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rn. e�+ror�^ <br />cir or <br />everett <br />BUILDING DEPARTMENT <br />259•8810 <br />❑ DEMOLITION <br />p�tw n <br />ou <br />`,-.PPLICATION FOk-� <br />CONSTRUCTION <br />PERMIT <br />TU BE COMPLETED IN INK - PLEASE PRINT <br />❑ COMBINATION �BUILDING ,I.1 MECHANICAL <br />u.n nnnni •:s —'_ _" -'—� �n : u• <br />l��nce CiC�C{T� <br />I ] PLUMBING <br />r„n�n — <br />❑ SIGN <br />�t�+ta�i cnw�n+r,�on <br />- r.�.n �nnnr s --". �. '_____._ ;n• ��nrnu ucervsc. <br />�l�hG -- <br />NISN�Wfq CON1NKiDp <br />ven •Pnnls? fn. !m nmNr UCFqSF. <br />����y !IP P�IONI IIClflSE • <br />G1�550� wOm. <br />� NEw ❑ ADDIIION ❑ nu[nnnor+ ❑ nernin ❑ ncr.u�i.niur� ❑ w000stoverr�ri iNsent <br />v4/U�l�pv �v R'On�1. ifO,l N Luttnul } I I �I51 �Pnn. <br />f% /% ��V r �0 ___ . <br />oesrn�oe�vone . _�.; i7-� �.'.. � IL�_)�l'11i- t�.. �e j�.��' <br />Usf or nCLLuw�� <br />i� R+� � YC'l i L�(n Cc. <br />1rc�loe� �r�iov ���orc �.�F��ewNnuownnnucnrouncDJrui <br />�n� � ninr � �'nr_ �'/Cu} �7%��'{r'O� JD <br />5S <br />PLUMSING <br />W11TEP CLOSE� (TOILEI� <br />BIITHTUO <br />LI1VAiORY IW�SM B�SIN� <br />SHOWER . <br />KI�CMEN SINK 6 DiSP <br />TR�Y <br />W�SHEP <br />FLOON DAAiN <br />BACNFLOW � <br />� OUN� $! tNM.� <br />pl CONS� <br />5 V C O� BI D(i <br />u�enn�,•r, �,. <br />`V�� <br />ITEM <br />- nnn. c .. r <br />sue rat�� <br />PERMIT <br />TOTALFEE <br />Pt�ntiFlaAC4 <br />l0� PP[• <br />UCCUPAhCYG00 <br />rm or si��mrs <br />7UIRED ❑ VES <br />1`I �N!i 1:11(1:M111 <br />❑ BUIL�ING RELOCAIION <br />I HFR[BV CERfIFY THAT I HAVE READ AND E%AMINED THIS AP� <br />PLICATION AND KNOW THE SAM = TO BE TRUEANUCORRECT. ALL <br />PROVISIONS OF L.AWSAND ORDINANCESGOVERNING THISTYPE <br />OF WnFiK WILI. 9E COMPLETFII WITH WNETHER SPECIfIED HERE- <br />IN OR NOi. 1 HE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AU7110RITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OIHER 5141 F OR LOCAI.IAW REGULATING CONSTRUCTION <br />OR THE f`ERFORMANCt Of CONS7RUCTION. <br />SVA�nnnn rn frv�um�'�nnnnMnrN�nilrnncrN� [1ntE <br />X � �� 8�Z'/��- <br />„,.� ,� .�, � •:, ��, „�,<,.,, .� � �. � „�:� ,.,, <br />MECHANICAL <br />FEE NO. TYPE UF EOUIPMENr <br />piC - A���NULG VNITS - M P <br />nEfNGEf1l1TION UHITS - �� P EA. <br />DO�LERS - B T U M P <br />GAS FIRED A G. UNITS - B.T.U. <br />FORCEO A�N SYSTEMS - B i.U. M EA <br />WALL HEATERS - BS U. M <br />UNITMEATF.RS-B.TU M <br />EVAFONATNECOOLERS <br />CLOTMES DR�ERS <br />VENT�LATION FAN <br />RANGEIIOOD <br />WI1TEf7 F�EATEfi <br />WOODSTOVE <br />ME��L FIREPLACE 8 CMMNEY <br />FIREPLACEINSEPT <br />HEATI`UMP <br />GAS PIPING <br />E%HAUSifnN <br />VAI:�HI 311E <br />itvlS t1ND <br />NO Or OWfILINO uN��9 <br />rnna ocr. in+n <br />a•rn �on�,su.ru.i nr <br />SUSTOTAL <br />pERMIT <br />iOT�LFEE <br />P�N� U�ECK NUMEIER I FEE <br />OUILDING S <br />PLUM(31NG <br />MECIIpNICPL <br />O7H[R <br />StAtE UUIWMC SURCHAItGE <br />gTATE ENf:RGY SU�7CHnRGE <br />ruouc wonKs <br />TOTAI <br />RELEiPi NO. <br />�{�7ppER1YLINEI.00AT10N5ANDNPEBAIEDE SEMENTISINGALL <br />