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, .PPLICATION FO►_ <br />'".E",°'"" CONSTRUCTION <br />cm or <br />everett PERMIT..�- <br />BUILDING OEP�RTMENT <br />259•eBlo TO BE COMPLETED IN INK - PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINATION ❑ BUI!_DING ❑ MECHANICAL <br />pW11tN M411AD011[55 GIfY 11P <br />r"I c. P IC C. F7 / u e r�/ 7 S � o f-I �` c, b, t c. �tr� U,� . E v�f re i t�.,1 c� . <br />O PIUMBING <br />rnnHt <br />03 355 <br />4uON! <br />❑ SIGN <br />❑1 r�L�uL CON�neG10� M�II �DU11[55 C�lv iiP �'u�Nl �iCl qst . <br />M�Cruvic�lCONt1UL�OH AQR���RE55 Cirv 2�P ����lNl. UCfv51. <br />I��I i 1( �, <br />niuunu�,eo�nn.c�an eun..noa[ss cnv zi r��orvt ����.nc:i . <br />❑ NEW ❑ �DDITION <br />vqWPONOI WOB�ICOSiO� �•�� <br />�l tiCniUt �vOn <br />„ r 1, I'r , <br />u�r or aunou c <br />� ��, ; r (�( . , <br />uuA ocs4ni vor+o� vnorEnl <br />io �__ aioc�—os_ <br />ni rcoennN n RFPAIR ❑ DEMOLIIION l'J WOOOSTOVEiFRPL.INSEHT ❑ BUILDING RLLOCAiIOtI <br />�i <br />eE�ow o <br />7sio �-f � yl, r�„co or. �. <br />PLUMBING <br />FIXTURE OR <br />W�TER CLOSET �TOILET� <br />BATNTUB <br />UVATOA� 1�"1ASM BASIN� <br />NITCNEN SINK 6 DISP <br />OISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAI <br />DRINNING FO:INTAIN <br />FLOOR OAAIN <br />ROOF ORAINS — �AINLEADE <br />$tNK ISER��CE — BAA, ETC 1 <br />iNi siio�cK� � <br />G1 <br />oa <br />�e <br />SUBTOTAL = <br />PERMIT S <br />TOTAIFEE f <br />ne�n Se�e�CK Srt <br />VpCANf SifE <br />❑YES fJNO <br />G110UP NDOFDWFLLING <br />Br <br />I HER[BY CERTIFY THAT I HAV[ READ AND EXAMINED TIIIS AF'� <br />PIICATION AN� KNOW iHE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWSAND OFDINANCESGOVERNING THIS7YPE <br />OF WORK WILL BECOMPIETED WITH WHETIIER SPECIfIED HERE� <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PR[SUtv1E 70 <br />GIVE AUTHORITY TO VIOLATE OR CANCEI THE PROVISIODIS OF <br />ANY OTHER STATC• OR LOCAL LAW REGULATING CONSTRUC710N <br />OR THE PEflFORMANCE OF CONSIRUCTION. <br />$IGNAIUREOFCONiRAGiGROBFU1110RiZGDAG[Ni DAIh <br />XiL?.u/ �„G..__ 1- u- 7 L c_. . <br />ucu+se �+o <br />MECHANICAL <br />NO. TYPE OF EOUIPME <br />A/C — AiHNOLG UNITS — H P <br />REFRIGERATIONUNITS—HP EA <br />BOILE�S — 8.T U iN P <br />GAS FIREO A C. UNIT$ — B T U. <br />PORCE� ��F7 SYSTEMS — B.T U. <br />WALL MEAIERS — 8.T U. <br />UNff HEATEflS — D.T U <br />EVAPORAT��ECOOLERS <br />CLOTMES Of7YER5 <br />VENTILAiION FAN <br />RANGEHOOD <br />WATER HEATER <br />� WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPIACE INSEFIT <br />NEATPUMP <br />GA$ PIPING <br />E%NAUSTFAN <br />SUBTOTAL <br />PERMIT <br />TOTAIFEE <br />P�AN �HECNNUMBFR �FEE <br />FEES � <br />OUILOING 5 <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATE ENE�7GV SUfiCHARGE <br />PUBLIC WORKS <br />TOTAL <br />M EA <br />M <br />M <br />HECEIPT NO <br />PROPEFTVLOINELOCATIONSANDNF�E�L�IEDE SEMENTSINGALI. <br />