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�'`�PPLICAT.ION F(�i�:;' <br />'�'E`"ro`"" CONSTRUCTION <br />CItY OF <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259•8810 TO BE COMPLETED IN IIJK- PLEASE PRINT <br />EMOLI710N ❑ COMBINATION ❑ BUILDING - ❑ MECHANICAL <br />GtNEF�LCOH1uAC10F M�R �0011E55 <br />N L_�. <br />MEGNIIHIULCOMN�GiOq M�0.��ORE55 <br />CL�55 OF WJI1M <br />❑ NEW ❑ ADDITION ❑ ALiERATION ❑ REPAIH <br />n <br />P�Y <br />O PLUMBING <br />LICENSE • <br />LIGENSE • <br />N <br />DEMOLITION ❑ WJODSTOVE/FRPL.INSERi ❑ �UIIDING RELOCATION <br />G� / ���,n�1 _ � IIEREBV EERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />�' PLICATION AND KNOW THE SAME TO BETRUEANDCORRECT. ALL <br />u�c��oES�. IP110YO�PROPERfV�SNpWNBELOWOR�ITAC11(OURW�IE51 pROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTVPE <br />OF WOfiK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br />io�_oioc�or — INORNOT.iHEGRANTINGOFAPEFMITD0E5NOTPRESUMETO <br />o ^ GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />So Q �O�/�._ _ ANV OTNER STATE OR LOCA �qW qEGULATING CONSTRUCTION <br />OR il1E PERFORMANP.� r croi�rrinu <br />I ja� _ �a.,.,� <br />PLUMBING <br />WATEP CLOSET �TOILEi� <br />BATHTUB <br />UVATORY (W�SH B�SIN� <br />OISHWASHEN <br />UUNORY TR�Y <br />CIOTHES W�SHER <br />URINpL <br />ORINKINC FOUNTAIN <br />ROOR ORAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — R�INLEAOERS <br />SINK �SERVICE —BAR. ETC! <br />� �Nvi SEiBeCk <br />IItiE IONE <br />n rr o� consi <br />S9[O�B�DG <br />onnun�oryieoacent onre <br />�rruc�N <br />MECNANICAL <br />FEL� <br />A/C — A/NNOIC UNITS — HP. <br />REFRIGERR�f ION Ui�ITS — N P. EA. <br />BOILEPS — 0.T U M P. <br />GASFIPEDAC UN3T5—B.T.U. <br />FOPCED aIR SYSIEMS — B T.U. M <br />WALL HEATERS — 9SL. M <br />UNITMEniERS—B.T.U. M <br />EVAP:�P4TIVE CO/71Cq5 <br />CLOTYLSORYERS <br />YENTII e T�ON FAN <br />RnNCEHOOD <br />WATEA HEATEN <br />wOODSiOVE ' <br />METAL FIFEPUCE a CHIMNEV <br />FIREPLACEINSEH' <br />HEATPUMP <br />GAS PIPINO <br />EXI1Al15T FAN <br />SUB TOT�L f SUO T0T11L <br />FERMIT f V[pM1T <br />TUTAIFEE S TOTALFEE <br />a s[tu�ca smv srtn�rx � � PLnN CHECN NUMBER I PEE I RECEIPT NO. <br />FIRE SPRINKLERS REOUIRED ❑ VES O NO <br />n�'nUCR�ION <br />V�C�flt SiiE <br />OVES ONO <br />L�IlIIFi <br />i ron rssuu¢[ av <br />C-.� . <br />�U�LDING S <br />PLUMOING <br />MECHANICAI. <br />OTHER <br />STA7E BUiL04�G SURCHARGE <br />S7ATE ENEfiGv SURCHn�GE <br />PUBUC WORKS <br />TOTAL � � •� <br />PHOPERTV OWNERS ARE RESPONSIBLE FOR DLT[RMININO ALL <br />PROf'EfiTY LINE LOCAiIONS ANO RELATED EASEMENTS. <br />� <br />