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CONSTRUCTION <br />IM EwrOrNn <br />pT' of <br />everett PERMIT <br />BUILDING DEPARTMENT TO BE CdMPLETED IN INK- PLEASE PRINT <br />259•8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDINO �MECHANICAL <br />❑ PLUMBINCi <br />❑ S16N <br />pLUMB�NGCONfR�G�OR M�II.�UORE55 CIIY ZIP PIIONF llCl.NSf • <br />:US50�'MOPr <br />❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTUVE/FHPL.INSERT ❑ BUILDING RELOCAf10N <br />PROJEGI <br />PLUMEINO <br />No-t— <br />ROOF <br />SINK I <br />NpN1 SF�9�f,k <br />USF LONL <br />S�lE <br />Y �WASH BASINI <br />SINK Q DISP. <br />MER <br />TRAY <br />FOUNTAIN <br />. — BAR`ETC 1 <br />SUSTOTAL s <br />PERMIT ! <br />10TAL FEE s <br />nSEfB�GN SiOESETB�CN <br />����� V�C�NT S�TE <br />OYES f1N0 <br />:UF�NLYGNOUP NO.OFOWFIIINOUNITS <br />Of Si0HIE5 M�X OCG LO�D <br />� ❑ YES ❑ NO <br />pN51;11ECkE0BY 11PCN fORI55U�NCEBY <br />I HEREBY CEHTIFY THAT I HAVE READ AND EXAMMED THIS AR <br />PLICATIONANU iCMOW THE SAME TO BETRUEAND CORRECT. ALL <br />PROVISIONS OF I::WSAND ORDINANCESGOVERNING THIS TYPE <br />OF WORK WILI. BE CCMPLETED WITH WHETHER SPECIFIED HERE• <br />IN OR NOT. THE GRANTIN6 OF A PERMIT DOES NOT PRESUME TO <br />OIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIOPlS OF <br />ANV OTHER STATE OR LOI:AL LAW REGULATING CONSTAUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. . <br />$16N�TURF,OF�A� QAO��ORIZEDAGENT�� ��_�'� <br />I <br />X /7 /] <br />v <br />MECHANICAL <br />T'PE OF EOVIPMENT <br />A/C — A/HNOLO UNITS — M.P. <br />REFRIGERATION UNITS —H.P. EA. <br />BOILERS — B.T.U./M.P. <br />6AS FIPED A�C. UNITS — B.T.U. <br />FORCED RIR SVSTEMS —B7.U. M <br />WALLHEATERS—B.T.U. M <br />UNIT MEATERS — B.T.U. M <br />EVAPORATIVE COOlERS <br />CLOTNESON�ERS <br />VENTIUTION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE a CHIMNEY <br />ctaEFLACE INSERT <br />GAS PIPING <br />E%MAUSTF/ <br />PI.AN CHECK NUMBER <br />SUSTOTAL <br />KHMIT <br />TOTALFEE <br />�FEE <br />HECEIPT NO. <br />aui�owc S <br />PLUMBING <br />MECHIINICAL <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATEENERGYSURCHRNGE <br />PUBLIC WORKS <br />TOTAL <br />PROPER YUNELOCATONSANDNRELA EDE SEMENTISINGALL <br />