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rAc F�r�pnrn _ <br />cnvoi .r � � ��/v � �VIV . <br />everett PERMIT PERMITNQ;^�OT49 <br />259-8i45 <br />� DEMOLITION ❑ COMBINATION ❑ BUILDING O MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNC(1 MAII AUpR[SS CIIY lIP {'110NE <br />�erqreen pfanor 2613 Summitt Ave Ev r tt 98 O1 258— 407 <br />.ncnn[c*o��ncsmNoi unn.noon�ss cnr z�r rNor+e <br />G[NER4LCON10RCiOR A�MIAppRCSS f.ITY l�P fM�ONE IICENSE� <br />Owner <br />IaECNANIULCON1P�GiON MMI�ODR[5•v C11Y ZIP pHONE LICENSE• <br />MMlPO0RC55 <br />CLA55 OP N'OAn <br />❑ NEW G ADDITION ❑ ALTEHATION ❑ REPAIR <br />WIWTIONOf WORN <br />S <br />D[£CAIAE 1VORN <br />Demolish house and garage. <br />NEAi50URCE <br />❑ ELECiA1CITY ❑ GI1S ❑ WOODSTOVE <br />V V1lVlryl� <br />Single family residence <br />ioT 1�-�cK 594 or <br />PLUMBING <br />TYVE OF FIXTURE OR ITEM <br />WATER CLOSET �TOILET� <br />EATHTUB <br />UVATORY �N'ASM BASIN� <br />SMOwER <br />KITCMEN SINK 6 DISP. <br />DISMWASMER <br />IAUNDRYTRpY <br />CLOTMES WASHER <br />URINRI <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFIOW PREVENTERS <br />ROOF ORAINS — RAINLEADEflS <br />SINK �SERVICE — BAR. ETC.� <br />USE20NE <br />rraE or cor+sr <br />SiZE OG BIDG <br />FIRE SPHINNLERS REOI <br />pPGLICATIONACG OY <br />S.H. <br />SUlTOTAI <br />PERMIT <br />TOTALFEE <br />PLANSCM[CNCOOY <br />CIiY <br />kl DEMOLITION <br />❑ OTMER <br />IiP 1110NE LICENSE � <br />❑ BUILDING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE ANO <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR <br />TNE PERFO '_ E OF OPJ$,TRUCJION. <br />si�Hntu r cru On �y[�OncEyrfonovmea DATE <br />X ��,i� �- �4 ifs� <br />FEE NO. TYPE OF EOUIPMENT <br />A-C — A-HNOLG UNITS — H P <br />REFRIGERAiIONUNITS—HP EA <br />BOILERS — 0 T U./M P <br />GASFIREDAC UNITS—BS.0 <br />FORCEDAIRSVSTEMS—OTU. MEA. <br />WALLHEATERS—BTU M <br />UNIT HEAiERS — 0 T U M <br />EVAPORATIVE COOLERS <br />CLOTNES DRYERS <br />VENiILATION FAN <br />RANGEMOOD <br />WAiER1iEATER � <br />WDODSTOVE <br />METAI FIREPLACE 6 CMIMNEY <br />F�pEP�ACE INSERT <br />HEATPUMP <br />GAS PIPING <br />EXNAUSTFAN <br />V/ CRNT SITE <br />=lrEs U�+o <br />NO Of DWRLING UNITS <br />MAN OCG LOAp <br />nrrr� ron issunNce ov <br />SUBTOTAL <br />PRflMIT <br />PLAN <br />FEES VALU ION PEE <br />fiUILDING ��%� <br />PLUMBING <br />MECHANICAL NOOOLO�4�J <br />IfJVESTIGATION FEE <br />STNE �UILDING SURCHARGE �{� ,� <br />S,ATEENERGVSURCHARGE � <br />URIVEWAV PERMIT H�SB19 <br />TOTAL � 3 50 <br />PERMIT V�LIDATIOY <br />WMEN PROPERLY V�LICATED pN THIS SPACE� THIS IS YOUR PERMIT <br />Q1 <br />�� <br />��� <br />� <br />N <br />�un [�:,��;t <br />