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� r1PPLICATION FO.: <br />�^•E�°�" CONSTRUCTION <br />��n � <br />everett PERMIT <br />BUILDING DEPARTMENT TO BE COMPLETED IN INK - PLEASE PRINT <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />u�a�ooaess cnv zm <br />OWnER, <br />� I.i �/ �E C K E-rP /t%n /� D C-' . 7i N_ )�E�✓ Tf <br />❑ PLUMBING <br />w�oNc <br />'F2e rr, G� <br />lYwflil <br />e <br />❑ SIGN <br />IS3-41i� <br />93 <br />V W MBiN�i CONi RAGIOR <br />M�ILAOOfIf55 C�Ir !�P �PONf LIGlNSE• <br />L1�550f WOAN <br />❑ NE�N ❑ ADDITION ❑ ALTERATION ❑ F7EPAIR ❑ D[MOLILON ❑�YOOUS10VE/FRPLINSERT ❑ BUILDING RELOCATION_ <br />v�WAtioNorwonK�CoSto���+��ni�Lsi4USUe0Pi ' <br />X <br />SI <br />ior_ e�oc�—o� <br />� PROJEG1�O�ees: <br />� �17�1�- r <br />� PLUMBING <br />GSi <br />! '/� / f� �--' <br />�srwwN Beiaw an �i <br />0 <br />LAVATORY�WASHB�SINI <br />SMOWER <br />KITCNEN SINK S UISP <br />OISHW�SMER <br />UUNDHY TRAY <br />CLOTMES WASMEP <br />URINAL <br />ORINI(ING FOUNTAIN <br />FLOOR �RAIN <br />BACKFLOW PREVENTERS <br />ROOF ORAINS — NA�NLEP <br />CINN ISFRVICE —BRR. ET <br />. iPONi5E�6�C <br />USELONE <br />TVPE O� CONS <br />1 <br />, S�IEOf9lDo <br />, FII7E SPRI� <br />� u�vucnnor+ <br />SUl�OTAI <br />PERMIT <br />T0T11L FEE <br />f1EAR SEIB�CN <br />lOt ME• <br />OCCUPANCVGROUP <br />NO Of S10RIE5 <br />RED ❑ VES Ll <br />rinrvsa�Ecntonv <br />Cor�rs� <br />� <br />{ <br />f <br />iiOE SEIB�GN <br />V�C�NI SIIL <br />❑YES pN0 <br />NO 01' OwELIINp UNIIS <br />MnK OCC LO�D <br />1PPI1 fOB ISSu�NL[ Or <br />I HEREBY CERT�FV TfiAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br />?ROVISIONS OF IAWS AND ORDINANCESGOVERNING THISTYPE <br />OF WORK WILI. 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 OTHER STAiE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR TI1E PERFORMANCE OF CONSTRU�TION. ��1, <br />SIGNAIURG UI' GUNINACIGR O� �UTIIO�IIEO NGENT [1FiE 7 'a a <br />X �,m.� -� r�,� ��- <br />�rr� iur�rs cnr uvsvu ss ur.i Hst ��o <br />MECHANICAL <br />q�C — ����NOLG UNITS — H P <br />REFRIGER�TION UNIiS — M P EA. <br />AOILERS — B. T U M P <br />GAS FIRED A C. UNITS — 3 T U. <br />FOflCEO AIR SYSTEMS — B T U. M E11. <br />WALLHEATERS—BSU. M <br />UNITHEnTERS—B.TU. M <br />EypPpRATIVE COOLERS <br />CLOINESOFVERS <br />VENTILATION FAN <br />PANGEHOOD <br />WATER MEATER <br />WOODSTOVE <br />MET�L �IREPLACE 6 CMIMNE� <br />FIRE�'�CE INSERT <br />NEAiPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />VLAN CMECK NUMBEII I FEE <br />FEE <br />RECEIPT NO. <br />BUILDING 5 <br />PLUMBING <br />MECHANICAL � <br />OTHER <br />STATE BUILDING SUNCH�RGE <br />STATE ENERG� SURCNMGE <br />rueucwonKs <br />TOTAL 3� <br />PFiOPER1YLOINELOCATIONSA DNRELAiEDEASEMENTS.INGALL <br />R <br />