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t��ErerDiNn �r�.PPLICATION FOi��� <br />��TM�F CONSTRUCTION <br />everett PERMIT <br />BUILDIIJG D�PARTMENT <br />259-8745 TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />VW��In _ mni�nu <br />!'%.(%'/% %). / ,-,`� ". � <br />•RCNIfEClOR0E510NER MRR�O <br />GENEiut <br />�° �� 7' <br />, � <br />7� � <br />.�_i+���.-ii-sT <br />everen <br />� <br />❑ PLUMBING O SIGN <br />FIIONE `i��lr —'�l.a��- ( <br />� . ..� .: . <br />- R6 y-3i�'S �,,.�..�� . <br />MECIIRNICFLQONIfi�GlOq muLnVV��ep: Wi♦ � [n nNNG LICENSE• <br />PLUMBIN6C0111P�CIOR MAILAOORE55 QiY ZIP PIIONE UCENSE• <br />� NEW ❑ ADDITION ❑ ALTERA710N ❑ FtEPAItt ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING FELOCATION <br />vs�wno�i oOr wonK icos� ov Mniu:inis vius �naoni <br />¢'� / �L�! � . !.� � � <br />OESCRIBC WO N <br />ior—eioc�_ <br />PROJEGI�pDPE55 <br />/ <br />%��- % - <br />PLUMBING <br />BA7NIU8 <br />LAUNDRVTRAY <br />CLOiHES WA91ER <br />WATER HEAIEH <br />URINAL <br />DR�NNING FOUNTAIN <br />I HEREBY CERTIFY 7HAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TfiUEANDCORRECT. ALL <br />airacnrouncoriesi pROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />l'iIVE AUTHORI7Y TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER ST�TE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONiPACiOR OR AUIMOR12ED AGENt OM1TE <br />APPULANI'S CIiY 6�151NE55 LICENSE NO� <br />i <br />LC �'�� l�'�c •J' _ <br />MECHANICAL <br />FEE NO. TYPE OFEOUIPME <br />AIR COND. UNRS—H.P. EA. <br />REFRIGERAtION UNITS—H.P. EA. <br />EOILERS—H.P. EA. <br />GAS FlRED AC. UNITS—TONNFGI <br />FOPCED AIR SYSTEMS—B.T.U. A <br />WALLMENi'cRu�-6.LU. M <br />UNI7HEATERS—B.T.U. M <br />M <br />_ I TOTALFEE SI I I I TOTALFEE SI <br />THIS PORT90N TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />FqOH�5El0ACN �LnO5GI0PCK SI�ESEIO�CN NLANCHEC/ggg NUMp[f1 -^ /�� PFANCIIECK�[E <br />?�� �)(� � <, � __ C�J""� 1 1�)I!� fEr / W PECEIPiNO � <br />/1 I ' 1 !-1 � � <br />USEIONE LOfAf1FN V�f,qll $IIE <br />� �� �f' � fEES �I1LU�TION FEE <br />/�.' � <br />IYP[ Of Cpllsl <br />v — n/ <br />SIZE Or UIOG <br />/•��� �,� <br />FIRE SPRINKLERS <br />4VPLICAIlOt1 PGf, OV <br />���1 <br />�l: ) lU <br />i <br />curnr�cr cnaur <br />,//- / <br />� <br />DYES NO <br />NO. Of OW[ILING UNIIS <br />z9— <br />Mp%. OCC. LOnp <br />� <br />❑4CN[DDY APPf1.fORI55UANCEBY <br />�;�� � . � . <br />�UILOING <br />PIUMBING <br />MECH�NICAL <br />OTHER <br />PENFLTY <br />TOTAL <br />O <br />S <br />��7 <br />