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m. e..,o,»� <br />cin os <br />everett <br />BUILDING DEPARTMENT <br />259-BBtO <br />❑ DEMOLITION <br />',-.PPLICATION FO�� ' <br />CONSTRUCTION <br />PERMIT <br />TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ COMBINATION ❑ BUlLDING ❑ MECHANICAL ❑ PLUMBING <br />everetl <br />� <br />❑ SIGN <br />nF�rtR�lCON1u�C10A M�ILAD�AES9 Cltt Zlv cr�OA[ UCENFE• <br />� ��L��. .� <br />r.IpCH�N�GLCONiR�LOR MeILe00RE55 Clrv ZIP PIIUNE LiGENSE• <br />VLUMBRIiCCN�R�GIOR MMI�UOAE55 GI1Y ZII` PIIONF IICENSf�� <br />Cl�`+SO� WOP✓. <br />❑ NEW ❑ ADDtiIQN ❑ A�TERAiION ❑ REPAIR ❑ DEMOLITION ❑ WOUDSTOVE/FRPL.INSEFi ❑ BUIIDING PF.LOCATION <br />v�w�*ioq or won. �cos� or rnn�[uuls nWs L�9on� <br />� � O D C, <br />o� <br />PROIECtADDRE55 <br />' ,7 �i 2 2 4'� rJ�11r'r--,��C%/rir �'�� ��� <br />PLUMBIN6 <br />NO. TYPE OF FI%TURE OR �TEM FEE <br />W�TER CLOSET �TOILET� <br />B�TMTUB <br />UVATOHY IWASH BASIN� <br />SHOwER <br />NITCHEN SINK 6 OISP. <br />DISNW�SMER ' <br />LAUNDRYiRAV <br />CLOTHES W�SHER <br />URINAI <br />DR�NKING FOUNTAIN <br />FLOOA ORAIN <br />BACNF�OW PPEVENTEHS <br />HOOF ORaINS — RAINLEAOERS <br />$INK �SERV!CE — BAR. ETL.� <br />SUOTOT�I f <br />PERMIT f <br />TOT�LFEE f <br />�FpNISEIpRCN REAASEIO�GN SIOESCiBPOK <br />'6C /ONC LOI PRCf VPCPNI SIIE <br />[]YES �NO <br />..�....«,..�m ru�nmo�cvf.NOIIC NOAFOwELLINO <br />4IE O! BLD6 I NO OI <br />FIRE SPRINKLERS REOUIR[D <br />e�'�o�iC<u0•�eC^. B� �ltr�5 <br />�N .1� , <br />AIA% OCC <br />evan roq <br />1 HEREBY CERTIFY THAT I HAVE RE�D AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWSANO ORDtNANCE560VEPNING THIS TYPE <br />OF WORK WILL BECOMPLETE[1 WITH WHETHER SPECIFIED HERE� <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRtSUME TO <br />GIVE �UTHORITY TO V�OLATE OR CANCEI THE PROVISIONS OF <br />�NV OTHER STATE OR IOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. . <br />SIGNRTUREO�CONtRAC70RORAUiNORIZEDRGENt pALE <br />X ��- �'./ ,,,� <br />MECHANICAL <br />TYVE OF EOUIPME <br />— A/HNOlO UNITS — HP. <br />i�GFR�TION UNIi3 — N P. EA. <br />BOILER$ — B.TL./N P. <br />OAS FIRED AD. UNITS — B,T.U. <br />FORCED A�R SYSTEMS — P T.U. <br />WALL MEATERS — B.T.U. <br />UN�T HEAiERS — B.T.U. <br />EVAPORATIVE COOIERS <br />CLOTHES �RYEfiS <br />VENTIIATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODS70VE <br />MET�L FIREPLACE 6 CMIMNE� <br />FIREPI./�CE INSERT <br />MEATPUMP <br />GAS PIPINO <br />E%HAUSTFAN <br />$UB TOT11L <br />p�RMIT <br />TOT11L FEE <br />PIAN(:HECN NUMBER IFEE <br />euaoiNc <br />PLUMBING <br />MECHANICAL <br />OTIIER <br />STATE OUILDINC SURCHARG <br />SiAiEENERGYSURCHAAGE <br />PUBLIC WORKS <br />TOTAL <br />3 <br />M EA. <br />M <br />M <br />TION <br />RECEIPT NO. <br />PROPERTY OWNEf75 ARE RESPONS�BIE fOR DElERh11NIN6 ALL <br />PROPERTV LINE LOCATIONSAND RELATED EASEMENTS. <br />E <br />