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, .PPLICATION FO► _ ���,�„ <br /> ,".E""°"°" CONSTRIJCTl0�1 0 <br /> cm ov <br /> everett PERR11T <br /> BUILDING DEPARTMENT <br /> 259�8745 TO BE COMPLETED ISJ INK- PLEASE PRINT <br /> ❑ DEMOLITION O CUMBINATION f1�111LDING ❑ MECHANICAL ❑ PLUMBING ❑SIGN <br /> OWN[R MAILRODRE53 GIIY )IP PNON[ <br /> (�AR �Asr'� �,c/�iclltRs 's�—�-�o:� ���'N`+� �'�. ?u527 5�/li�l.[-' y'3'/a '7 '789- 37v0 <br /> •ncrurzcronocs�cNcn Mennooncss urv ;�n r�roHc <br /> c CU(cR eo. �3y,5 N� �osS Ituc:-. �v/���(�un 47227 �s8 -s:�yl <br /> GENE l CONiR�GIOR MAIL�OORC55 GItY ZIO PMONE IIC[NS[• <br /> � CJ�9.sN �-�17_�,p(sr'< �f5"v3 8r�NlJ (�b '�.`,27 'a..'-illl�k 98/0'1 789-3700 C�A2WAE.i /5v�5 <br /> UECIUNIGLf.ONIMC101� M�ii�ooness cnv zm r��o�+e ucu�<<• <br /> PlUM0�N6GONIPACiOR MAII�D�AEfS CItY lIP �IIJNE LICCNSE� <br /> CL�SS OF WOR <br /> ❑ NEW AOOITION ❑ ALTEf7�TION ❑ REPAIfi ❑ flEMOL1tION ❑ WOODSIOVE/fRPL.INSERT ❑ DUILDING RELOCA710N <br /> VAIU�IIONOf o iCOsror�nni[nul5vW5UBOn1 �,J � g3v G C� <br /> n�scnie�wonrc <br /> e C Ou : <br /> uscorevaou+o I HEREBY CENTIFV THAT I HAVE READ AND EXAMINED THIS AP• <br /> PLICATI�N AND KNOW THE SAME TO BE TRUE AND CORaECT.l1LL <br /> iccetoescnimior+orrnor[nrr�s��owr�oEwwonnnna�roupncor�[si PROVISIONSOFLAWSANDORDINANCESGCVERNINGTNISTVPE <br /> io�'�moc gs or �� � � �� �'-V4`1\t'I� `7�H'ORK WILL f3flCOMPL[lED WITH WHETHEfi SPECIFIEO H[RE- <br /> IN OR NOT.11iE Gi7ANiING O�A PEf7MiT DOES NOT PRESUME 70 <br /> GIVE AUTHORIT'f TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> � IV � ANQ A Q'�R� IoN L�� ��OC ANYOlIIEtiSTATE0I7LOCAlLAWREGULA7INGCONSiRUCTION <br /> OR THE PERFORMANCE OF CO STRUC710N. c <br /> �IN I S�C\�� �R �T SIGNATUHE OST:GNt CT n n nutr i:112ED AG i 1)�lC � i y� O J <br /> X <br /> PROJECI�DDRE55 rl�Q�C W� (A A�PUCANi5G1Y01151NE5S1.1 'ENO <br /> ' �SP3 1�ii�4d�! �L� '� — /7PF� <br /> PLUMBINO MECHANICAL <br /> Np. TYPE OF FI%TURE FEE NO. TYPE OF EOUIPMENi FEE <br /> — WATERCLOSEI(TOILFT) _ _ A�RCUNU.UNI75-H.P.EA. _ � <br /> BATHTUB _ REPRIGEFATION UNITg_H.P.EA. <br /> LNVATORY�WASH BPSiNI OOILE�S-H.P.EA. <br /> SHOWER GAS FIREO AC.UNITS-TONNAGE EA _ <br /> NITCHEN 31NH 6 DISR FORCED Nq SVSiEMS-B.T.U. Id EA. _ <br /> DiSNWASNER WALL HEATERS-B.i,U. M _ _ _ <br /> LAUNORYTRAY UNIiNFAT[AS-D.tA. M <br /> CLOTNES W�SHER EVAPORATNECOOLERS _ __ <br /> Y:4TER HF4TEF C.OiHES DRVERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE 11000 <br /> FLOOR DRAIN AIR HANDLING UNIT- C.F.M. __ <br /> VACUUM BFEANERS STOVE __ <br /> ROOF Dt7AIN5-RAINLEADENS METAL FIREPLACE 8 CNIMNEV _ <br /> SINR�SERVICE-B�1R EiC.) WOODSTOVE/FIREPLACGINSERT __ <br /> � — <br /> � SUBTOTAL =— — SUBTOT�L — S - _ <br /> PEfIMiT S _PERMIT S <br /> TOTALFEE 5 TOTALFEE f <br /> THIS PORTION TO BE COMPLETEn BY BUILDING DEPT. PERSONNEL <br /> fqONiSEID�CK �EARSEfB�CN SIDESEfAnCK PUBLNECKNJkOE� �'LnNC11EChIE[ <br /> N�- N� ^J/ - (��� 7I �' fEE ^ � �ECEIPiNO CO�� „/� <br /> US[ZOHE IOT��EA �f �-1. VS% <br /> .� �- ,'� 3O ���� > ❑ESN C�1f0 ktEB VRLU�T�ON iEE <br /> -� - <br /> 1VP[OF_GONSi. OCCUPANCYGPDUO NO.OFbWELLINOUNliS <br /> J` - � /�� / �: <br /> OUILDIN� S/� �. �8 � <br /> SIZE�?i0,� � NO Of�O�IE9 M�X��JRD <br /> �1 PLUMBINO <br /> MELHANIC�I <br /> FIRE SPRINKLERS REOUIRED ❑YES NO <br /> OIHER <br /> PENALTV <br /> APPULAiIONAGCBv PLANSCMECNEOBY APPflfORI55WNCE0Y <br /> _., � � .�TA� � <br /> �,1�. �se_. <br />