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!n� Ewrpn�n <br />cm or <br />everett <br />BUILDINQ DEPARTMENT <br />259•8810 <br />n nEMOLITION <br />�-.PPLIC�ITION FOk� <br />CONSTRUCTION <br />PERMIT <br />TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ COMRINATION ❑ BUILDINIi ❑ MECHANICAL [� PLUMBINO <br />❑ 31(3N <br />GENEPeI CONIR�GiOR MMl ApONE55 CiTY 2�P ouONE UCENSE • <br />Guss o� woA� <br />❑ NEW ❑ ADDITION ❑ ALTERAiION ❑ AEPAIR ❑ DEMOLI710N ❑ WOODSTOVE/FRPL.INSERT ❑ BU�LDING RELOCATION <br />v4 W �iON OF WOA� ICOSi O� MAtER1�L5 i' W 5 L�BORI <br />WOna <br />PLUMSIN6 <br />NO. TYPE OF FIXTURE OR I' <br />W�iER CLOSET �TOILET� <br />B�TNTUB <br />UVATORY IMUSM BASIN� <br />SMOwER <br />KITCNEH SINK 6 DISP. <br />O�SHwASMEH <br />UUNORY TRAV <br />LLOTHES WASMER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF ORAINS — RAINIEAOERS <br />$INK �SERVICE — BAR. ETCJ <br />SUB TOT�L <br />PERMIT <br />TOTAI.FEE <br />�nTltSFIB+f.• �AE�NSEIBACK <br />i;5[ <br />ni+[ nr Cpqs� <br />ov e�ou <br />V�C�Nt S�IE <br />OVES ONO <br />G�O'JP NOCFOWFL <br />10A0 <br />eni+nCcuONe[;^, B• CL�N`vC11ECNEDBY I�PPR Y01115511�NGEBY <br />��� <br />I HEREBY CERTIFY TF1AT I HAVe READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW iHE SAME TO BE TRUE ANDCORRECT. �LL <br />PROVISIONSOF LAWSAND ORDINANCES GOVERNINGTHIS TYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br />IDI OR NOT. THE GRANTING OF P PERMIT DOES NOT PRESUME TO <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 />516NATURF, O( CONIR�CTOR 0J9AUTNORIZED AGENT �AIE <br />LT•1 <br />MECHANICAL <br />A/C — �/��NDlO UNITS — N.P. <br />REFRIGER�TION UNIB — H.P. I <br />BOILERS — B.T.U.iH.P. <br />GAS FIRED A.C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — B.T.U. <br />Wp�l, HEATERS — B.T.U. <br />UNIT MEAIERS — B.T.U. <br />EVAPORATIVE COOlEHS <br />CLOTHESDRVERS <br />VENTILATION FAN <br />RANCE HOOD <br />WATER HEATER <br />WO00 5T0�[ <br />METAL FIRLPLACt 6 CHIMNEY <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPIN6 <br />SUBTOTAL <br />FCPNIT <br />PLAN LMECKNUMBER �FEE <br />BUILDING 5 <br />PLUMB�NG <br />MECHANICAI <br />OTHER <br />STATE BUILDING SURCHA�GE <br />STA7EENERGYSUNCHARGE <br />PUBLIC WORKS <br />TOTAL <br />M EA. <br />M <br />M <br />RECEIPT NO. <br />PROPERTY OWNERS ARE RESf'ONSIBIE FOR OEiERMINING AlL <br />PROPERiY LINE LOCAiIONSAI:� RELATED EASEMENTS. <br />�-- <br />