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~CONSTRUCTION <br />the E"rg MR <br />CITY OF <br />everett <br />PERMIT <br />BUILDING DEPARTMENT <br />TO BE COMPLETED IN INK- PLEASE PRINT <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING —e MECHANICAL <br />MAIL ADDRESS i � L``IIY,, TIP <br />ice, I/17. !/• /C//f LL e`yr <br />OWNER,' <br />i ! r �I <br />(3'PLUMBING ❑ SIGN <br />GENE CONtRALIOn <br />N ,nuness y. <br />� <br />LIY III• 1`rr.•NI <br />LILI'I�t• <br />/ / <br />- 1 <br />MAIL AIIDH SS <br />fll III' P111'NI' <br />Illl'1'•1 <br />N fl NIC GN1n.C11:R <br />� <br />}- <br />/ AAIL Dn RESS y <br />)INq GON1B,C(OR • �,� _ 1 Y/ Z � � � ` / �`�L//S f <br />61F WORK /( <br />NEW ❑ ADDITION x �(7( ALTERATION ❑ REPAIR <br />❑ DLMULIIIO EI ❑ 1YU(IDSIOVE 'f RFL.INSE RT BUILDING FELOGIION- <br />r...m..rDslrn:nGN..l Rl I.::l Annm <br />LOt�BLOCK n( <br />RROIECT ADDRESS <br />D <br />PLUMBING <br />TYPE OF FIXTURE <br />WATER CLOSET (TOILE TI <br />BATHTLB _ <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES W ASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN _ <br />BACKFLOW PREVENTERS <br />ROOF DRAINS - RAINLEADE <br />SINK (SERVICE - OAR. ETC) <br />[ "IN I SEIB.'u <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOWTHE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WOPK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br />IN OR JT. TI-Ili GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE I.UTHURITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONST RUCTIO <br />OR THE PERFORMANCE OF CONSTRUCTION. x11— <br />SIGN.111 inE OF CONI FACTOR On AIITILDn I111) ^'.A Nl 1'AlL <br />x /f(lJ 1,4 <br />MECHANICAL <br />NO TYPE <br />OR ITEM F== <br />C0 A•C-AIHDLGUNIIS-HP <br />ow REFRIGEnAT ION UNITS - HP EA <br />�(J BOILERS-9 TU,HP <br />Llb GAS FIRED AC UNITS - BTU <br />FORCED AIR SYSTEMS - B T U M EA <br />WALL HEATERS - BTU. <br />UNIT rIEA TERS - BTU Al <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN _ <br />RANGE HOOD <br />WATER HEATER <br />RS WOOD STOVE <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />TOTAL <br />WIT <br />AL FEE <br />SETBACK <br />ILd IgNI. Ilrlr grtn I VACANT SIT[ <br />OYES FIND <br />171 M LOYST (I(CUPANCY UNUUP NO OF DWEI <br />UI STORIES IMAM <br />...nova r. BY rI .V(SLnE(..Ktn BY IM`Pn ron <br />FEE <br />SUBTOTAL <br />IKRMIT <br />TOTAL FEE <br />PLAN CHECK NUMBIR IEEE RECEIPT NO <br />BUILDING I ! <br />�LJ <br />PLUMBING <br />MECHANICAj <br />OTHER <br />STATE BUIL <br />STATE ENEPUBLIC WO <br />TOTALPROPERTY OWNERS ARE �Q <br />PROPERTY LINE NNE LOCATIONSA AND RELATED ING ALL <br />ATED EASEME14TS <br />0 <br />