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G�ti��o.�z./ �e � /iPa f,�J� ch4n `_'� <br />APPLIC�ATI�FOR <br />'"'E"'°""' CONSTRUCTION <br />CIrY OF <br />everett PERMIT <br />BUILDING DEPARTMENT TO BE COMPLETED IN INK • PLEASR PRINT <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />�/lR �%L.-i / _ M^IIAD,nF.S.�n_.i�n_,%/n ��.�vni�L /���i <br />O PLUMBING <br />❑ SIGN <br />GENEP�L CONL(1AC�OR M�II ����E55 C��v IiP nuDHE IICENSE • <br />� MML�OORE55 CIIY 21F PNONE LICENSE• <br />MECN�Nif.�L COH1R�ClOq <br />PWMBINIi LONiR�CtO� <br />M�R 400RE55 Cirv ZU' �i�UN[ LiCENSE • <br />�O� WORK <br />NEW ❑ �DDITION ❑ ALTERA710N ❑ REPAIR ❑ OEMOLIiION ❑ WOODS70VE/FRPL.INSERT BUILDING RELOCATION <br />_ _""_"......,�.��muci�wnm <br />WORK <br />- <br />l <br />'�, \ PNOJEGI�OORESS <br />/ � '% <br />+i PLUMBING � <br />�} NO. TYPE OF FIXTURE <br />j WA7ER CLOSET ITOILEi� <br />�' BATHTUB <br />UVATOFY �WASM BASIN� <br />SMOWER <br />KITCHEN SINK F DISP. <br />�� DISHWASMER <br />� <br />�� LAUNDRYTPAV <br />� CIOTHES WASMER <br />URINAL <br />DRINKING FOUNTAIN <br />� FLOON DFAIN <br />BACKFLOW PREVENTERS <br />ROOF DR�INS - RAINLEAUE <br />� SIKK �SEPVICE - BAR. ETC � <br />, SUB 1 <br />I. / U I HEREBY CEaTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />r PLICATION APID KNOW TNE SAME TO BE TRUE ANDCORRECT. AlL <br />9FLOWOH�IUC�IFOURf.O�ifS PROVISIONSL�FLAWSANDORDINANCESGOVERNINGTIIISTYPE <br />OF WORK WILL CF COMPLETED WITH WHETHER SPECIFIEQ HERE• <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANV OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANC CONSTRUCTION. . <br />$IGN�IURE Of C� 4CT_ IS OR A�IiED RGENi OATE <br />X ��/-�� <br />OR <br />I TOTAL <br />fRUN15E1B�Gk �E�R Sf�BA <br />� USEIONE 101�RE� <br />rvce or const octureNc� <br />� Si2E OI PIOtI tl0 U� $10'� <br />mwucnnar�ncr, m �ain <br />t� I <br />sme se�e�cK <br />V�C�NiSifE <br />❑vE5 []NO <br />JP NOOfOWFLLiNGUNIIS <br />MA% OCC LOAO <br />7 NO <br />nv errn ronisswNCEer <br />MECHANICAL <br />qIC — A/MNOLG UNITS — H.P. <br />REFF16EPI1TION UNITS — H P. EA. <br />BOILERS — B.i.U./H P. <br />G�S FIRED A�C. UNITS — B.T.U. <br />FORCED AIR SVSTEMS — B.T.U. M <br />WAILHEATERS—B.T.U. M <br />UNI'f HEATERS — B.TL. M <br />EVAPOAATIVE COOLERS <br />CLOTHESDRYERS <br />VENTILATION FAN <br />qANGEHOOD <br />W I1TER HEATER <br />MEfAI FIREPIACE d LNIMNE� <br />FIREPLACEINSERT <br />FAN <br />SUlTOTAL <br />—� TOTALFEE <br />v�nn �HECK NUMBER IFEE <br />BUILD�NG S <br />PLUMBING <br />MECHANICAL <br />OTNER <br />STATE BUiI��NG SURCHMGE <br />STATEENERGYSURCHAFGE <br />PUBLIC WORKS <br />TOTAL <br />RECEIPT NO. <br />PROPERtY OWNERS ARE RESPONSIBLE FOR DETERMINING ALL <br />PROPERTY LINE IOCATIONS AND RELATED EASEMENTS � <br />� � <br />