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. _ . , . . . _.�� .•___,:_�-�: ..7,,: <br />tM Ewryn�n <br />CIT! OF <br />everett <br />BUILDING DEPARTMENT <br />259-8810 <br />_ . `� <br />�►PPLICATION FOI� ' <br />CONSTRUCTION <br />PERMIT <br />TO BE COMPLETED IN INK- PLEASE PRINT <br />j$DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER � MML AfIOR[SS �-.. �`� i CiTY ZIP PMONE <br />�� /l�-�� /.i'CC�v' s ,<.0 ��c�.� ���i�i.J�.�,� c?StLliN.: f/N../ �✓f.'• = ���:c� O ,�/' ��%a <br />1 M�IL �OonEss C Lr z 1 r oNL <br />...�.�.�en� ne naC�I11�FC <br />GENER�L GONTRAGLOR M/.Il a0DRE55 d1Y 2iP P��ONE LILENSE • <br />MECHANIC�LCONTN�LTOfl MA�L�D�RESS G��T 21P PMONE LICENSE• <br />PIUMB�NGGONTRA�iOR MML�O�R[55 CitY IiP PIIDNE LICENSE• <br />CL�SS Oi WOAN <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ PEPAIR � DEMOlIT10N ❑ WOODSTOVE/FRPL.INSERT BUILOING RELOCATION <br />V�LWTIONOFWORHICOS70FA141CRUl5PW5LABOFI � <br />f <br />_ . 1-/2rYfs� `� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• � <br />PLICATION AND KNOW THE SAME TO BETRUE AND CORRECT. ALL <br />PROV�SIONSOFLAWSANDORDINAIJCESGOVERNINGTHISTYPE �j�. <br />OF WORK WILL BECOMPLETED WITH WHETHER SPECIFIED HERE• ; <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO � <br />GIVE AUTNORITY TO VIOLATE OR CANCEL THE PROVISIONS OF '�� <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTIO . �� <br />SIGNAiUREOFCONTR�C7 RJRAUTNORI2E�� OATE f'� <br />l', <br />r l <br />i( � /:i ' / , � /�/O � <br />'RPPLIUNi5CRY0U51NE SUCLNSENO �� <br />i <br />� <br />f S� L� Q� S� K� <br />•• /��li✓ d�l�i/_:3i����— <br />�o*_ aiocn� <br />PLUMBING <br />NO. TYPE OF FI%Tl <br />WATEfI CLOSET ITOILET� <br />BATM'i U8 <br />UIVATORY IWASH BASIN� <br />�AOWEP <br />NITCMEN SINK 6 DISP. <br />DISNW�SMER <br />!.AUNDRVTRAY <br />1`LOTHES WASMER <br />UFINAL <br />DRINi:I.`:G F.IUNTAIN <br />SINN <br />iRONT5ET9�CK <br />IlSE 20NE <br />TVPE OF LOHST <br />Si2E OF BIDG <br />FIRE SPRINKLERS <br />PVPUGIION ALC BY <br />BAR ETC � <br />SUB TOTAL f <br />PERMIT f <br />TOTAL F[[ f <br />R SETBACN SIOE SEiBeLi <br />AflE� WC�ATSIiI <br />OYES pN0 <br />:UP�NCYGROOP NOOFOWEL <br />BY <br />��; • <br />r �c�.. <br />7 <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />qiC — p/MNDLG UNITS — HP. <br />REFFIGERATIONUNITS—MP EA. <br />BOILERS — OJ.UJH P <br />GAS FIRED A�C. UNITS—B.T.U. <br />FOFCEO A'R SYSTEMS — BS.U. M F�. <br />WALI HEATERS — 8 T.U. M <br />11N1T MEATEPS — 0.T U. M <br />EVAPOPATIVE COOLERS <br />CLOTMES�RYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 6 CHIMNEY <br />FIFEPLACEINSERT <br />MEAT PUMP <br />GAS PIPING <br />E%MAUSTFAN <br />SUBTOTAL <br />PEHMIT <br />TOTALFE[ <br />PLAN CHECK NUMBER IFEE <br />FEES ` <br />ew�oiN� 5 <br />PLUMBING <br />MECMANICAL <br />OTHER <br />STATE BUILOING SURCHARG <br />STATE ENERGY SUfiCHARGE <br />PUBLIC WORKS <br />TOTAL <br />RECEIPT NO. <br />PROPERTY L�INE LOCATONS ANDNRELATED EASEMENT'SING ALL <br />