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�.�PLICATION FOf� ' <br />tM Ev�ryn�� CO N ST R U CT 1 O N <br />�,ro. <br />everett PERMIT <br />BUILDING DEPARI MENT <br />259-8810 TO BE COMPLETED IN INK • PLEASE PRINT <br />/ <br />L7 DEMOLITION O COMBINATION [� BUILDING ❑ MECHANICAL <br />cm ziv <br />���.�n <br />fe <br />��1�,U `{ ��� <br />� � q 3 -- �. <br />❑ PLUMBING ❑ SIGN <br />uvn�nN � � -- ;� - , <br />1%1�1� ��I/ � �" y � '� S Jl C9 `� �� � l ,�-v- :n,no-,.(' `� /� a2% D '%��-�� <br />4N(N11LU OR pL$IpH6A �y MAIL ApOPES$ C tY ' 2 ( -� ONC ' <br />%iiti'�j �,�v+.� ��� � (_�� . - � H-�:, t- cz.: �c. ( ,,,-,._. <br />GfNCFPL .�OT�AGIOA M>IL <pppE�S C�T' ZiP �MONL iiGLNSt • <br />1�1�4.l�J �', °�...�._.---. - — F'Y1�A�I�C7�a a�F,�'Y� <br />YL(a<4�r4.ctNiq�f,iDq �At1.apORE55 Ci�� !�e P��OrvE L�CCN51. <br />°llIM01NG C JN' FL�iCA <br />M\�1. <br />pir n. <br />i,�.,A,/.ti�A' W �NN ���� <br />I'' NEW ❑ ADD'TION ❑ ti�TEPOTION ❑ AEPAIR � OEMOU�ION ❑ �vCODdTOVE'FPPI iNSERT <br />v.i �icr .�x C'�wjJoa. .cost n� �.a.[��uis r�us t-aoni �"/�//�,��/'�� .��� <br />�..�L3zd � %'L�a_+J ' .Lrrs n ��- ��a��,t�v�—.-- (✓JC/(JC/ <br />U[ SCNI�j� WO9N <br />, , . <br />oei <br />PLUMBING <br />NO. T1'PE 7F FIXTUNE OR ITEM <br />� WATER LLOSET �TOILET� <br />f B�THTUB <br />/ UVATOPY IWASM B�SINI <br />SHOWER <br />� kITCNEN SINK d DISP <br />/ DISNWASNER <br />IAUNDFVTRAY <br />/ CLOINES WASHER <br />URINAI <br />D(i1NKING FpUNTAIN <br />FLOOR DAAIN <br />SINK <br />� li()Ni iEi�4LM <br />�o ' <br />vtiE ZONE <br />�' � <br />— HAINLEA�ERS <br />. — BAA. ETC 1 <br />e�,�'"�-�`�-N <br />;.�E�� o.o,; 97Zr, <br />• �JT'_"'�— <br />SU! TOTAI <br />PERMIT <br />TOT�I FEE <br />�EAN 5[iB��N <br />�W z� <br />oi nnEa <br />��^d(� <br />JCCUPPYCV GR�jOUP <br />/��'a <br />NO U� StOai[5 <br />� <br />7ED ❑ VES � <br />PlnNS LNECNEO BY <br />�.:L <br />�7 auuoiNa r,e���cn,ior+ <br />I �IEH[DY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TFUE AND CORRECT. ALL <br />PROVISIONS OF LAWSAND ORDINANCES GOVERNING THIS TYPE <br />OF WURK WII.L BE COA7PLETEC7 WI1H WHETHER SPECIFIED HERC-- <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />G�VE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW FEGULAT�NG CONSTRUCT�ON <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />$IGNniIIREOfLONinnCTOROnRUiMOR12ED4GENi D4iE <br />X // a�-.... � '�,(-4-<<� y ` i � _ � � <br />4PPUGNTSUtYpU51NL53l�LVi5CN0 � <br />MECHANICAL <br />FEE NO. T/VE OFEOUIVME <br />A/C — A/HNOLG UNITS — H P <br />REfRIGERATION UNITS — M P EA. <br />BOILERS — BS U./M P <br />GAS FIRED A C. UNITS — BS.U. <br />FOPCED Alq SYSTEMS — 8 T.U. <br />WALL HEf TE75 — BSL. <br />UNIT HEP � ERS — B.T.U. <br />EVAPORATIVE COOLERS <br />� CLOTMESDNYERS <br />VENTILATION FAN <br />RANGEHOOD <br />W�TER MEATEfi <br />WOODSTOVE <br />METAL FIREPLACE 8 CMIMNEV <br />FIFEPLACE INSERT <br />HEAT PUMV <br />GAS PIPING <br />E%HAUSTFAN <br />�S <br />SDESEiOncrc <br />6� <br />VPy'PNL $IlE <br />L�ES ONO <br />NO OF OW[LLING ONIiS <br />� <br />MnK ncc iono <br />J�/.Q- <br />AnPq fOP ISSU:NCE UY <br />�_.! <br />r�AN <br />SU! TOTAL <br />PEPMIT <br />TOTALFEE <br />NUMBER FEE <br />������3 '�� <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE BUILDIhG SURCHARG'� <br />STATEENERGYSURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />M EA. <br />M <br />M <br />�T NnO. <br />7C> � <br />PROPER7Y OWIIERS ARE RESPONSIBLE FOR DE7ERMINING ALL <br />PROPERTV LINI: LOCATIONS FND RELATFD EASEMENiS. <br />