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I ��PLICATIONION�/,�3�n <br />� �^�E~�m° C�NSTRUCT <br />• cirr or <br />` everett PERMIT <br />i BUILDINGDEPARTMENT TO BE COMPLETED IN INK- PLEASE PRINT <br />259•8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />,. unn�Uon[s5 �r�LC/i(rb cnv ru� r��o�+e <br />. OWnER .1 . N-. . A�.i � l': . ..i /.'Gw.n <br />❑ SIGN <br />-�fr� <br />awunwn cor+�nnr. mn <br />Mnn nonnrss rnr �n• m�or+r uctrvst . <br />C1�550f WORK <br />� NEW ❑ ADOIiION ❑ A�TERAT�ON ❑ REPAIR ❑ �EMOLIIIpN ❑ 1VOODSIOVE;FRPL.INSERT ❑ BUILDING RELOCATION_ <br />vetu�no� �r wann �rost or M��em�iv rius � nno�� <br />�oee <br />ncs[nieE wonK <br />OF <br />�0�5 `/ e <br />PLUMBING <br />wn TYVE OF F <br />UVfTORV IN��SN B�SINI <br />SHOWER <br />NITCHEN SINK 6 OISP <br />DISMW�SliER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />URINAI <br />DRINNING FOUNTAIN <br />FLOOR DAAIN <br />B�CKFLOW PREVENTEFS <br />ROOF DNAINS — RAINLEADE <br />SINK ISERVICE — BAR. ETC 1 <br />Gl: <br />SUB TOTAI <br />PERMIT <br />TOTALFEE <br />iNJNi SEIB�GIt REAN 5[iB�CN <br />� � I <br />�.0 O <br />. USE20H! IOi�RE• <br />—/ 25 G' <br />' ttPEOFCONS OCCUPA vGR� <br />��✓ Z-3 <br />sizc or eioa ���,`( �� NO O� StORiES <br />�D`N'� Z' <br />i <br />i <br />I FIRE SPRINKLERS REOUIhED ❑ YES <br />t <br />I <br />At1�C�1 <br />FEE <br />SiOE SEiuecn ' <br />� � <br />V�C�Ni Sit� <br />�lSES 1]NO <br />NO O( OWEILING llNI1 <br />� <br />Mna occ �ono <br />:nEGNEOBY AP{'R fJ�155WNCEBY <br />� (.�J �CJ <br />I HEREBY CERTIFV THAT 1 HAVE RFAD AND E%AMINED THIS AP� <br />PIICATION AND KNOW THE SAME TO BE TRUEAND CORRECT. ALL <br />PROVISIONS OF LAWSAND ORD�NANCESGOVERNING THISTYPE <br />OF WORK WIIL BE C0�4PLET�O WITN WHETHER SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OF A PEFMIT DOES NOT PRESUME TO <br />GIVE AUTI�iORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STA7E OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE f EFFORMANCE OF CONSTRUCTION. <br />SIGNR1U�l Of CONIqpCIO� OIl AUIIIOR12f.0 AGENI IIAiE <br />X . E,�.cl�,<<�.�r�� (�-30�� <br />•rri ir.u+rs cnv ru':ie� ss i�r.� r+st �+o <br />f�.:lf�'G! <br />MECMANICAL <br />NO. 1'YPE OF EOUIPMENT �E <br />piC — A���NOLG UNITS — M P <br />REFRIGERA TION UNITS — H P. EA. <br />BOIlERS—BTUrHP. ' <br />GAS FIRED A C. UNITS — U TL. <br />FO�CE����SYSTEMS—BTU MEA. <br />WALL NEATEPS — B T.U. M <br />UNITHEAtERS—B.TU. M <br />EVAPORATIVE COOIERS <br />CLOTHESORYE�S <br />VENTILATION FAN <br />RpNGEHOOD <br />WATER HE�1ER <br />WOOD STO`/E <br />METAI FIPEPLACE 6 CHIMNEV <br />FIREPLACEINSERT <br />HEATPUMP <br />GPS PIPING <br />E%HAUSTFAN <br />SUBTOTAL <br />PERMIT <br />� TOTALFEE � <br />V�nN �.NEC�j NUMBER I FEE � 2,., p RECEIPToNOI <br />5��� ao383 �� � � 7 <br />BUILO�NG 5/23 B�$ � <br />PLUMBING <br />MECHANICAL � <br />OTHER ��7 7'��`I,YS � <br />STATE BUtLDING SURCNANGE <br />STATE ENERGY SUf7CMARGE I� <br />PU9LIC WO(iK5 <br />TOTAL <br />PROPERTY LOINE LOCATONS A DNRELATED E SEMENTISING ALL <br />