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� .,PPLICATION f0. ��e«n <br />'".`""°"'° CONSTRUCTION e <br />GItY OF <br />Pverett PERMIT <br />DiPT OFC(�MMUNITYDIVILOPMENISkRVIC!S <br />❑TY HAiI 259�8745 <br />FVFHtn,wn�eioi �COMBINATION ❑BUILDING ❑MECHANICAL ❑PLUMBING PERMITNO. <br />ONM1IN �� �L.... �� �NII �P11NI1\ 1111 /II' PIIONI <br />�' ftl�i. �c:l LA) E i�i���iJ5.1 <br />�T�1��� �- �' e � �=c- f�� ,� ��e_�t� <br />AqC11111Ci OM OI9�:rvIN ���Il nIt1�MIN J ( 1�1 lIP PIION! <br />�-��c� �/ �.�.,�ti_�;N lt ! i�titi __`L 11 �; �: r�c r� 3; 7%ui'L <br />GINIM�I(O��IN�t10 MUI�f)UPISS �il� /il` VIION[ IICIH511 <br />\IIIINM1II �I l O�IN�I ION �NII M)ONl ll � II� /IP FIIOAI IICINSI I <br />�'11�1111\I.IUHIq�tlpR nIVIAUUMIN 11�1 JIp PllOrvl lIC{NS(� <br />11 �\\ lll N<1PK�� <br />❑NE�� L�S�oo�TioN ❑nir�a�noN ❑HEr�iR <br />\Yl�IQ1\OINONI. " .Y. <br />J� 1,�-rt�" , � � Z ts0 . �,,. <br />` "- <br />UI�� 11' NUN• <br />hC'-�i F'-C�Cil� � l�t �i' <br />rwo�V�.11�1�1 ul nUnDrvC. <br />11 f. \I I)14N IP11O4 OI PNOI'I N � 1 ISIION N fl110N' ON � I f sl 111 Ol1N l OPII b <br />��„ � �;-„ �,��, O �„ I��RI'�,zT a�rzcs <br />(.� ' (- L Ih _ <br />u�x.onai�� <br />PIUMBING <br />NO. TYPE OF FI%7U0.E <br />ri'�TI R CIOS[ 7 1101if II <br />I P�iH1UP <br />I IA\'AiOR� IN'�SH FlASIN� <br />S��ONI M <br />kIlO1IN NM1I: A OISf <br />DIL\YASHIR <br />UUM1ORI 7NA1 <br />QOIMlS ��'ASNrR <br />WAIIR NU7lH <br />URINAI <br />DRINMING fOUNT�IN <br />I IOON DRAIM1 <br />\'ACUUM1I BftFAKFRS <br />ROOI ORAINS-PAiNLFADf NS <br />SINN I51 RVICI �� NAR. 1 iC 1 <br />� <br />� <br />SU! TOTAI <br />Df V�Rp SffO.�CK SiNlfi S[ <br />i 5 '-i D <br />Sf ZO`�f l07 ARFA <br />P�s �� <br />AN YARO 51 <br />VAUNi Sllf <br />�' (7YR �b <br />�—^J R-3 <br />size or a.oe r+o or s�OPIFS <br />I�.° `�' FT <br />flRl ZO'+[ B�SFMFNI 11111NOU <br />� nJ o 1 <br />A���OV�IS <br />� (NVIRONMfN1ALCM[CKlIST <br />7 9UILDING PUNS <br />) {Ip[ MYD0.�N7 <br />� RRf PFOTFCiIOH SYS7EM <br />'� LRADINf.�I %1 AV�ili1N 6 Cll �N�NGILRUNNING <br />6 DHAINAGE <br />7 lNVINONM[NTAI IMPALT SiATEMENT <br />E NFAIIH ORTHICT <br />�� <br />AVVIIUiIONACC NY PL�NSCMFCKlDPY <br />i/.C., <br />�.7.; 9 <br />Nf <br />er <br />❑OEntO11T10N ❑FFNCf ❑SiLN ❑GARAGE ❑BUILDII�: RELOCATION <br />I HEREflY CGRTIFY iHAT I HAVE READ AND E%AMWED THIS AP- <br />Pl�CA710N AND KNOW THE SAME TO BE TRUE ANU CORRECT ALL <br />PROVISIONS OF LAWS AND GRDINANCES GOV[RN�NG THIS TYPE <br />OF WORK WILL �f COMPLIED WITH WHETHER �PEGFIED HEREIN <br />OR NOT THf GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR UNCEL THE PROVISIONS OF <br />ANY O�HER 51ATE OR LOCAL LAW REGUUTING CONSTRUCTION <br />OR THI PfRFORMANCE OF CONSTRUCTION. ,-��/8O <br />sir,Hn�ux; or cor�iencioe oa nun,oa2m nce�i oet[ ,� <br />MECNANIUI <br />NO. 7YF[ OF EQUIPMENT <br />AINCO4D UNIiS-��P fA <br />XffHIGINAIIONUNl1$-MP U <br />1101UX5-MP IA <br />fA$fIH1UAC U'�I75-IONN�REA <br />IOXCt11 AIN 51�1lMS-N � U �' <br />NALl111Ai1N5-II1L A1 <br />UNII HUfINS-111 U b� <br />�Y�PUR�IIVE COOlIRS <br />' \qNIqAlION1A4 <br />NAN(;� MOOD <br />AIR 11:1NIll ING VNIT- C i nl <br />SIOYt <br />All 7 Al I INI PU(1 6 CIIIMNt Y <br />�� SV! TOTAI % <br />_ �[�MIT ! <br />y ^ TO7Alf[E � <br />fK PIANOIIC��UMPlR PUNCHECAfFE <br />ffE "� NFCEIpPT N`O <br />��.��, ? J� U� <br />IflS V�W�710N fl <br />UNIIS <br />UATF <br />APVH fOR ISSUAN[I <br />����� �����; <br />riuMmnc <br />AlICr1�Nl('AL <br />OTMfR <br />PI NA' TY <br />UBC <br />5[C lONal <br />TOTAI I I ��C <br />�fI1M1T VA�'OATION <br />WIIt N PRUf''PLY V�dlq�iEO11N TMd SPACq TMIS 15 YOUR PERMIT <br />�S.do „��. eN P�,o�C�. <br />�� . <br />