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�,PPLICATION FOti <br />,^.E°.'°"'° CONSTRUCTION <br />��� �F <br />everett PERMIT <br />BUILDING DEPARTMENT Tn gE COMPLETED IN INK - PLEASE PRINT <br />259•8810 '/ <br />❑ DEMOLITION I7 COMBINATION I7 BUILUING _��u MECHANICAL <br />—�,___—�_...MqIM�PNI::s ._ _. "_--___ _ t".1� fiP <br />"'"`" 1 � , F"' - r ,• � 1 1 �'� i Jl �' ! <br />��(�.� I�K�rI � �_/�-��l�t_��.�-_L�t�c--- <br />ARp1�tLf.lOPU19Gt�1 i <br />r.�au nnnm ss i nv tu� <br />❑ PLUMBING <br />, � <br />'l (!'.-�l � <br />ever[tl <br />e <br />❑ SIGN <br />� <br />_______ —_�--- --- "--_lll•.—__— VI�ONf lICL1�5f • '� <br />I.I+Ii .�LI1111b5 GIl'. . <br />GLNCRAL C0111H5GOli i <br />_— __�.wnnun�n•;:.._'___ [nr ' _'_– ✓2n,---�j'J ru/nirt`�1. iic{u�s[ �(/�/ <br />i.i.t'�I,,���,icnrvt�mctn� . �ia�(�1_��i�l�(�`ll(CIY��I��t'��Ll/'�JL! I <br />\//Y 111��_�lj.l�:✓��_;���`, 1���_rk�,�1�� lc��•!�l f— � <br />l� �_s.3_l , ur br wmrn ncLusl • <br />PIIIMO�N�iC� Ilit�.�lll 1.1�I� 'PUNI1.'.. I <br />CIASSn{ WOR�. <br />❑ NLW ❑ ADUITION \i� AL1EN�1110N ❑ NLPAIR ❑ DL1dUl llluu _❑ lW1UU5IOVF;FH%.INSERT ❑ dUII.DWG HELOCAIION_ <br />wiu+nonorwun.,cosrnrr.un iu,iiusi�n ia <br />'t'l� �� c.�l i� �� � �� � �l f �.1 � — <br />,� <br />use or oy�t",t'F.. �% [. ) <br />�cr..�ocsca !ior�/o ouorEnirisnowr�o[lowonnnacnrounr,t <br />�oi---e�oc�_ar <br />inLY.t �ODeE55 <br />/� _ <br />� lC��, � r' ,c' l F�� <br />PLUMBIN6 <br />WATEI� CLOSET �TOILEiI <br />B�TMIUB <br />U�ATCRY IWASH OASIN� <br />KITCMER SINK F OISP <br />IAUNOR'�TRAY <br />CLOTNE= WpSMER <br />UAINAL <br />�PINKINf. FOUNTAIN <br />FI OOq DPAIN <br />ORA�NS – RAINLtnut <br />SFRVIfE - OAli ETC� <br />nUM5E11��CY. HU <br />usc zane io� <br />nvc or cnnst or. <br />s�z[ or e� oc �� <br />erw �cannr� acr o. � r� <br />�, �� <br />ITEM <br />1 ��i���c���r <br />I IiER[�V GERTIFY TI1AT 1 HAVE READ AND EXAMINED TIiIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT. ALL <br />PROVISIONSOF IAWSANDOR0INANCESGOVERNINGTHIS7VPE <br />OF WORK WILL BECOMPLETECI WITH WHETkiER SPECIFIED HERE� <br />IN OR NOT. THE GRANIING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORIIY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY0711ER STATE OR LOCAI. LAW REGULATINGCONSTRUCTION <br />OH 7 HE PERFOHMANCE OF CONSTRUCTION. <br />hluNAl1111L ��I I.IINIII�CII,i1 UH RIIIIII)NI/1.1) A(i�Nl IIAII <br />� � m,_It�-�1 ; c � l� °; � ��l <br />,,,��—�'f�,:"o,,,�,�,,,�,«,,, ,.,, <br />MECHANICAL <br />SUBT�.�� ,1 1 � <br />pEpMIT <br />TOT�LFEE s <br />RSL�O�Cn -- — S�II[SL10�Gn <br />nnG wc,an sne <br />u��cs �,u�o <br />ClIP4NLYGROUP IIOUPDWfIIIN.ii11115 <br />orston�[s rn•x �cc �n�o <br />D ❑ YES ❑ NO <br />�Nil'l1EGHED9Y cPf�B fOR1551/41lCEBV <br />TYPE OF EOUIPMF <br />piC – A���N�LG UNITS –M P <br />REFRWERATIONUNITS–�iP E� <br />901LER5 – 87 U �M P <br />GAS FlRED A C. UNITS – B T U <br />FORCE[1 AIR SYSTEMS – B T U � <br />\vAl.l. 11EATERS – B T U <br />UNIT HEATERS – 0 T U <br />�yqppRATNECOOIERS <br />CLOTHES DRYEPS <br />VENTIUTION FAN <br />RANGE 1100D <br />WATEA 11EATEP <br />WppD S�OVE <br />M[TPI. FIREPLAf.E 6 CIIIMNEV <br />FIRGPI Al%E INtiENi <br />IIEAT YUMP <br />GAS PIPING <br />E%11AUSTFAN ___ <br />�'I AH I:NE(:N 1JUAlliER <br />FEES <br />BUILOING <br />Pl UMBING <br />MECNANICAL <br />M FA <br />M <br />M <br />SUBTOTAL s <br />PERMI� s <br />TOTALiEE s <br />FEE REGEIPT NO <br />VALUATION FEE <br />5 <br />O7HLR <br />STATE BUILDiNG SURCHANG <br />STATEENEHGVSUFCHARGE <br />PUduC WORKS <br />TOTAL <br />F'ROPERTY LINE I.00ATONS AND RELATED E SEMEN7S.ING ALL <br />