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1 <br /> ^/ � <br /> i^/�? � <br /> � � " �-� <br /> AP�PLICATI�.N FOR C6NSTRUCI rON PERMIT <br /> �����e« <br /> „��,��,4„��„ � � <br /> cirr �r <br /> everett <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br /> 259-8810 <br /> ��� DEMOLITION _ __ COMBINATION _ BWLDING _�AECMANICAL _ PLUMBING SIGN <br /> a � `f-��� •�1���S2��J�' M.�I" ��1,3, �.' Y `�� - G-J j -`" 'S�;�L�l _ ����yl - �`� � �� --- <br /> y�� �FNAN)'��/Y � „/ 1AAKAppRESS �I1V - 11� PNONE <br /> C � <br /> ✓ <br /> Anf]ui(CfOR0E5MaHER M�RA[IflRF55 CIiY IIP P��F <br /> Ffi C1 <br /> 7tl <br /> O� � f N(nnl CON1R�CtOR MAR�DDRE55 Ciiv ZJP. _ PHONE IiGENSE• <br /> � � � �ll�e Cl�. .- '?�ILS '��� �1 - L U ���� �5`i s14� VAlc�lv8l�u <br /> MELIIANIC� CpJTRAf,iOR MMI�DORE55 C�LY 21P PNONE L�CENSE� C���L� <br /> Q �y� ^IIIMBINGCONiR�G10R MAILAOORE55 Cliv ZIP �'MONE UCENSC• <br /> � � g _ --- <br /> pr � C1�550f WORN <br /> � �..� NEW ADDITION �ALTERATION REPAIR _ DEMOLITION _WOODSTOVE�FRPL INSERT BUILDINa RELOCATION <br /> .�yy tINANi1MPROVEMENTORINLEIURNEMODEI�WLv I� , CONTACIiEP50N�NOPIqN4N0 <br /> H --_ <br /> fON'P�CiPNCEO[WORN: V� � <br /> y H ES(niflj K SOU FFF 1 C �NV V[ . <br /> gCq7� �-iI�Z�� ���tJ-�'V1C��_�-.� � t� <br /> Rl C" �oroseou^eoF mioM+a � I HEREBV CERfIFV THAT I HAVF READ AND EXAMINED TNIS <br /> a <br /> O y � APPLIC�ATION AND KNOW THE SAME TO dE TRUE AND COFRECT.ALL <br /> LfML��SCNIFTqN(XPROPERLYISNOWHBCIOWORATTACHFOURLOPIE51 PROV.SIONSOFLAN'SANDURDINANCESCOVERNINli1HIST'lPEOF <br /> WONK WILL BF COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �at B�aK oF NOf. THE GRANiING OF A PERMIT DOES N07 PRESUME TO GIVE <br /> - AUTHGIi11V TO VIOLATE OR CANCEL THE PFOVISIONS OF ANV <br /> OTHER 5TATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> - PERFORMANCE OF CONSTRUCTION.TMAT I AM AUTHORIZED BV THE <br /> OWNEq OF THIS PROPERTV TO PERFORM THE WORK FOG1 WHICH <br /> APPLICATION IS MAOE AND I COMPLV WITH THE STATE ' <br /> CONTRACTOPS LAW 18,27 RGW AND 296200 WAQ � <br /> sice�runcorccwrneciononeun�owren�r.t.r�r oere <br /> �nacci.00ness -'` /– �–y"—������ ��—/� � <br /> 1�-- 1y� ,^ � r�V �PPIIC.�NlSOfVB115ME5UCN5EN0 BUSMESSN�IAE <br /> � �� ��� L <br />� MECHANICAL <br /> PLUMBING <br /> r� � NO. TVPE OF FIXTURE OR ITEM — FEE NO. TYPE OF EOUIPMENT PEE — <br /> � , WATEF CI.OSET(701LE��� 0.'C–A�NN�LG UNITS–HP. <br /> � BATHTUB _ � FORCED AIR SVSTEMS–BS.U. �M �.A. _ <br /> J ' IAVATORV�WASHBASW) _- UNITHEATERS--BTU M_ - �' <br /> SHOWER CL07HE5 DRVERS <br /> I P� _ VENTILATION FhN_ <br /> ` KITCHEN SINN 8 DISP --r— <br /> � DISHWASHEii RANGE h!OOD ___ __ ._ <br /> LAUNDriY 7RAY � WATER H647ER ___ _ <br /> CLOTHES WASHER W��ST��F - � <br /> URINAL METP.I FIflEPL4CE d CNIMNEY <br /> �� I �� _ FIREPLACEINSk_Ri <br /> DFINHING FOUNTAIN —_ — <br />' � FLOOR 9RAIN HEAT'UMP ___ <br /> BACKFLOWPFEVF.NTERS GASPIPING __ _ <br /> � - EXHAUSTFAN <br /> ROOFOFAWS-HAWLEADERS _ _ i <br /> �, �'� SINN(SEFVICE-BAH,ETQ) _______-__ ! <br /> � � � _— —__ - _--_' _—_—_ — � ;— <br /> � - � <br /> �I _. _fiUA TOT�L. 5 _ _._ � _-__ ___-_.-- SUB TOTAL E -� � <br /> PEf7MlT b -T ____ ___ PERMIi 5 _ <br /> I - tOIALfEE E - - ---_ _- TOTALFEi-. S _ <br /> i ��' (P�NITSEiBACN AE�RSFip�CN Si�fSFiN�LN PI�NO19(:KNaA�P(Pv �FF �ECEIPINO <br /> \ use loae io*nnte vecer�t snc FEES VALUATION FE T_ .' <br /> VFS N� . PUIICMG _ <br /> ttM Of CON51�IIOW�BIE trPE or[ONSt�trW� rcrur.x. �a oa�.�t... '.r'� . - -. .. ..-------- -' � <br /> � -_. . _.__ _- " .__ <br /> °•^�r PIUNBING i, <br /> t��� ` ' ��' � � 512EOFBlDO NOOI5T011iE5 BASEME��1 <br /> MFf:IUNIC�I ---'- —�- �-- - �l�1' <br /> VES NO __--_— __ —_ _- _ _— i <br /> OL�]Ui�NCYL0�0 i�NESPRNKIEPc.qfU� NIM���ii�ilAiiOH OIMER _ ___'__ _ ___ '� <br /> VE$ NO l__ _ __ _ STATFOUILC!NaSURCH�RC[ ' <br /> .__________ . . _ . ___ . ' .-T . <br /> RE�SO,�FORSPRiNalFRS '�, <br /> FTAIE ENEROY SUHCHARfi4 <br /> __'__-_—___. '_" _""__—___ _"_ �_ <br /> •rvuc�ria�ncc a.�rr�rnn�m CITY UF EVERE7T euttur,wonhs � _ <br /> � LOCAL SALES <br /> � TRX CODE IS 3105 TOT�� r <br /> I <br />