-eu.�,rt.� ,P,�ece�� )�r7 `IB�av! z�� -�ya r <br /> � �q NIfECi DES�ONER G� MeII��DRES C�IY Ln oNONC <br /> :1 <br /> 1� <br /> NE l GONfRAGtOR� MML�OORE55 Lirv )IP PUONE LiCENSE• <br /> ce_ • 2'/H�,u�-��t`t �'�`'� '1�l,�ec�� )�'999���0/ �''-f�-�/ti �/� <br /> �CH�NIWL GON1R�f.TOq ' M�IL�DORE55 CIIV ZIP PIIpNE l�C[ry5E• <br /> > _ /;i Uc�'K � o�t To <br /> ; PLUMEIMOCONfH11C1pR M��I.eD�RE55 C��Y ZIP PHONE UCENSE• <br /> •� CUSSOi WORI( ,_,// <br /> ❑ NEW ❑ ADOITION ❑ ALIERATION tl HEf'AIR ❑ OCMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUIIDING RELOCRiION <br /> WLU�T�OM FWO11M�(,'OS10iMA1oERI�L5PLU5L�B0111 <br /> �l�7ia • a <br /> CESCRiBE WORR � � <br /> '� �cx.G _�c� � P r-- . _" C�C�L,c� '-�-�_�c?L� iL.PA <br /> U!E Oyyyeee���ILDINO • �' <br /> r � � � I HEREBY C i Y THAT I HAYE RE D AND ExAM ED THIS AP• <br /> � r 4�`.��7.Q��C�C� PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br /> �'�,� I�EEGRIPTWNOfOROPENIY�SMOWNBELOWORMT�CHfOUAGOPIE51 PROVISIONSOFLAWSANDORDINANCESGOVERNINOTHISTYPE <br /> OF WORK WILL BE COMPLETED WITH WNETNEH SPECIFIED HERE• <br /> � �or_e�ocK—or — IN OR NOT.THE GFANTING OF A PERMIT DOES NOT PqE3UME t0 <br /> �t�. , GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTH ER STATE Oii LOCAL LAW RE6ULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SION�TURE O�C tqnCTOR OR AUTNORIZEO�CENT D4tE ��/p� <br /> X a <br /> ',2t � <br /> �. PROJEGT�DDHESS �oP�IGNi5CI1vBU51HE5 iLENSEN <br /> � '�.�.u/,C� ��C;��`Z�' <br /> ��� rLUMISINO MECNANICAL <br /> NO. " riK OF flI(TUIIE 0111TEM FEE NO. T/P[OF EOUIPMENT fEE <br /> � WATER CLOSET ITOILEn MC—�MNOLO UNIT$—H P. <br /> ��� REFRIOER�TION UNITS—H P.EA. <br /> � LAVATORY�WASHBI151N� BOIlERS—B.T.U.MP. <br /> $�pWEq O�S FIRED A.C.UNITS—B.T.U. <br /> `I IfITCnEN SINK/�DISP. F0f10ED AIR SVSTEMS—B.T.U. M FA. <br /> �,j pSMWA7HER w�ILHEATER3—B.T.V. M <br /> j.: uuna+r ra�r UNIt ME�TERS—B.T.U. M <br /> �•' CLOiHEBwASMER EVAPOPA7IVECOOLERS <br /> �, <br /> !�� �JRINA� CLOTHESORYERS <br /> �t� ORINKINO FOUNTAIN VENTIUTION FAN <br /> ` • FLOOR DRI11N R�NGE NOOD <br /> � � BACKROW PREVENTERS W�TEA HEATER <br /> � •�' <br /> j�. . qOOFDRAINS—RMNLEADERS WOCDSTOVE � <br /> ���� SINK(SERVICE—B�R.ETC.) MEfAL FIREPUrE 6 GMIMNE� <br /> . FIREPLpCE1NSERT <br /> `,:1 <br /> MEATPUMP <br /> GAS PIPINO <br /> EXHAUSTFAN <br /> p � <br /> i <br /> tUSTOTFI t bUl�OTAL <br /> '�i �EIIMIT 3 P[RMIT <br /> TOTALF[[ f TOTALFF.E <br /> :� <br /> rnonrsere�cR RE�RSEIB�CK SI�ESEIB�CN �IpN�MECKNUMBER FEE RECEIPTNO. <br /> use zor�e lOi�RE� y�C�Nt SitE FEES VALUATION FEE <br /> nres or+o <br /> BUILDING S <br /> iYPEOfCON9C OLCUPANCVGROUP NOAfOWRIIVGUNItS <br /> � � PlUM81NG <br /> SIIE OI0LD0 NOAF S10RIE5 M�%OCC LOAD <br /> �t� MECNANICAL <br /> � <br /> OTHER <br /> �'� FIRE SPRINKLERS REOUIRED ❑VES O NO STATE BUILDING SURCHARGE <br /> ',1 <br /> �t STATEENERGYSUFGHARGE <br /> ,.� �VVUCAiION�LC BY P�AH9CNECNEOBY APPB fO0155UANGEBY <br /> � PUBLIC WORKS <br /> TOTAL <br /> i <br /> •� PROPERTV OWNERS A{lE FESPONSIBLE FOR DETEPMININO ALL <br /> PROPERTV LINE LOCATIONS AND RELAfED EASEMF.NTS. <br />