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t�� EwrprNn <br />! c�rv oc <br />' everett <br />� BUILDING DEPARTMENT <br />� 259•8810 <br />t.PPLICATION FO�. <br />CONSTRUCTION <br />PERMIT <br />TO 8E COMPLETED IN INK • PLEASE PRINT <br />everell <br />e <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECNANICAL ❑ PLUMBING ❑ SIGN <br />OWNER -- AUII ADORL55 CI1Yr j IIP PIION[ <br />/I �h ( <br />�l �!�l✓YVrV��� ` �1;��)�eC✓�6� ��.�L� (��_•i A.aYINY ('✓,IrGl( i .1� % l"_ll �fl - � <br />1�' l. �ji('r <br />.[ GLNCRAL CONiRACIOR l.UII +PDel55 f.n� LiP PuONL LICENSE • <br />" �U,� iNC,/ <br />z�� rrinHE <br />r�uMeiruc cor+rnscron nun .nnnr.ss cnr z�r rnonr i.¢iNsi . <br />CLA$$ Oi WORN µ <br />❑ NEW ❑ ADD�TION ❑ ALTERATION l�J REPAIq ❑ DEMOLITION ❑ WOODS70VE/FRPL.INSERT ❑ BUILDING RELOCAIION <br />V�LUAI�ON Of 1YORn if.051 OI MAIC RI�LS PLUS l �OORI <br />X �tiUl�. �M � ci I.:I.:�It <br />0[SCRIOE WORN <br />', r <br />�"t � . ���� �i.V{, � Q1�5� 'L _ <br />! <br />�' s,..�lt r-��o��,,/ <br />io� <br />PPOJECi�00RE55 <br />Y, c �3 fJ �, <br />PLUMBING <br />�^ay�dc.i.< <br />EIOW OR qiiC�� I( <br />o( I� e F �, I I�-�- . L— v- r� �c l'i <br />TYPE OF FIXT; <br />WATER CLOSET �TOILET� <br />BATHTUB <br />UVATORV �WASM BASINI <br />SNOWER <br />KITCHEN SINK 6 DISP. <br />WASMER <br />FOUNTAIN <br />IAIN <br />N PPEVENTEFS <br />�INS — RAINLEADf <br />VICE — BAR. ETC � <br />SUB TOT�L <br />PEflMiT <br />TOT�LFEE <br />SELO�Ch NEnRSELO�CN <br />20NE ILOtARE� <br />rvrt oF <br />4PV1 <br />PI.ANS <br />I HEREBY CERTIFY THAT I'�.'AVE READ AND ERAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE <br />OF WOFK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OFA PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANYOTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGN4TUpE Oi" CON7RACTOR OR qUTMOR12E0 AGENT �ATE <br />X i7 ' �/- ,� <br />(l�lLl�S�I��< � %�i't'��i,� a' � <br />4P1 LI6�NT.�diY pl1yINC55UCLN5E NO <br />I MECHANICAL <br />FEE NO. TYPE OF <br />A/C — AMNOLG UNITS — M P <br />REFRIGERATION UNITS — N P EA. <br />BOILERS — B. i U iH P <br />GAS FIRE� A G UNITS — B TL <br />FORCED AIR SYSTEMS — B T U. M <br />WALL MEATERS — B T U. M <br />UNIT MEATERS — B T.0 M <br />GVAPORATIVE COOLERS <br />CLOT1/E5 7RVERS <br />VENTILATION FAN <br />RANGEMOOD <br />WATERMEATER <br />WOOD STOVE <br />MEfAL FIREPUCE d CHIMNEY <br />FIREPLACCINSERT <br />HEA7PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SU9 TOTAL <br />PERMIT <br />TOTAl.FEE <br />✓LAN CMECK NUMBER �FEE <br />vnr,autsrtc FEES <br />;1rLa uNn <br />NnOfpwfIUHGUNIis �UILOING <br />!ON ISSIMNL[ OY <br />PLUMBING <br />AIECMANICAL <br />O1HCR <br />STATE BUILDING SURCHAfiG <br />STATEENERGVSURCNARGE <br />PUBUC WORKS <br />TOTAI <br />$ <br />RECEIPT NO. <br />PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AL�. <br />PROPERTY LINE LOCATIONS AND RELATED EASEMENTS. <br />