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,: ;, <br />APPLICATION FOI. <br />,"'E"'°'"" CONSTRUCTION <br />CIfY OF <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259-8810 TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINAiION fJ BUILDING ❑ MECHANICAL <br />OwNcn �aui. euma.�:s cnr : u� <br />_1 <br />/'/ / �.�. ncn.. � �O. �o �e /.i / C� �JCi?r'%/ !�5 <br />❑ PLUMBING <br />2 <br />❑ SIGN <br />�RCNIlEG10RO1.9W�t�� '•'.•..."...._.._ <br />GENER�LCONI��GI0t1 M�u MO�C55 C��� lll' nuONF uLt115f • <br />�[ �YJ�%J�CI✓ <br />♦I�OIR <br />PLUMP�NiiCONIP�G�011 MML�DOR[:ti CiII Jil` PIIONf UI:If15[• <br />Q"NEW O �DDITIUN ❑ ALTERATION ❑ FlEPNN ❑ Df.MOI.I110N ❑ WObDitOV(/fRPL.INSFRT ❑ �UILOING R[IOCAIION_ <br />WIW�IONOfV/ORNiCOv10 M�ICfi1PI5PlU5L�BORi <br />Y ,�c-� 779� '= —� s� <br />r DE9CR�BE WOPN <br />7 q L <br />GCN/CtiT f i'J�Ot/1 C✓NOA- �/vN <br />�useorewio�Nc � n 1 HERF.BY CERTIFY TIIAT I HAV� READ AND EXAMINED TNIS AP• <br />�j,n, (�: `A/1/�L !'105, PLICATIONAMDKNOWTHESAMETOBETRUEANDCORRECi.AII <br />LEO�IDE ���IiONOiPR0�EP1Y1 �OWNO[LOWORA��ACIIfOURf,UP�15� PRCVISIONSOF�qWSANDORDINANCESGOVERNINGTHISTYPE <br />� OF WORK WILL BECOMPLETED WITH WNETHER SPECIFIEDHERE- <br />--- N NOT THE NTIN FA IT ^ T <br />z3z y' �-/;9F/� <br />rLUMSIN6 <br />NO. TtlP! OF flIITURE <br />WIITER CLOSET ITOILEt� <br />BATHTUB <br />UV�TORY �WASM BAS�N� <br />SHOWEN <br />KITCNEN SINK 6 OISP. <br />DISMW�SMER <br />UUNDRV TRI1V <br />CIOTHES W�SHER <br />URINAL <br />ORINKING FOUNTAIN <br />F�OOR ORAIN <br />811CKFlOW PNEVENTERS <br />ROOF DRAINS — RAINLF_ADE <br />SINK �SERVICE — BRR. ETC � <br />_Zo' 20 <br />iot enu <br />i L <br />orjpy5y ,�ccunnHGr <br />�G N R� <br />or eioa r+a or swr+ <br />9�z s� / <br />_ SPRINKLE�iS REOUIRLD Cl V` <br />ICAIIJN�CGP♦ PLAHSfREC <br />I OR GRA G O PERM DOE� NOT PRESUME O <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTIIER STATE OR LOCAI Ll1W REGUTATING CONSTRUCTION <br />OR THF PFRFORMANCE OF CONSTRUCTION. <br />scNn�un[o� caN�nnc�on mtwolu7[oac[Nt�� unn <br />i�iJ����t .1�� ��� %-��'��� <br />s u i r no.'•��+i ss i�u r�sr r�o <br />MECHANICAI <br />NO. TVPE OF E�UIVMENT <br />A/C — A/HNDLC UNITS — H P. <br />nEFHIGERATION UNITS — H P EA. <br />BOILER$ — B T.0 �H P <br />f)AS HPED A C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — B TL. M EA. <br />WALL HEATERS — B T.U. M <br />UNIi NEATEi75 — 0� U M <br />EVAPORATIVE COOLE(IS <br />CLOiHES�RYERS <br />VENTILATION FAN <br />RANGE�i000 <br />WATER HEATER �. <br />wOODSTOVE <br />METAL FlREPLACE 8 CHIMNEV <br />FIREPLACE INSEflT <br />HEAfPUMP <br />GAS PIPW<i <br />EXHAUSTFAN <br />ree <br />= SUSTOTA� <br />f PENMIT <br />f TOTALFEE <br />S�D[ 5[�n�cn I��� I�ECN NUMOER �EE RECEIPT N.O. <br />S �o��l � ��� l o��` <br />IIVLS YND <br />�. <br />r�o or uwruu, <br />/ <br />M<x o`c'c �oso <br />!✓ � <br />ouaoiNc s <br />PIUMBING <br />'AECHANICAL <br />a,�,�� , � �� � �`'' �- - <br />STATE �U IDING SUf1C����f.E <br />STATEENERG�SURCH^RGE <br />PUBLIC WOfiKS <br />TOTAL <br />PROPERT� �WNERS ARE RESPONSIBLE fOR DETERMINING ALL <br />Pi70PERT'/ LINE LOCATIONS AND RELA7ED EASEMENTS. <br />