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��.PPLICATION FO1.-' <br />'"'E""°'"" CONSTRUCTION <br />��Tr OF <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259•eeto TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ DEMOI.ITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />O PLUMBING <br />riuu+[ � C <br />✓ <br />everetl <br />� <br />❑ SIGN <br />.kNEA4 CONIA�C�OP M�II �OOA[55 LIIY Im �`u0�if LILE4SE • <br />�� oG/6�J'/�?/ <br />MfG���1iUL GOu�iuClpq MeIL ADONE59 Ci�Y I P P E l tt F <br />o�U�'Oi�l � CO���n�GiOn M��L �D�PE55 CRV IiP Pn�N[ uC[N5E • <br />CUiSOi WOPM <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLI710N ❑ WOODSTOVE/FRPL.INSERi ❑ DUILOING REIOCATiOM <br />v�w�+�`n�v pr vronc �(:o5Qt cF r.���[nuts i•ws uNoni ) <br />�1/'�FiT��/�-'o�.� / � d//. <br />or <br />w�— <br />TYPE OF FI%7l <br />WATER CLOSET �TOILET� <br />B�iH�UB <br />U�ATORY �WASN BASINI <br />SHOWER <br />KITCHEN SINK 8 OISP. <br />OISNWASHER <br />LAUNONVTFnV <br />LLOiHE$ W/$NER <br />UH�NAL <br />pRINKING FOUNTAIN <br />FLOOR DRAIN <br />RpOF ORAIN$ — RnINLEADERS <br />$INK �SERVICE — BAR. ETC 1 <br />SUB TOT�L <br />PEPMIT <br />TOT�LFEE <br />i upq� SEIO�Ck <br />USFlUNE <br />t��o( U� CONSt <br />SiZE O� BtOG <br />i;LqONPCC O� <br />� <br />or <br />I HERE-BY CERTIFY THAT I HAVE READ AND EXAMINED TIiIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT. �LL <br />PROVISIOWS OF LAWSAND ORDINANCESGOVERNING THIS TYPE <br />OF WORK WILL BE COMPLETED WITH WHETHERSPECIFIED HERE- <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIOPlS OF <br />ANYOTHER STATE OR LOCAI Ll�W REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. . <br />SIGN�IUREOFCON�R4CiOROA/+9TNORiZED/GENI b4TE <br />X f�',!�" C!: �z�i 3'I �-��S <br />A�P�IGNTSCIlYBU5�N656TdkN5f NO <br />v <br />, rr <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPME <br />A/C — A�HNOIC UNITS — M P <br />R4FRIf.FRATION I1NIT$ — li P. EA. <br />BOILERS — B.T.U.MP. <br />CAS FIRED R.C. UNITS — B.T.U. <br />FORLED Alli SYSTEMS — B.TL. <br />WALL HEATEFiS — 8 T.U. <br />UNIT NEATERS — B.T.U. <br />EVAFORATIVE COOlERS <br />CLOTMESDRYERS <br />VENTIlATiON FAN <br />RANGEHOO� <br />WATER HEA7EP <br />wOODSTOVE <br />METAL FIREPLACE 6 CHIMNEY <br />FIREPLACEINSERT <br />HEATPUMP <br />GA$ PIPING <br />E%MAUSTFAN <br />�SU0 TOTAL <br />s PERMIT <br />�—T� TOi�LFEE <br />SiDE SEIB�GK �'�AN LHECK NUMOEH FEE <br />vec�r+t snE FEES �A�� <br />OYES ONO 5 <br />BUILDING <br />NO OF pWEIIING UNIIS <br />PLUMBING <br />M�x OCC �onU MECHANICAL <br />OiHER <br />STATE BUILDING SURCHARGE <br />STATE ENEAGV Slif7CHAfiGE <br />eV I PUBUCWORKS <br />TOTAL <br />ree <br />HECEIPT NO. <br />PROP[RiY OWNERS AF7E RESPONSIBIE POP DET °RMINING ALL <br />PROPERTV LIME LOCATIONS AND RELATED EASE'dENTS. <br />