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��u�'PLICATION F01.1'' <br />« E�'°'"" CONSTRUCTION <br />everett PERMI� <br />BUIIDING DEPARTMENT <br />259-8810 TO BE COMPLETED IN INK- PLEASE PRlNT <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OA DES�GNCN <br />C�iV <br />❑ SIGN <br />OENER�LCONIR�CIOA MqL��ORE55 C�iv DP ouONE LiCENSE• <br />MECN�NiUIGONiq��fOq M�a.00ncss ���T��{�SEDUIPNE�:oyINC. r����E ���EHSE. <br />c� .Q}��L�J �ri-'�$� <br />PLVMlIHO ONTR�CIO� Ml1q �DDNE55 L'J �.manne ��ew un ni�ONE IiCE��SE • <br />�f�7tC�'Cl,E._ �� ; 1Z��� r' evere�t� w.snir,�on 9ezm N�17G[�Ct3a0Al(P <br />cuss or wo�K % Z56�1 <br />❑ NEW � AODITION ❑ ALTERATION ❑ f7EPAIF ❑ DEMOLITION ❑ WOODST�OVE/FRPL.INSERT ❑ BUILOING RELOCATION <br />V�W�IIONOf WO�N�COSfOf M�iCPul5PLU5LeBOR1 <br />D[S�RiBE W0 R <br />lfl - fl�. <br />USE Oi BWLDINO <br />lOi_BLOCIL_ <br />/ROJECT�OUNE55 <br />< <br />C <br />KUMsino <br />, N- o, r- <br />w�ren cwseT �roaen <br />e�rHrue <br />� U�ATORV �WASM BASiN� <br />SHOWER <br />KITCNEN SINK 6 DISP. <br />DISHWIISHER <br />� UUNDRY TRAY <br />' CLOTHES WASMER <br />UNINAI <br />DRINIfIN� FJUNTAIN <br />� FLOOR DRAIN ' <br />B�CI(FLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK �SERVICE — BAR. ETQI <br />i' <br />USE 20NE <br />. TYi'[ Oi CON51. <br />SRE OF pLOG <br />� FIRE SPRINKLER! <br />; �FPl�G�110N�CC Bv <br />!UlTOTAL <br />FEE <br />�RE� <br />SIDE SEIB�CK <br />WCANL SItE <br />OYES ONO <br />N0. OF p WELLINO UNIfS <br />NO Of SiORlE3 I M�K OCC LOAO <br />ISSWNCE Ov <br />I HEREBY CERTIFY THAT I FiAVE READ AND E%AMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BETRUE ANDCORRECT. ALL <br />PROVISIONS OF LAWSAND ORDINANCESGOVENNING THIS TVPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br />!N OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANV OTHEii STATE OR LOCAL LAW REGULATING CONS?RUCTION <br />OR THE PEHFORMANCE OF CONSTRUCTION. . <br />SIONR7URE Of CONiR�G10R OR RU7NORIZEO AGENT 04TE <br />� <br />MECHANICAL <br />A/C — AMNOLO UNITS — H.P. <br />REFRIGEP�TION UNITS — H P. EA. <br />BOILERS — B.T.U1M P. <br />6�S FIRED A.C. UNITS — B.T.U. <br />FORCED AIR SVSTEMS — B.t.U.�Jjt��iA EA. <br />WALLHEATERS—B.T.U. M <br />UNITHEATERS—B.7.U. M <br />EVAPOR�TIVE COOLERS <br />CLOTHESDRVEPS <br />VENTILATION FAN <br />RANOEHOOD <br />WATER HEATER . <br />WOODSTOVE � <br />METAL FIREPUCE 8 CNIMNEY <br />FIPEPUCE INSEHi <br />HEATPUMP <br />GAS PIPIN6 <br />EXHRUSTFAN <br />SU! TOTAI <br />P[qMIT <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE BUILDING SUHGHARG' <br />STATE ENERGV SUFiCHARGE <br />PUDLIC WOflKS <br />TOTAI <br />�ih — <br />FEE � RECEtPi NO. <br />S <br />PROPERiV OWNERS ARE RESPONSIBLE FOR DETERMINING ALL <br />PROPERN LINE LOCATIONS AND RELATED EASEMENTS. <br />