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i�PPLICATION FOti <br />„'.E"'°""" CONSTRUCTION <br />�,n o. <br />everett PERMIT <br />PUII_DING DEPARTMENT <br />259•0810 TO BE COMPLETED IN INK • PLEASc PRINT <br />� DEMOLITION ❑ COMBINATION �BUILDING ❑ MECHANICAL <br />OW �If R MM� <br />^. B ETTV D1kv�iYS <br />everetl <br />� <br />PLUMBING O SIGN <br />NONE <br />"[ 3.3'�S -Qk3C <br />�PC�rtEC10RpE5�ONFP M�IL�OUnES9 ��^ "' YJ'Li:3+�' <br />OkREP�ICONiR1L�OR M��uooness v���.� r.�rv zir �noNc ucr.vcc. <br />r d�4Y � ilii7E ./��/•:J�3�AiG- �'" .�vYyar.r•� � 9�vy(v- �,u-"�Y� - - <br />MfC1UN�UlC HIR�CIO�! MAIL�DORE9S CIfY OIIP PIIONE LIC[NGt • <br />1�,�1' �✓rP�/ z/fz <br />^VWM�MOf.ON1R�GiOA ' MMLFOOAE55 LIIV IIP VuONE UCEiiSE• <br />� D.{-y �r✓�TL� �a i�,�.it�ir .� v. �� � � !-,�,v.tiWr•ro� w�l _ �s�G s' <br />cusso�wo �. �,/ <br />❑ NEW ❑ AD�ITIDN ❑ ALTERATION t7 REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCAI�OM <br />v�lwnoN9g wou+itoSiaM��cnut5n�u5uBoa <br />� 'l 3.5 °z' ' .b <br />n[scu�.aE�.v�o7u.. • /�� L <br />f;�iC/ L/f�� Bf( �%��/i� / �V�� �'/� <br />usi o� eano�na <br />� � • f � . <br />1E04 OFSCRiP1i040f oROOEn1Y�5r10WN BEtOW OR �IUCM fOUH CO�IES <br />im_ _ eiocK—or <br />vROJEct�ooREsS <br />'' 8706 fr/>l_ - .S : f . <br />PLUMBING <br />NO. TYPE OF FI%TURE OR ITEM <br />W�TER CLOSET �TOILET� <br />B�TNTUB <br />UVATORY IW�SN Bn51N1 <br />SHOwER <br />1(ITCHEN SINK A OISP <br />(�ISHWASHER <br />UUNDRY TRAY <br />CIOTHES W�SHER <br />URINAL <br />ORINNINC .'OUNTAIN <br />FLOOA ORA1N <br />B�CKFLOW PREVENTE�S <br />ROOF DRAINS — RA�NLEAOCFS <br />SINK (SEFVICE — BAR. ETC � <br />SUBTOT�L f <br />PERMIT f <br />TOTALFEE i <br />iuONISEiBeCh AE�ASEIP�CK 51[1ESCiBACI <br />u5E SONE LOi �pE� y�GNi SiIE <br />OVES �NO <br />rvcr nr cor�sr octuvuicrcaour r+o oF owFi <br />s�ze or oioa I r�o or s�oaies <br />♦CC BY <br />APPN LORISSU�NCEBV <br />�irl�/ <br />I HEFEBV CERtIFY THAT I HAVE READ AND EXAMINED TI{IS �1F� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWSAND ORDINANCESGOVERNING THIS iVPE <br />OF WORK WILI BE COMPLETED WiTH WHETHER SPECIFIED HERE <br />IN OR NOT. THE GRANTING OF A PEPMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIOPIS OF <br />ANV OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PEFFORMANCE OF CONSTRUCTION. <br />SIONetUPE OF CONIReCipR OR �Ui110R12E0 eGENi OnLE <br />/ 7 <br />MECHANICAL <br />NO. TYPE OF EOUIPME <br />A/C — AIHN�LO V NITS — HP. <br />RFPRi6FPATION 11NITS — M P. EA. <br />ovi�ena — v. i.v �.+.r. <br />GAS FIREO A.C. UNITS — B T.U. <br />FORCED AIR SYSTEMS — B.T U. <br />wALL MEATERS — B.T.U. <br />UNIT MEATERS — B.T.U. <br />EVAPORATNE COOlERS <br />CLOTMES Of7YEfl5 <br />VENTILATION FAN <br />WATEF 1 EATER <br />WOODSTOVE <br />METAI FIREPLACE ! CHIMNEV <br />FIREPLACEINSEPT <br />HEAT PUMP <br />OA$ PIPINp <br />E%HAUSTFAN <br />SUETOTAL <br />FCRMIT <br />TOTALFEE <br />PLAN GHECKNUMBER IFEE <br />BUILDING S <br />PLUMBING <br />MECN�NICAL <br />OTHER <br />STATE BUIIGING SURCMARGE <br />STATEENERGYSUflCHARGE <br />PUBLIC WORKS <br />TOTAL <br />M EA <br />M <br />M <br />rEe <br />PECEIPT NO. <br />PROPEFlIY O\NNERS ARE RESPOIr51A! E FOR DETEPMINING ALL <br />PROFEFlTV IINE LOCATIONS AND RELATED EASEMENTS. <br />