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^ � <br />APPLICAI'ION FO1� <br />�^.Ew'°�'° CONS�RUC;TION <br />GITV OF <br />everett PERMI�T <br />BUILDING DEPARTMENT TO BE COMPLETED IN INK •�LEASE PRINT <br />259•8810 � <br />❑ DEMOLITION ❑ COMBINATI��h L'iBUILDING ❑ MECHANICAL <br />OWNCN M>IIAOD��L55 � 1 /� CITM Z�r <br />//nn.l r'c�.�%../ (,S�aOI •Z2 �QK SC- IURI�E6GK Qp0/ <br />rnaii >oo <br />uTr zi <br />c <br />�;��i�� $i <br />��` . <br />❑ PLUMBING <br />P��ONC <br />evaetl <br />e <br />❑ SIGN <br />PLUM0IN�CONIRACiOR M�I1ApDNC55 CIiY LIP PIION[ LICf�15f• <br />�tAS O( WORM <br />�NEW ❑ ADDITION ❑ ALTERATION ❑ AEPAIR ❑ DEMOLITION ❑'�YOODSTOVE/FRPL.INSERT BUILLING HELOCATION_ <br />WLUA110NO�WO�M�LOS10�M114iCIiIFLtiPllI5UB08i � <br />95. ea� <br />wnnn <br />�oi o•v <br />PLUMBING �/ <br />NO. nPE OF FIXTURE OR <br />W�TEH CLOSET ITOILET) <br />BATMTUB <br />!' UVATOHYIWASMB�SINI <br />SHOWER <br />KITCNEN SINK 6 ��SP <br />DISHWASMER <br />IAUNDRY TR�V <br />CLOTHE$ WASMER <br />URINAI <br />ORINKING FOUNTAIN <br />FLOOA OAAIN <br />BACKFLOW PREVENTEAS <br />ROOF DRAIN$ — RAINLEADERS <br />SINK ISERVICE — BAR, ETC � <br />ai2— r <br />�h <br />OFNtDO <br />iz9 <br />an rtTncr� rouA <br />FEE <br />SUB TOT�L f — <br />PERMIT f <br />T0TI1l FEE f ' <br />qEpq 5� O� SIpE SC1BaC; <br />Z � <br />LOi��O� J VACRNi51iL <br />Y ' (5 I]NO <br />OCC�PnNCYGROUP HOOFOWELLINGUNrtS <br />� -3 ( <br />r�o or sroniEs unx. occ iono <br />RED ❑ VE��un <br />r�arvsCNEcnEoov nrPRfoBt55WHcler <br />� <br />I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BECOMPLETED WITH WHETHERSPECIFIED HERE� <br />IN OR NOi. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AU7HO�ITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANV OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />sicr�au�y�1corcornnncrcnonnunwrazeoac�Hr nnre <br />i� / / /,�/� //� _�c. //�/�6 <br />nnRiur+rsai� uusiHessrecrvu •+u <br />� O �o <br />MECHANICAL <br />NO. TVVE OF E�UIPME <br />piC — A�HNDLC UNITS — M P <br />REFRIGEPATIONUNIiS—HP EA. <br />AOILERS — 0.T U iH P <br />GAS FIREO A C. UNITS — BSL. <br />FORCED A�A SvSTEMS — B.T U. <br />W ALL MEATER$ — 8.T U. <br />UNIT /1EATERS — 8 T U. <br />EVPGOFATiVE COOLERS <br />CLOTHESORYERS <br />V(NTILAiION FAN <br />RANGEHOOD <br />WnTEHMEATER _ <br />WOO� STO�E <br />METAL FIREPLACE 8 CMIMNEY <br />FIREPLACE INSERT <br />MEAT PUMP <br />GAS PIPING <br />E%MAUSTFAN <br />SUSTOTAL <br />PEPMIT <br />PLAN <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />STATE OUILO�NG SUru:nnM� <br />STATEENEPGYSURCHARGE <br />PUOLIC WORKS <br />TOTAI <br />M <br />M <br />M <br />FEE I� RECE�I-P-T.�NO�. <br />�Of �L./ /� <br />@ <br />PROPERTV OWNcRS ARE RESPONSIBLE FOR DETERMINING ALL <br />PROPERTY LME LOCATIONS AND RELATED EASEMENTS. <br />