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�►,�PLICATION FORJ <br />G «'�°""' CONSTRUCTION <br />everett PERMiT <br />BUILDING DEPARTMENT TO BE COMPLETEO IN INK - PLEASE PRINT <br />269•8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �MECHANICAL <br />n I /�� Q �M/�I�L �DDR / /J C fY 2 P� <br />�NE�I� 1 Vl.l� \%(�J /li_.17�� ���lQ���C[l� L� fZfr�-� �D� <br />PLUMBING ❑ SI(iN <br />40NE <br />�—�I.=i(') �, <br />AIICMIfEGTOI�EB�ONER M�iI��ORES V GITV 11G •n�nc <br />OENERI1lGONfR�GTOR M�IL�ODRE55 CITV 2iP oHONE LICENSE• <br />MESM�NiUL CONTF�GTOq MML �OpRE � GIT' Z G P��ONE LICENSE • <br />� i�lc� C�n.S �" qR �°�r��� �1��l ���� �-i.c�s��c. <br />, <br />PIUMlINO LONTR LOA MML �DOPE55 C n' 21V P �ONE L CENSE <br />1 � �, 1 1 <br />tOF WORK <br />NEW ❑ ADDITION �ALTERATION ❑ REPAI(i ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br />PLUMSINO <br />� <br />Y �WASH BASIN� <br />S�NK ! DISP. <br />MEP <br />TRAV <br />FLOOR DRAIN � <br />B�CKFLOW PREVENTE <br />ROOF DR�INS — RAINI <br />SINK IBERVICE — OAR. <br />20NE <br />!OFCONtt <br />fU/TOTAL <br />/EIIMIT <br />TOTAL F[! <br />RE�RSETB�CK <br />IOT�RE� <br />61ZE OF BLDO. INO OF STORIES <br />� <br />I fIRE SPFINKLERS FEOUIRED ❑ YES <br />�YpuCAfION sCG. BV PUN4l'MECNEI <br />� <br />I <br />i <br />SIOE SETBeGR <br />V�C�NTSITE <br />OYES ONO <br />uv eo. ov oweiuNn ur+rts <br />M�%.OGC. LO�D <br />❑ NO <br />gy APFP.FOR�SSU�NCEBV <br />I HEREBV CERTIFV THAT I HAVE FEAD AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAMETO BE TRUE ANDCORRECT. ALL <br />PROVISIONS OF LAWSAND ORDINANCES GOVERNINGTHISTYPE <br />OF WORK WILL BE COMPLETED VJITH WHETHEfi SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOIATE OR CANCEL THE PROVISION5 OF <br />ANY OTHER STATE OR LOCAL LAW FE6ULATIN6 CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. . <br />SIONAT� OF�PC�A A^ TH IZED �GENT ��TE <br />X Ss - /x �%� <br />MECMANICAL <br />NO. T'n <br />A/C — A/HNOL6 Ui <br />REFRIGERIITION U <br />BOILEPS — B.T.0 i <br />OAS FIRED A.C. U� <br />FORCED IVR SYST <br />WALL MEA7ER5 — <br />I INIT MF�TERS — <br />I — H.P. <br />i — H.P. EA. <br />—BT.0 <br />— B.T.—� <br />U. M <br />J, M <br />VENTILATION FAN <br />q�N�EMOOD <br />WATER MEATER <br />WOOD STOVE <br />MFTAI FIREPUCE 6 CNIMNEV <br />FIREPUCE WSERT <br />MEATPUMP <br />6AS PIPINO <br />E%HAUSTFAN _ <br />!UlTOTAL <br />KIIWT <br />TOT�LFEE <br />PIqN I;MECK NUMBEN FEE RECEIPT NO. <br />FEES VALUATION �E <br />GUI�D�NG 5 <br />PLUMBING <br />MECHANICAL <br />OTNER <br />STATE BUILDING SURCHARGE <br />STA7EENERGVSURCHAAGE <br />PUBLIC WORKS <br />TOTAL <br />PROPERN L�INE LOCATONS A D RELATED EA EMENT'$. NQ ALl <br />_—� <br />