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�PPLICATION FO�� <br />G `« "'" CONSTRUCTION <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259-8810 TO @E COMPLETED IN INK • PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING l� MECHANICAI <br />OWNER MAIL�DDPE55 ��n' Z�P <br />�QNIGL�. S�Y.Iq)g S/�S Wll�)1/NC>1bN rVF-R�� 9r�� <br />❑ PLUMBiNG <br />PMONE <br />2 �� 2 6 <br />everetl <br />e <br />❑ SIGN <br />GENEPALGONTR�CIOR MML�OORE55 cnr uv vnvrvc ucenaa• <br />���2( F'��IIJ RT��� Svi�..� .� �)O�i <<ltF'" �T S�_� /„lJir',Vi� �1�:� 7L�:I�,�1Gf �Iy��f3 77�-�Fll,1. <br />MECN�N�f.�L CONTR�CIOq MeIL �OORE55 C�tv IIP PIIONE LICENSE • <br />� 7�E R G,- MS- G�LR �'� <br />PLUMBINGCONiP�LtOR MAIL�ODRE55 C�iY IIP PI�ONE LILENSE• � <br />CL�340� WOAN I <br />❑ NEW ❑ pDDITION ❑ ALTEi7ATION ❑ FEPAIR ❑ DEMOLITION � WOODSTOVE/fRPL.INSERi ❑ BUIIDING REIOCATION_ <br />VILUATION O% WDAM�CO51 O! MM[RqLS �"lU5 L�BORI i <br />�f �(00.' I <br />/N <br />or <br />ior_Q �-aioc�—oi <br />F <br />f�CH <br />/% <br />v� SNoli�N+,S�i loctiuf'y _ <br />PROJECt�DORE55 <br />5/OS C,Ik.M��•1G7vtil � L�/c"�ztTT- <br />PLUMOIN6 <br />Np, TYPE OF FI%TUNE OR ITEM <br />WATER CLOSET �TOILET� <br />UVATORY �WASM B�SINI <br />SMOWER <br />KITCMEN SINK 8 DISP. <br />DISNWASHER <br />UUNORV TAAV <br />CLOTHES WASHEP <br />URINAL <br />DRINNING FOUNTAIN <br />FLOOA DR�IN <br />BACKFLOW PPEVENTERS <br />ROOF DFAINS — RRINLEA <br />�PPUCAIION eCC OY <br />4 LO(.�,V iiZ vt�Hf F02 T° <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP• <br />PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br />PROV�SIONS OF LAWSAND ORDINANCESGOVERNtNG THISTYPE <br />OF WORK WILL BE COMPLETED WIT:i WHETHERSPECIFIED HERE- <br />IN OR NOT. THE GRANTING Of A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. . <br />� SIGNAIURE Of GONiRt�;IOR OR FUtNOR1ZE� AGENT D/1E <br />X`� a,.�. r S ��-� I l� 2s - 8 <br />APPLIf.ANiS CI1Y BUSMESS UCCIISE NO <br />MECHANICAL <br />A/C — A/MNOIG UNITS — HP. <br />PEFFIGERATION UNITS — H.P. I <br />BOILERS — B.T.UJMP. <br />6A$ FIRED A.C. UNITS — B.T.U. <br />FORCED ��R SVSTEMS — B T.U. <br />WAIL HEATERS — B.T.U. <br />UNIT HEATERS — B.T.U. <br />VENTIIaTION FAN <br />qANGENOOD <br />WATER MEATEF <br />� MEfRL FIREPUCE 6 CHIMNEY <br />FIREPLACE INSERT <br />MEATPUMP <br />OAS PoPING <br />EYHAUSTFAN <br />fUSTOTAL f <br />PERMIT f <br />TOT�LFEE f <br />NE�A SETB�CK SIDE SEIB�CN <br />LDiARE� V�CANTSRE <br />OVES ONO <br />DGCUP�NCVGROUP NOOFDWELLINOUNITS <br />/ <br />r+o or sroaies u�K oca io.o <br />I <br />7ED O VES C NO <br />1'lANSCMECNEDBY �PPN FORISSl1�NCEBY <br />� <br />� <br />R <br />PLAN CHECN NUMBER I FEE � NECEIPT NO, <br />OUILDING 5 <br />PLUM8ING <br />MECHRNICAL <br />OTNER <br />STATE BUILDING SURCHARGE <br />STATEENERGVSURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />PROPERTV OWNERS ARE RESPONSIBLE FOR �ETERMINING ALL <br />PROPERTY LINE LOCATIONS AND PELATED EASEMENTS. <br />.�•,-.' __ _._....� ..., .. _. . . ._. ". ... . . .. . ' ' . . . _. ' <br />