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�-.PPLICATION f01r� <br />TME� "� CONSTRUCTION <br />everett PERMIT <br />BUILDING DEPARI'MENT TO BE COMPLETED IN INK- PLEASC PRINT <br />259•8810 <br />O DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />..... ........« cnv ZiP <br />❑ PLUTABING <br />everM <br />e <br />❑ SIGN <br />�RCMITECIOFUkS�ONEN - MML�U�Rkss "" -� " �- " <br />GENER�LGONiR�G10A MMI�DU�E55 CiiY [i� �PONE UCENSE• <br />M�IL <br />LiCENSE • <br />GU55 O� w'U�� <br />❑ NEW ❑ ADDI710N � ALTERATION ❑ REPAIf7 ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT BUILDING REIOCATION <br />`�%,�' i/� . d O <br />oescn�ecwon� . � <br />is.._ _. _. .� J'�oi ��f/ilh _ <br />io�— <br />MOJEGi�DOFE93 <br />9��/� �i R�'�s��J <br />PLUMSIN6 <br />Mp, TrPE OF FI%TURE OR I <br />WIITER CL05ET �TOILET� <br />B�TMTUB <br />UVATORV �WASM BI151N� <br />SNOWEN <br />KITCHEN SINK a DISP. <br />CISMWASMER <br />LAUNDIIV TRI1V <br />�� CIOTMES W�SHER <br />URINAL <br />DRINKIPq FOUNTAIN <br />F�OON DRI11N <br />B�CKFLOW PNEVENTEAS <br />RpOF DRAINS - AAINLEADERS <br />SINK �SERVICE - B�R. ETC.) <br />{US TOTAL <br />K11MI? <br />TOTIIL fEE <br />VRDNTSEtB�CK AE�ASETB�CN <br />SIiE OF 9�06 <br />PCC Uv <br />SIORIES <br />I;NECNED BV <br />V�C�NT SitE <br />OVES �NO <br />ND OF OWFI <br />er <br />I HEREBV CERTIFY THAT I HAVE FE�D AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUEANDCORFECT. ALL <br />PROVISIONS OF IAWSANO ORDINANCESGOVERNINGTHISTYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br />IN OR NOT. THE GRANTING OF A PERMITDOES NOT PRESUME TO <br />GIVE AUTHORITY TU VIOLATE OR CANCEI THE PROVISIONS OF <br />ANY OTHER STATE OR IOCAL LAW REGULATINGCONSTFUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. . <br />SIGNATURE Of CONIB T AUTMOBIZEO �GENi O�TE <br />X �-����� ?/i/�� <br />errucirvr�reusn+tssuctnsENo �T- <br />MECMANICAL <br />M�. - <br />BO�LERS - B.T U / <br />O�S FIREO 11L. U� <br />FORCED �IH SYST <br />W�IL MEATERS - <br />UNIT HEATERS - <br />TS-M.P <br />ITS - M.P. EA <br />P <br />'S - B.T.U. <br />�5 - B.T.U. M EA. <br />T.U. M <br />T.U. M <br />VENiILAT10N FAN <br />PIINGE MO00 <br />WA�ER HEATER <br />WOOD STOVE <br />METAL FIREPLACE 6 LHIMNEV <br />FIREPLACEINSERT <br />HEATPUMP <br />6A5 PtPINO <br />E%H�USTFAN <br />5U0 TO' <br />pL11WT <br />TDT11L 1 <br />PLAN�MECN NUMBER �FEE <br />BUILDING <br />%.UMBING <br />MECHANICAL <br />OTHER <br />STA'fE BUILDING SURCHARGi <br />STATEENERGVSUPCHARGE <br />PUBLIC WOPKS <br />TOTAL <br />3 <br />RECEIPT NO. <br />PHOPERTY L�INE LOCATIONS AND RElATEO EASEMENTS �NCa ALL <br />`..';.- ^' � .. . . . . . . . <br />