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���E'+N�^ APPLICATION FOR <br /> ""°` CONSTRUCTION <br /> everett °°"`" <br /> BUI�DING DEPARTMENT PE R M I T e <br /> 25b 8810 TO BE COMPLETED IN INK- PL�EASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATiON ,C�BUILDING <br /> ,w,,,q ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> . M.n •noness <br /> <'�?D ) cnr <br /> ' '�� �� UC�_ � ���� ����� ��J / aiv c�otir �---�_ <br /> e s e oo t s � �!i(C�(f'�� ���f �� �% S ��/� �l <br /> �. <br /> G r"' n«or�t '�— <br /> /7 �Hq ro � ' u nn css <br /> _L.'���/��_ - ar' nn n��nNe - <br /> �ICEN$f • <br /> . � 4 CpNiNlCtllq M�q �ppqf55 <br /> Qh IIV <br /> n���M[ uCENst . <br /> �'luMBiN.CUN�B��ION M�ry �DORE55 <br /> GLV lit` n�1pNE <br /> 11�5501 WUP� l4hN$f • <br /> �, NEW ❑ aODItION ❑ ALTERATION ❑ REPAIq ❑ DEMOLI110N <br /> p � ❑ WOODSTOVE/�RPLINSERT I�l <br /> ��001�, �`O ` ` s x «vcnnori <br /> /c/�s aeew <br /> (_�fU��Jl�<1y/'�f��1� Cl�d�� —�---� <br /> utir or mimr��6 �� <br /> �YY I HER[9V CERTIFY iHAT 1 HAVE qEAD AND E%AMINED ihll^qp <br /> �1ti�l FjSf.R� iONO/PROVENIY�SNOWNflELOWONd14U�i0URCO�iES� PLICATIONAMDKN <br /> PROVISIqNSOFLAWSANDORDNA�NCESGOV RNI�N�GRHISTVP[ <br /> �� =eioc�_or <br /> � ' OF WORK WILL BE COMPLETED WITH WHETHER SPFCIFiED HERE� <br /> IN OR NOT. THE GRnNTING OF A pERM1T DOFS NOT PRESUA�iE TO <br /> GIVE AUTHORITV iO VIOLATE OF CANCEL THE PROVISIONS OF <br /> ANVOTHER STATE OR LOCAL LAW REGULATING CONS7RUCTION <br /> OR THE PERFORMANCE f:r CUKSTRUCTION. <br /> $ION�Ll1RE Of CpNtRnpOR(i.l A�f110qiZF2 qG!NI <br /> f14iF <br /> �AniEC1�OpnE56 ���� �1�� �,�1� � <br /> •rnur.eHrscm uror.[ssuc[i�seNo � � �� <br /> � ��� � � /� <br /> � <br /> PLUMOING <br /> MECMANICAL <br /> Na• TYPE Oi FI1[TURE OR I7EM fE! <br /> W�TER CLOSET�TOILET� N�' T�'PC OF EOUIPMENi F!E <br /> BATMTUB ��C—AMNDL6 UNITS—N P <br /> UVATORV�WASM BI151N, AEFqIGERATION UNITS—M P EA <br /> SMOWER BOILER$—B T U�H P <br /> KITCHEN$INK 6 DISP GAS iIRED A C UNITS—B 7 U �' <br /> DISMWASHER FOHCEU AIR SYSTEMS—B T U M EA <br /> LAUNDRVTRAY W�«MERTERS—BT�1 y <br /> CLOTHES W�SNEH UNIT HEATERS—B T�J M <br /> URINAL EVaPORAi1yE COOLEPS <br /> ORINNING FOUNTAIN CLOTHE9 ORYERS <br /> FLOOH ORAIN �ENTILA71pN FAN <br /> BACI(F�OW PREVENTERS QANOE MO00 <br /> AOOF�RAINS—R�INLEADEPS WATER HFATER <br />' SINK ISERVICE—BnR.ETC� �'/000 STOVE <br /> MET�I FIREP�,ACE 8 CMIMNEV <br /> FIREPLACEINSERT <br /> HEATpUMP <br />� OAS PIPINO <br /> EIfMAUST FAN <br /> tUlTOTAL 1 <br /> pERMR � tUs TOT�L � <br /> TOTAL f!! f PCNMIT � <br /> TOTAIFE! <br /> '�•,�•;�5!�P�i'r RE�R SEtB�Cn <br /> S�oE 9[rBeCe �'LAN CHECN NUMBEH FEE NECEIPT NO <br /> �".f :UNf lO1�PE• <br /> V�C�NISitE FEES VAIUATION <br /> �res -iNo �E <br /> ������ ������5� OCCUPeNCVGROUP BUILOING S <br /> VO Oi DWfLLING UNrtS <br /> s�+E o�e�nn PLUMBING <br /> NO UI5IONiES M�X pCL L010 <br /> MECMANICAL <br /> fIRE SPqINNLERS REOUIRED ❑ yES ❑ Np O7MEP <br /> STATE BUILDING SURC`�ARpE <br /> >✓���-..r�,ns•:.; p, STATE[NERGvSURCHARGE <br /> Pl�NSI'NECKFUBY IopqFORi59WHGtBr <br /> / /' vue�ic woaHs <br /> � ` ' v ' iOTAL <br /> PqOPERTV OWNERS ARE RESPONSIBLE FOR DETERMINING ALl <br /> PROPER7Y LINE LOCATIONS ANO RELATED EASEMENtS. <br />