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....... ,_ <br />',-,PPLICATION FO�.' <br />fn� EwryrNn C O N ST R U C T 1 O N <br />cm oF <br />everett PERMIT <br />BUILDING DEPARTMENT <br />259-8810 TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />� PLUMBING <br />O SICiN <br />CU�k',(�Iri'�'�lf�lC.;.C',� 9.:,�•�('�-r;'?�rd�.:�l,�i�dti�+p, !���;;Jr'�� . <br />•PCMITECTONDESiONEH M�I/A0pRE5S CiiY IiP PNONE <br />GENEPIILCONTRACIOR MML POORESS Cltt ZiP PHONE 4CENSE • <br />MECM�NIGLCONTR�LiOfl MMLAOORESS Cltt ZIP VMONE UCENSE• <br />�%1. )V /��lt/I <br />PLUMBIN�CONTR�GIOR M�ILADORESS ��n' ZIP PIIONE LICENSE� <br />i <br />�Vl��7C�K�I(_ �-'-11-_, Z�C�!���i'. (���., 1(�-;;�:; ! .�ll111_�_i,<<(� I,/(i't��•l1l'�� �'r�Fl.�.��-t-� �1'i�11�C1ti'('.L_:�.�O�l <br />CLASS OF WORN � <br />❑ NEW ❑ ADDITION L�7 AITERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br />VALUATION OF WORK �CO51 Oi MATERIALS PWS LRBORI <br />i n.��<t-_.�-1 � ���:� ���-a <br />. ,, <br />=rYL C.('c�. J��1 �'c.l t(4 c,c-t , <br />IONO pOPERTY�SHOWNBELOWORnTTACHFOIIHCOPIE: <br />PNOJECTAOORE55.�/� <br />� �' +' 7 I ��i <br />PLUMBING <br />USE20NE <br />IaVATORY IN�ASH BASINI <br />SHOWER <br />KITCHEN SINK 6 DISP. <br />DISHWASHER <br />LAUN�RVTRAV <br />CLOTHES WASHER <br />. .� �J�c�r L� a' � <br />I HEREBY CERTIFY THAT � HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME T08ETRUE ANO CORRECT. PLL <br />PROVISIONS OF LAWSAND ORDINANCES GOVEHNING THISTYPE <br />OF IYORK WILL BE COMPLETED WITH WHETHER SPECIFIEO HERE- <br />IN OF NOT. THE GRANTING OF A PERM�T DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PFOVIS�ONS OF <br />ANY OTHER STA7E OR LOCAL LAW �Fr ULpTING CONSTRUCTION <br />OR THE PERFORMANCE OF CON&TRUCT�ON. . <br />SIGNATURE OF CONTPACTOR OR FUTHORIIE� AGEVT �AiE <br />!� /��-%1 .�.il. /fi . ._.//n..�(,�"� <br />MECHANICAL <br />OR ITEM FEE NO. TVPE OF EQUIPME <br />A/C — A/HNDLG UNITS — MP. <br />REFFIGERATIONUNITS—H.P EA. <br />�-S BOILERS—B.T.U.IH.P, '� (' <br />GAS iIRED A�C. UNITS — B.T.U. <br />FORCEO AIR SYSTEMS — B T.U. <br />WALL HEATERS — B.T.U. <br />UNIT HEATERS — B.T.U. <br />DRINKING FOUNTAIN <br />FLOOR ORAIN � <br />BACKFLOW PNEVENTERS <br />ROOF ORAINS — RAINLEADERS <br />SINK �SERVICE — BAR. ETCJ <br />ALC B� <br />SUB TOTAI <br />PERMIT <br />TOTALFFE <br />RE�F SETB�CN <br />OCCIIPANCV GROIIP <br />� <br />f <br />f <br />SIOE SETBACN <br />VAC�NT SITE <br />OYES ONO <br />ND OF DWELLING 11N1T5 <br />ranx. occ. �ono <br />APPR. FOR ISSUANCE BY <br />VENTILATION fAN <br />RANGEHOOD <br />WATERHEATER <br />WOOD STOVE <br />METAL FIflEPLACE d CHIMNEV <br />FIHEPLACEINSERT <br />MEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTAL <br />PfNMIT <br />M <br />M <br />M <br />ea <br />PLAN CMECK NUMBER I FEE I RECEIVT NO. <br />BUILDING 5 <br />PLUMBING <br />MECHANICAL <br />OTHEF <br />STATE BUILDING SUPCHAPGE <br />STATEENERGYSUFCHARGE <br />PUBLIC WORKS <br />TOTAL <br />PROPERN OWNERS ARE RESPONSi�� E FOR �EfERMINING ALL <br />PROPERNLINELOCATIONSANDRELAI.��ASEMENTS. � <br />I <br />