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APPLi�ATI''°'N FOR CONSTRUC::ON PERMIT � � .�-� ' <br /> T 0 BE COMPLETED IN BLACK INK-PLEASE PRINT � <br /> — - <br /> ----� <br /> I HEATWGSYSIFM: UGAS I,�FLFCTRIC IJ . . __ . . .---- <br /> l3UILDWG D[PARitv1EN1 "- ----�- � - - � � <br /> - -- -- <br /> ;�5g-IIflto ; i SIGN <br /> H o -�+ DEMOLITION �.OMPINATION BUILOING I �MECHANICAL r _i PLU��BING ' <br /> _ -- - — <br /> � ��wirtn -" _-__.. umi noum .' <cnr zm l O <br /> 7 I .JfAYf�__ ��I � �_ ,l l_U )__ ZGG yl S <br /> n� `,�,��. t3u�^..LJ Cc„�,_ I'o hr.�3 �_7---- <br /> q y n•i„rn � � Aartanunrs:, r.nr rm rr�e <br /> �':�� nnnntrc�ar,ocsiawn � r.mitnnm;rs,"--_--. _� rr ?�r '---- ruor�r .-___ <br /> � O � � _ <br /> �":���_��r.•r ti. f�,� i,��_ <br /> �� ';1 . - _ -- - ,'�rr zm ___. ���� SUIEI�CENSE/ <br /> nn�u�m c�+1� nc�nn 1Ann ennnrss <br /> (/I "_'__"__ - ' „1Y l�P PutMlf StM[IICENSE� <br /> � !JCfIlAl11G�LCON111�C10� FI�tl.Af1011(55 <br /> � � � . . .. -__-__-._-___ _ _.- __--__- <br /> O� I•IIIMI11N6Cp111Uf.�011 -�"�-M�II AINI��S: <br /> -_ . .-fltY )IP PlVvll SIG�f1�CENSfI <br /> �� 8 ------ --- _ _ -- ----------- -- <br /> n nss or wonK <br /> �H NEW _� �DDITION _' ALICMTION RI'PAlll ' I DEMOI.ITION � WnO�SIf)VL�fiPL INSERT � I DUILDINGRELOCATION <br /> �y cmnnc�rrnfsoa n�io rirom u� <br /> �Hy uwimnctrn�ccorwonK l� ' C 11 �; ��'K E fiEAO AND E%AMINFD TNIS <br /> - -- -� . <br /> _ _- _ <br /> �„� i i sr.mnr wonK eem sex�nne roo�nrr wvervFn - ^'I � � <br /> ��' 1: � ,LL_ 7� �-1-h'',�--�_ �1��"/ G,-��, ' -- - . <br /> n.s i <br /> r rnorosrnusrornunun�a I HER80Y C[H111 v TIIA1 I HAV <br /> �C `y ( S'C � �- I^` �— APPUCA710N�N[7 KNDW THt3 SAME TO BE TRUE AND COf1f1ECT. ALL <br /> H [/� �fl� ---� � - - PROVIS�ONS OP LAWS ANU ORDINANCES GOVERNING THIS TVPE OF � <br /> O� irnuorscnmtroworrna•�mr�s�rnninurnvona�nc�rt�mcorn�a yyORK WILL�E COMPLBT[D WITH WHEiHER SPECIFIED HEF7EIN OFl <br /> i��� n��y;K or ______ _ _ NO�. 111E (��AN�IIJG Of A PERMIT DOES NOi PRESUME 70 G�VE <br /> - ---- AUTHpRIi� 10 VIULA!G ON CANCEL THE PfiOVI510N5 Of- ANY <br /> 07HEf1`.1AtI3 OR I.00PL LAW REGULATING CONSTRUCTION OH THE <br /> - —'--- PERfORMANC[Of f.ONSTRUCTION.THAT I AM AUTHOR12E0 BV 1HE <br /> OWNEfI Of THIS PHOPERiY 10 PERFOFIM THE WORK FON WHICH <br /> � -- APPLICAIION Ic MAU[ AND I COMPIV WITH iHE STAtE � <br /> CONTilAClOfiS 1 AW Ifl 27 fiCW AND 296200 W�C I <br /> � � <br /> —._.._- / , � <br /> _ ` i � <br /> x 'y�t� �1-`. �1�/�.�_ �/ <br /> - __.�_____"_ nu� <br /> __" -___'-__- ..._ ___. .;�.�unua <br /> _______."- . <br /> ..������„�,�„ts � , ; I '1 i <br /> �Uu�', IiJ ,�„�• t� � 3c� �,�.—„�•.»„�.z�G;;,=�;.- - — ----- -- <br /> PI.UMBING MECHANICAL <br /> � ' TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE , <br /> NO. <br /> WATERCLOSFT�TOILEiI A'C A1�NDlGUNI7S- HP � <br /> , _ <br /> C�i _. -�- - - -- _ � <br /> --- -- - - � ronceoni�svsirMs e.i.u. M e.n. <br /> , <br /> enrr��un _�._ y— <br /> I , -- - � <br /> -- - _ _ uNir iirnrEns �r u n+ <br /> 1 LAVATORY�WASH BASIN) ' � <br /> _ _ _ __ _ T <br /> _ __ __ __ ._..... _.. <br />� � SHOWER CLOIHFSDRY[f15___ __ I <br /> �� _ HITCH[N SINK 6 OISP _ .___ � _ VEN11lATION FAN _ . _ _T_ � <br /> i RAN( F IIOOD.. <br />� �ISHWA9HER _. _._ -- _. . . ._.- __ - _-._-_- I <br /> . ...�- � L4UNUFiY 7RAY �- -_ _ _ __ ' __ WA1LI111EA7f.R___ I <br /> -�-- -CLOTHES WASHER - -�- ___. __ W��STOV[.___ _ ___�- I <br /> URINAL � METM.fIf1EPLAGE 6 CHIMNEY : <br /> �� �RINKI4G FOUNTAIN _ __ _ flf7El'I ACF IN! F RT _ _r_ I <br /> , _-_ FLOOR DR�M -.-._____ -. _. -__ 11[A1 �'UMP _._ ___ _ _ <br /> �, ..-_ FIACKFLOW PREVENTERS ------ - ____ GAS PIPING_ ___ � <br /> � - _- _ <br /> � HOOF DRAINS-RAWLEADERS ___ [%II�IJSi fAN _ <br /> . __.___—_- -_ _- � -- ' <br /> I� �� . . SINKISERVICE-BAR.ETC.) ---�---� --- ---- �- <br /> _-'_- -_ .__�.__ .- ___- -___ - <br /> _ __ ' <br /> - '-_-____"_-'_. __. . . _ i i <br /> ' LI'� � -- ---�- <br /> - -- , <br /> SUB701AL E ' <br /> SUUIOTAI. E ... _�_ ___ ._-. _—__ -- PERMIT E ---�-- I <br /> � — -----� PERMIt . _.5 . . .---- --�-- ----- -- <br /> �•� �---- -- ---�-70IA',.FEE E � - --_�-� ������� iO7ALFEE E <br /> � <br /> � FOR OFFICE USE ONLY: <br /> '__ _. _—__ ______'. <br /> -- -""-- Ilf III�.CLII`INO <br /> nir)�IISI�.IPACN IIErHI$(IfUCN SIOf911PNM mnr�cuo[nr+u. <br /> //. ���)�/ <br /> m,i pont - -�- �- - - �o�miu-�--�-- -�- � vncar��siii-- �---- FEES VALUATION FEE <br /> ___ ❑UII�Mt➢ lD! C 4� O .i _ <br /> �$ ,. . , �_ __ '__"-_- .� I iwiWMnuxi�s . ' ___. - _ .___' _ <br /> rt.r. . IVM01t01115�1UM1/01! Iv%IN(IIN: 1rI�Pi xix . .. -_ . - <br /> -�. � . . <br /> ,� � ' PI UMOMiI � <br /> � <br /> ' f 1 .a, . . . _ . _ _- ___ r <br /> � _ _- , <br /> - -Y---.. __� --._ -- <br /> �;il[�NnifM NOofs�on�ls ��."���.�r��� MfC11nHIf.I�I '___ _ <br /> J-_' <br /> __._ .. . . - _- _ <br /> -���b --- - <br /> ----...__ ____ .. ---- nuuinur�ni rinr�curcK fPJ� �I"- <br /> �t:eurnner�onn nm srnrinU.nvrtnn - u�in�aneuinn�x� ___ . .. . .___. .__ -�- <br /> --. i <br /> 1V . .___ il'RINNII.fI _. . _ i <br /> d ___ - . ______-�'-" <br /> r�rnsix+ron sr�ur�e�r ns <br /> 5141f0UI101N�15U11(:114HF( .__"_y �5 ��._ <br /> _ _-_- <br /> __"_ ._"'".__ _..._ _ . � <br /> ._-_-._. -.- .- � <br /> dnnri nr r�nr�. nrrn�m CIlY Of EVERETT PunuG Wonn',--- — <br /> y� LOCI1l SALES � <br /> / ( TIIX COilf IS 3105 T��^i � S� <br />