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APPLICATION FOk� <br />'"'E"'°'"" CONSTRUCTION <br />arr or <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259-8810 TO BE COMPLETED IN INlK• PLEASE PRINT <br />❑ DEMOLITION ❑ COMBlNATION ��BUILDING ❑ MECHANICAI <br />pWI�ER M�ILI ORESS CIIY ZIV <br />1,.. L:.�%1.�.:..,_li�i...L �i79s���A.f (�T� �F1LEL't!£�/L�iii <br />M�IL <br />MAIL <br />cirv <br />iV/� N <br />evereM <br />� <br />O PLUMBING ❑ SI6N <br />ti� vuOHE <br />�jJ:1lO,cJ.t�.S !C � l�) 01 <br />tiv rHor+e <br />.�( E_,cl fJ p C <br />ZIP VIIONE <br />❑ ADUITION ❑ ALTERAiION ❑ AEPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSEPT ❑ BV!�DINO RELOCATION <br />...e...............e�.� s a� ue ueon� <br />io�� e�oc�— <br />PnOJEGT�ODRE99 <br />�o/L dl�e.f� <br />PIUMSINO <br />N� <br />KITCNEN SINK S C <br />DISMW�SMER <br />LAUNORV TRl1� <br />CIOTNES WASHE <br />URIN�L <br />DRINNING Ff JNT <br />FLOOR �pAIN <br />BACKFLOW PREV <br />POOF ORRINS — I <br />SINK �SERV�CE — <br />„5E z�s c� <br />l� - ,J <br />�r�L O� CON'. <br />t/-.N <br />s�ze or eioc <br />pV[�I��;LI10Y GCC B� <br />/ f...��� —YR�17 /i <br />' �ES�" :,cJC <br />WH .LOWOR�IT�C/M�iOUNCOPIE51 <br />�_ i �� <br />BASIN� <br />SUs TOTIIL <br />VERMIT <br />TOTAL FEE <br />E�A SeiBeCn <br />r2s ' <br />OT �RE� <br />J ,? `� IG� ' <br />iCNP�NG�' GRO <br />,.. _ <br />AC� <br />7 '%-/ <br />�/. V�CANT SIIE <br />T OVE5�MC10 <br />M�% <br />�i 7bE_.�C'_ �. � ��Ol � ' <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BETRUE ANDCORRECT. ALL <br />PROVISIONS OF LAWSAND ORDINANCESGOVERNIN6THI5 TVPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEFE• <br />IN OR NOT. THE GRANTINO OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CRNCEL THE PROVISIONS OF <br />ANV OTHER STATE OR LOCAL LAW REGULATING CONSTHUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. . <br />SION�TURE OF CONTR�CTOR OR AUTHORI2EU AGENT OATE <br />Xc�ln.t , /.\ 1 �10,('�n,il;fil]� �`'//�. <br />MECHANICAL <br />NO. TYP! OF EGUIPI <br />NC — A/HNDL6 UNITS — N.P. <br />REFR16ERATION UNIT9 —M.P. 1 <br />BOILERS — B.T.0 /H.P. <br />OAS FIRED A.C. UNITS — B.T.U. <br />FORCED ��H SYSTEMS —B T.U. <br />WI1LL HEIITERS — B.T.U. <br />UNIT HEATERS — B.7.U. <br />EVpPpRATIVE COOLERS <br />CLOTHESORYERS <br />VENTIIATION FAN <br />RANGEHO00 <br />WATEA HEATER <br />WOOOSTOVE <br />MEfAL FIREPLACE 6 CHIMNE� <br />FIREPUCE INSEPT <br />HEAtPUMP <br />OAS PIPIN� <br />E%HAUSTFAN <br />M <br />u <br />� SUeTDT�L <br />p[qMIT <br />T�� 10TALFEE <br />Pl.nN CMEC � NUMBER FEE AECEIP� Nn. <br />$s i.s o i/ <br />FEES VALUATION FEE <br />BUILUING S <br />PLUMBING <br />MECNAN�CAL <br />OTMER <br />9TATE BUILOINO SUNCIiAROE <br />STATEENERGVSURCMARGE <br />FUBLIC WORKS <br />TOTAL <br />PROPERTY LOINE LOCATIONS AND PELA EO EASEMENT'SING ALL <br />