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� <br />�PLICATION FO `� <br />; �ryEoro�»^ CONSTRUCTION <br />! everett PERMIT <br />' BUILDING DEPARTMENT TO BE COMPLETED IN INK- PLEASE PRINT <br />� 259•BB10 � / <br />` ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �'MECHANICAL <br />0 <br />C4�pLUMBING <br />evaen <br />e <br />❑ SIGN <br />'L <br />il <br />' I <br />CL�S50 ORN I, <br />NEW ❑ A�DITION ❑ ALTERA710N ❑ REPAIR ❑ DEh1OLITION ❑ 1YOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION_ I <br />V�LU�T�ON Oi WOPI(IGO51 Of M�IE�I/.LS PLUS L�BOAI <br />LOi� BLOLI(��- W —� <br />i <br />PROJECi�ODAE55 <br />y6o1 ��.� sf <br />PLUMBING <br />' N0. TYPE OF FIXT <br />� WIITEH CLOSET �TOILET <br />BATHTUB <br />UVAT0��1' IH'ASH BA511 <br />SHOWEN <br />� KITCHEN S�NK d DISP. <br />' 715HWASMER <br />� UUNDRY TRI1Y <br />' CLOTHES WASHER <br />� <br />UAINAL <br />d DRINKING FOUNTAIN <br />• . FLOOR �RMN <br />� BACNFIOW PNEV°NTEi <br />, ROOF DRAINS — RAINL <br />' suJK �SERVICE —BRN.I <br />�rp� <br />[•Ll <br />FEE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. A�L <br />PROVISIONSOF LAWSANDORDINANCESGOVERNINGTHISTYPE <br />OF WORK W�LL BE COMPLETED WITH 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 OTNER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGN4IUAE Of CON10ACtOR O� AUi110�12E� AGENi I14iE <br />x ��_ -7-�y <br />�CPU.�N�SCIIYflU51Nt5 T.lNSCNO <br />MECHANICAL <br />p�C — 4�MNDLG UNIT$ — HP. <br />REFNIGEPATION UNITS — H P EA. <br />BOiLERS — B T U/H P <br />GAS FIRED A C. UNITS — B T.U. <br />FORCEO AIR S�STEMS — B T.U. M EA. <br />WALLHEw�ERS—B.T.V. M <br />UNITHEATERS—BTU M <br />EVnPOAATIVECOOLERS <br />CLOTHESORYERS <br />VENTILAiION FAN <br />NANGEMOOD <br />W�TER HEATEP <br />WOODS70VE <br />METAL FIREPWCE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEPTPUMP <br />GAS PIPING <br />E%/IAUST FAN <br />FEE <br />SU! TOTAL <br />SUBTOTAL f �I � <br />PERMI� f T � � <br />TOTAIf E f �!! I I I <br />I PLAN CMECK NUMBER I FEE I^�""' '"—' <br />RE�R SEIB�CK S�DE SEiB�CK � <br />. USE 20NE LOT �RI <br />rvPEOFCONST OCCUP <br />� SI2E OF BLOG NO 0� <br />� FIRE SPRINKLERS REOUIRED <br />I <br />AVOLIUIION ACC OV �'L�N$ <br />V�C�Hi SIIL <br />pvES ONO <br />P� <br />9UILDING S <br />PLUMBING V <br />MECHANICAL <br />OTHER <br />STATE BUILDING SUfiCMARGE <br />STATEENERGYSURCHnRGE <br />PUBLIC WOHHS <br />TOTAL <br />PROPE RTV LOINE LOCAIONS AND RELATED EASEMENTIS ING ALL <br />� <br />� .._.... . - . . . . .. . . . . .. ... . . <br />