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'�-,PPLICATION FO.�� <br />'"'E»ro'"" CONSTRUCTION <br />nn or <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259•8810 TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MI_CHANICAL <br />��� � <br />�����n <br />� <br />❑ PLUMBIN6 ❑ SION <br />vHONr <br />--11� - Ll.)� C � <br />GkbEP�LGONIR�GIOR M�IL�OORE9S LI�V !�P O10NF IIGENSE• <br />O' NEW ❑ ADDI710N ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSEPT ❑ BUIIDING RELOCATION <br />V�l W��ON O! WOA� �C091 O� M�IE�utS n W 9 L�lOAI <br />L ��� �. `�'�' <br />PLUMlIN6 <br />CLOSET <br />i <br />UVATORY IWASH B�! <br />$HOWEN <br />qTCMEN SINK 6 DISP. <br />UUNDRY TR�Y <br />DRINNING FOUNTAIN <br />FLOOR DRAIN <br />B�CKFLOW PNEVENTERS <br />ROOF DN��NS — NI INLEAOERS <br />SINK ISERVICE — BAR. ETCJ <br />��O•1� SE �B�f.� <br />�ri,e o� <br />Cl��t'i i�; [ I I(14 �:: ; <br />SU! TOT�L <br />PENMIT <br />TOT1L FEC <br />nE�A 5[IBACN <br />LOl �RG <br />nccunnr¢r ceouc <br />NO Of SfORIES <br />V�CANI Si fE <br />❑YES []NO <br />lOAO <br />ronissuu+ce <br />I HEI7EBY CERTIFV THAT I HAVE READ AND EXAMINED TNIS A�� <br />PLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES QOVERNINO TNIS T V PE <br />OF WORK W�'. L 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 TNE PROVIStONS OF <br />ANY OTHER STATE OR LOCAL lAW RE(3 ULATINO CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTR�CTION. . <br />316N�TUREOiCONiR�CiORUR�UTNORIZED�6ENT ILiE <br />lUSINE!! LIGf N9E <br />MECHANICAL <br />NO. !YK01lOUI►M[ <br />AIC — A/MNOLO UNITS — N P. <br />REFRIOERIITIONUNIT9—MG EA. <br />BOILERS — B.TL MP. <br />f3A5 FIRED 11.C. UNIiS — B.T.U. <br />FORCED AIR SY3fEM5 —BT.WCQ M &�. <br />WALLHEATERS—B.T.U. M <br />UNIT HE�TERS — B.T.U. M <br />EVAPOR�TIVE COOLERS <br />CLOTMES ORYEiiS <br />VENTIlAT10N FAN <br />RANUEHOOD <br />WATEN MEATER <br />wOODSTOVE <br />METAL FIREPUCE 6 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />ORS PiPING <br />SUlTOTAL <br />P[PMIT <br />PLAN CMECN NUMBER I FEE <br />BUILDING 5 <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE BUILDING SURCNARGE <br />STA7EENERGVSURCHARGE <br />PUBLIC WOFiKS <br />TOTAL <br />RECEIP7 NO. <br />PROPERTV OWNERS A�E RESPONSIBLE FOR DETERMININO ALL <br />PROPERTV LINE LOCAiIONS AND RELATED EASEMFNTS. <br />r <br />