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APPLICATION FG.% <br />„e <br />CONSTRUCTION <br />everett <br />PERMIT <br />BUILDING DEPARTMENT <br />254-6745 <br />TO BE COMPLETED IN INK • PLEASE PRINT <br />O DEMOLITION <br />L7 COMBINATION ❑ BUILDING IRMECHANICAL <br />0 PLUMBING <br />O SIGN <br />w..Rn <br />N.A.pDRIM Ir+Y r. <br />n.RN1 <br />f <br />.I k&%. <br />YcnNcr o+nsaw(• <br />}.WIIIa <br />BAPE,ra�iv Qtt'agLl,et <br />,.., <br />]q�lti t c S TMHTar ST San:•VA— gno4 <br />w,%-IWTZ- <br />{ <br />wMYICOInI ,C <br />A]C.FY C'i' EI <br />NVn! <br />lK(nY• <br />OWAASr <br />s«aA,b As Aab" <br />..En.I.c.L I.YINTRN:IO1 <br />M.A MMMI14. CI, T. <br />•.oN( <br />_lflN1T. <br />-- _,... <br />Cft NEW ❑ ADDITION ❑ ALTEMTION ❑ REPUR ❑ DEMOLITION O VIDOOSTOVE/FRMANSERT ❑ BUILDING RELOCADpN <br />w....._I.AA.. .wl. .. A. <br />ulewwlAll.lG T- <br />1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO SE TRUE ANDCORRECT. ALL <br />PROVISIONS OF LAWSANDORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL SE COMPLETED WITH WHETHERSPECIFIED HERE. <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE ON CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />N. <br />11mv., E TW CNI ArWE E� <br />OR THE PEI f NCE Ojz <br />upu RlTSA.Tn+wFAwTmITNINNI wLIWr011An.p rpu.cwn. <br />LDI_E'oc"—°F <br />NNNEEt/iwlA <br />A..MCNITfNL-f EIIYWtllEK!/N41 <br />PLUNINNO <br />MECHANICAL <br />W. <br />TYPE OF FIETTME <br />FEE <br />No. <br />I TV" OF EDDIPMENT <br />nE <br />_ <br />WATER CLOT TALE <br />AIR CONO UMTS-H P CA <br />MTHTUE <br />AEFpgEMT1 Im UNITS-N P EA <br />LAVATORY WASH WIN <br />WLERS-H P. EA <br />3HICA EN <br />GAS FIRED AC Umtb TONNAGE EA <br />MR'CITEM }NNE GIN <br />FGICEDAMEYITENE-BTU MCA <br />ENSHIPASHER <br />WALLHGTEP9­§T.U. M <br />_ <br />"1080"1MY <br />VNIT HG TIT. M <br />CLONE WASHER <br />EVAPOMHVE CoOIEq <br />WATER HEATER <br />CLOTHES DRYERS <br />URIIIAL <br />VENTR ATpII FAN <br />DRIIIKINO FOUNTAIN <br />1 <br />M EH000 <br />_ <br />FLOM DAMN <br />AIR HANDLNRL UNIT- C F M. <br />vACWM.RGKER6 <br />$TO <br />A00F OW ME-RA.ILEApEM <br />METAL FIREPLACE E CHIMNEY <br />}NR SERVCE- ETC <br />WIMDSTOVEIFIREPLACE INSERT <br />_ <br />Ai <br />WE TOTAL <br />we TOTAL E <br />—_ <br />PERMIT E <br />""IT . <br />TOT" FEE E <br />TDTAL nE E <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />