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IMtHIpIMl1 �-•'P�ICATION f0(� <br />��ry�F CONSTRUCTION <br />everett PERMIT <br />BUILDING DEP�RTA9EN7� <br />25J d/45 TO BE COMPLETED IN INK • PLEASE PRINT <br />O DEMOLITION lJ COMBINATION p�BUILDING ❑ MECHANICAL ❑ PLUMBING O SIGN <br />owN[e r.un .nm�u: crtv nr rurn�� <br />.'i�.f1.C�t'/ L?�S�-L .S`//.S' .(J(Pc/ir.r cl.r'�.'c'7r %�,�i:.� :�5�—�SCi9G� <br />.nnmmra�Pis�r.vi.n u+n+nma;s - nrv vu• �v�oHt <br />rt�+tna cnHm�c�o�� r.��n �num.:,s cirv ru� rvinrv�. ucer+s[. <br />�r`'•'�iI.ST S,Y.�i�r /�q�i•.s�r.r'ii s /i�S7:�r•�K� r7I'�LrS' .j.f�'Y�6L Gtrx/acs.�of.tY <br />IOUNIUI CONiR�f.i� q M�II �I)ORISS f.1�V IIV PIIDNC IICENSC • <br />PIIIM9M4fGNfN�CIOR AQII AOPI�fi$ I:IfY IIP PIIONL IICLNSC • <br />!Y!Il11 <br />e <br />NEW ❑ ADDITION ❑ AL7EHATION ❑ NIEI'AIR ❑ DEA70LI110N ❑ WOOUSiOVE/PRPL.INSERT ❑ BWL�ING REIOCnTION <br />�tionOrwoRn�co510rM+1[m�l5riu51.�oa�a ��7 <br />`�r. n o't� ��d "-'. <br />-�--��•--�- <br />i oua mr�c s� <br />'�C r�n_ U -!J -O�J <br />�/li��-,r��,nli Lc:T / "Si <br />NITCl/EN SINK 8 <br />DISHWASNER <br />�AUNnRVTRAV <br />CLOTIIES WASI/ <br />WATFR IIEATER <br />URINAL <br />DRINNI i FOUh <br />FIOOf tRAIN <br />VFLUUM BREAN <br />ROOF DN�INS-�� <br />SINM iSEFVICE- <br />_--�. <br />�RONi $EiBALn <br />�]` <br />L - i <br />nSFtONC <br />�` / <br />,.'L- <br />O� 131 D( <br />� <br />�� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW TfiE SAME TO BETFUEAND CORRECT. ALL <br />PROVISIONSOF LAWSAND ORDINANCESGOVERNING THISTYPE <br />OF WORK WILL BE COMPLETED WITH WNETHER SPECIfiED HERE• <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OH CANCEL THE PROVISIONS OF <br />ANY OTIIER STATE �R LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFOHMANCE OF CONSTRUCTION. <br />SION�IIIRC OI CUNIRACTOH ON PII11101117k� NGLM U41k <br />����s,��or�-� s' =/�-S� <br />m�� icu+rs r,rtr ousu¢ ss i ir.[r+sc r+n <br />TYVE OF EO <br />AIN CONO lINI7S-II P [A <br />_� UOILlRS_IIP [A <br />_ __ GRS fIHEO AC UNITS-TO� <br />_ FORCEU AIf7 SYSTEMS-B T <br />"_ WAILNEAiERS-tlTU � <br />"_ _' UIJII NCATkNS-B T U M <br />_ LVAPORA7PoCCOOLF.flS_ <br />_ GA1N[SONY[NS _ <br />AIR IIANDLING UNIT__C F M __ <br />STOVE <br />h1ETAl FIFCPI.AG[ b CHIMNEV <br />FEE <br />�� <br />____ -- — — — — _ �_�.. <br />BUB TOTIIL SUB TOTAL ___ f <br />_. '__ _'____ _-___' _ _' . _.-'-_ . __ _ <br />PERMIT i PERMIT _ ____f _._ <br />_ ____ _ . ___ _ __-. . _ - ____ . .__..'_ _'_ . .._ .. <br />T0T111. FEE f TOUL FEE . f ,_ _ <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />R[aqSEiB�CN Si�CSCL��LK PI<NCME NIIIII.IOCR P14HGM[LNfCE <br />__ c.. � (v/1,ti�G�.. �. � _— ';�(� ��(.,'�I / r�c�..'1;.-',(') ncCurlMo�`) � i�l��� <br />� <br />1 O11pG VAG5111 DIIL <br />� fEE6 V�IU�TION FEE <br />7✓krj�' nttsxNu _-_— —'____..._'___ --_ <br />occur��rc �ur no ornw�uirmuuns euiiou+c; ---- s•. �. �/ i--- - �!� <br />-b+,— ��` i ('C� �(�? %[ � <br />� lue <br />IAP% OCL 10'4ID <br />��• K <br />f,a110NAf,f, Bv I'IaN5CI1ECNEDBV �PPR 1'ORISSUANCE <br />t. `.�'\� `� �},7 . <br />�"�J <br />VWMdIRG -- -- <br />MECII�NIGAI <br />Ut11LN —"— <br />�"""r I � I 1 (1 ,- <br />TOTRL <br />