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I .. <br />�� k�'PLICAT�ON �'OR-�' <br />'� ��.E..,�,,.� CO N ST R U CT i O N <br />cin oF <br />� everett PE���T <br />BUILDINGDEPARTMENT TO BE COMPLETED IN INK- PLEASE PRINT <br />259-8810 <br />❑ COMBINATION �BUILDING ❑ MECHANICAL, <br />O DEMOLITION �— n , <br />idniinoDn[55���� � �-��re-f� <br />�11anC, m��-�0( �yll� .. , <br />�,r = <br />. _ _.._ i ano ess <br />everetl I <br />e <br />�a- a a 1 <br />❑ PLUMBING ❑ SIGN <br />�'��'a-5�/ O <br />--'—�— m, vnoHc ucunsc. <br />PLUMOiN . CON1��CtOR <br />AIAIL AOD�E55 I:IIY , <br />OF WO�N <br />NEN' ❑ ADDITION ❑ ALTEF7ATION ❑ A�P�IR ❑ DEMOL171UN ❑ WOODSTOVEJFRPL.INSERT ❑ BUILOING F7ELOCA710N <br />,n� U� oaei�c�os�reai[nip�srtus�nopw , <br />'� i:ia i 1 o d <br />T �`T�1l� � �--_ <br />s� C�� �'a t, w oolsfu.� ° <br />F -r� �5 �c <br />onocniv iS110WN �[l0 W OP A�1��H f OU� COPIE�SL. <br />,1.� �'-�-� CV P 1( <br />PLUMBING <br />NO. TYPE OF FIXTURE OR <br />WAiER CLOSET �TOILET) <br />gpTHTUB <br />�AVATORY�WASH BASINI <br />SNOWEN <br />HITCHEN SINK 8 OISP. <br />DISHWASHE <br />LAUN�RVTPAY <br />CLOTHES H'ASHER <br />UR�NAL <br />DRINKING FOUNTAIN �\ <br />FIDOR �RAIN � � <br />ROOF DiiAIrvS — ��"v�� � <br />, SINK �SEAVICE — BA '�TC 1 <br />i <br />i <br />iRONiSE�u/n�crc , <br />V� <br />USE ZON[ <br />� �' <br />iVPE O�✓Si <br />si2E of 0� nu � <br />AVPLIC<11Qt1 Al]C <br />� <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />(iERR SEIB/CR� <br />� <br />�.pr nnEa <br />M-1 <br />Uf S10Pi[5 <br />� <br />OY <br />$IDE SE/IBNC2 <br />b � <br />---- <br />VAf,AIlf SIIf. <br />I1vES `�O <br />/� <br />Ho or owe�ur+c u�ms <br />.�� <br />�MAM OCC LO�U <br />u �- <br />RPPR PJB ISSUANC[ BY <br />/.�--� <br />I HEREBY CERTIFY THAT I FIAVE READ AND EXAMINED TNIS AP� <br />PL ICATION AND KNO W THE SAME TO BE THUE AND CORRECT. ALL <br />PROVISIONSOF LAWSAND ORDINANCESGOVEFNINGTHISTYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEaE� <br />IN OR NOT. TIiE GRANTING OF A PERh11T DOES NOT PRESUME TO <br />ANYO HERSTIATEORIOCALLOAWREGULATINGCONSTR�UCTION <br />OR THE PERFOR�dANCE OF CONSTRUCTION. <br />SIG������ ��:��������CtGROR�UTMOiiiZEDAGENi DhiE <br />X %QI��L �. �ZC�.rJC-�'� ���a�-� <br />��.,.�,�, „«�:��.�,�,�.�<<s.,��,,,,E�,a <br />MECHANICAL <br />NO. TYFE OF EOUIPMENT <br />ArC �- AMNOLG UNR$ - hl P <br />REF�IGERATiONUN1T5-HP EA _ <br />�OILE115-BiU�NP <br />G�SFIRGUAC UNITS-BT.U. <br />FORCEDAIRS�STEM$-BTL. MEA. <br />WnLL��EATERS-B.TU. �"� <br />UNIT HEATEf15 - ��T U - M <br />EVAP0f7nTIVE COOLEf75 <br />CLOTHES �(1YER5 <br />VENTILATION FAN <br />RANGEHOOD <br />WAiE�7HE�TER <br />WOODSTOVE <br />h1ETAL FIR[PLACE d CMIMNEV <br />FIREPL�CEiNSEPT <br />HEAT PUMP <br />GAS P�FING <br />E%H�USTFAN <br />- SUBTOTAL <br />PERMIT ^ <br />TOTALFEE � <br />FEE HECEIPT N� 1 � <br />PLAN CHECK NUMBER I � <br />�-� ������-I 1 �� ` <br />FEES VALUATION PEE <br />BUILOING 5 <br />PWti�BING <br />�� <br />MFCHANICAL <br />OTHEi7 �� � ' � <br />STATE BUILDING SUf7CNARGE � <br />STATEENERGYSURCHAFGE <br />PUBLIC WOiiKS Z <br />TOTAL � <br />PROPERiY�NELOCAilONSA DNRELATEDEADSEMENIISINGALL <br />