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m. F+.W." <br />CITY of <br />everett <br />BUILDING DEPARTMENT <br />259.8810 <br />O DEMOLITION <br />APPLICATION FOR <br />CONSTRUCTION <br />PERMIT <br />TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ COMBINATION ❑ BUILDING 9 MECHANICAL G PLUMBING <br />Sao 4t <br />w <br />❑ SIGN <br />GLNEWL CONTRACTOR .., ABORES$ v TIP PHON[ LIC[NS[• <br />;LAS$OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPLANSERT ❑ BUILDING RELOCATION <br />USEOFBBILGING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AF <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS T YPE <br />OF PROPERTY IBNOWN BELOW OR ATTACH FWRCGAE4 <br />LE040ESCRIPTION <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED 1IERE- <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />101_uocK —Or <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAT/URAEE OF C�ONNTTRACTORROORjAUTHORIZED AOEN! DATE <br />X `%q'� �•Z-3'd <br />9Qo �t/., rtn1n� Iw <br />`�_—'""�C <br />rI�C W Tti CII r BU��4f SS I CL..St Y:1 <br />PLUMBING <br />MECHANICAL <br />NO.I <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A,C - AHNDLG UNITS - H P <br />REFRIGERATION UNITS - HP EA <br />BATHTUB <br />LAV %TORY 1 WASH BASIN( <br />BOILERS - B T U iH P <br />GAS FIRED A C UNITS - 0 T U <br />SHOWER <br />KITCHEN SINK A DISP <br />FORCED AIR SYSTEMS - BTU mEA <br />WALL HEATERS -0TU M <br />DISHWASHER <br />a <br />UNIT HEATERS-0TU /:$M <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />ORINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLON PPEVENTERS <br />WATER HEATER <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE -BAN ETC)) <br />METAL FIREPLACE A CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EMHAUSTFAN <br />SUB TOTAL <br />f <br />SUBTOTAL <br />PERMIT <br />f <br />PERYIT <br />TOTALME <br />fl <br />TOTAL RE <br />fI <br />_ <br />iK NUN(1LR <br />FEE <br />RECEIPT NO <br />SEIBACABL <br />5L1GACnGSE <br />INI)NTBEIREAR <br />1.1E <br />LOTAREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEEOYES <br />ONOSTYPE <br />Or CONS( <br />OCCUPANCY 6IM)UP <br />NO OiDWFIIINOUNlT4GBUE <br />Of BID. <br />NO OF STORIES <br />YAL BI C IOAO <br />ICALFIRE <br />9-ff <br />ILDING SURCHARGEERGY <br />SPRINKLERS RECURRED ❑ YES 0 NO <br />SURCHARGEOR <br />ISSUANCE BY <br />ORK$ <br />ec.R. F FOR BFTERMINING ALL <br />rn OPER LINE LOCATIONS <br />_ - <br />PHPERTI LINE LOCATIONS AND RELATED EASEMENTS. <br />