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''}'PPLiCATION FO�,�' <br /> '".E",°'"" CONSTRUCTION �`E1 <br /> Cltt OF <br /> everet� PERMIT <br /> BUILDING DEPNRTMENT <br /> 259•8745 TO BE COMPLETED IN INK- PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ PAECHANICAL PLUMBING ❑ SICN <br /> ��yy p M�IIAD�RE55 � CItY ZIP PIIpYL _` <br /> �ryc.eor �.i1��� a��� (����v��Pfr` — �S�'.�' ��1s�— <br /> ARCNrtECtOR0ES10N M�ILAOORESS ZIP P�IONE <br /> GENEN�ICONIP�CiOfl MAIL�O�BE55 CIiY 21P PHONE I.IGENSE• <br /> 'AEC�UNIGlCON111�Cf0A M�ILAOO�ESS CIIY 21P PNONE LILENSE�� <br /> i.- r^-/� <br /> �}-'',��._�}� <br /> vLU�����CONIIAC M�IUDO�E55 21P PIIONE � C.. <br /> , - o � ���ti �..�,7�� 9.F��3 ��=�i��� �. <br /> � �550� ORN p;. <br /> ❑ NEW J� AODITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPI.INSERT ❑ OUIl01NG REL(7CA710N ��� <br /> vn�u�rwn or wonn icosr or M�i enuis r�us uooni <br /> oCsclaBE wOnN <br /> USEOfBW 0 <br /> � i–� � I HEREBY CERTiFY THAT I HAVE READ AND EXAMINEO THIS AP� <br /> .�-.–.� PLICATION AND KNOW THE SANiE TO BE TRUEANDCORRECT.ALL <br /> �[oe�oescniri NOFPROPEFIY�SIIOWNOEIOWORAI7�CHi0URCOPIES) PROVISIONSOFLAWSANDORDINANCESGOVEHNINGTHISTYPE <br /> CF WOfiK WILL BE COMPLETEU WITH WHETHEF SPECIFIED HERE- <br /> ior_eiocK—or IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIONATIIRG OF CONiRqCTOR OR A❑ IZEO AGEN7 DA1E <br /> �� P /f� � , ��c_ ���� <br /> npOJECT�00RE55 F NI'S �SRH L $ENO. <br /> , <br /> �/� / �''� , <br /> PLUMBING MECHANICAL _ <br /> NO. TYPE OF FI%TURE FEE NO. TYPE OF EOUIPMENT FEE <br /> �4A7EF CLOSET�TOIIET) AIR CONO. UNITS–H.P.EA. <br /> BAiHTUB f1EFRIGERATION UNITS–H.P.EA __ <br /> � LAVATORY�WASN BASIN� �OILERS–H.P.EA. __ <br /> SNOWEfi GAS FIRED AC. UNITS–TONNAGC EA <br /> KITCH[N SINK 8 DISP. FOP.CED PIR SYSTEMS–B.T.U. M EA. <br /> DISNWASNER WALL HEATEFS-2 T.U. M <br /> lAl1NDRY TRAY UNIT HEATEF75–B.T.U. M _ <br /> CLOTHES'NASNER EVAPORA7IVE COOLERS <br /> VlATEH HEATER CLOTHES DRYERS <br /> Uf71NAL VENTILATION FAN <br /> DFINKING FOUNTAIN RANGE HO00 _ <br /> FLOOfi DHAIH AIP HANOIING UNIT– QF.M. ___ <br /> VACUUM BflE�KERS STOVE _ <br /> FOOF�RAINS–PAINLEADEiiS METAL FIR[PLACE 8 CHIMNEY <br /> SINK SERVICE–BAR,ETQ WOODSiOVE/FIREPIACE INSEHT <br /> SUBTOTAL SUB TOTAL S <br /> PERMIT S PERMIT S <br /> TOTALFEE 3 TOTALFEE S <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PER30NNEL <br /> �RONf5El0�LK NE�NSEIB�CN SIOESETBr1CK P�ANCHECNNUMBER PLANGHECKFEE <br /> FEE RECEIPI NO <br /> USE20NE LOTAREA ypCFNT511E <br /> fEES Y11LURilON FEE <br /> OYES ONO <br /> IY1'EOfCONST. OCCUFANCYGfiOUF NO.OFOWELLINGUNITS <br /> euaoiNa s <br /> ALEOFOLDO NO.OLSIORIE$ �dAKOCGlOAO <br /> PLUMBING <br /> MECHANICAL <br /> fIRE SPRINKLERS REOUIRED ❑VES ❑ NO <br /> OTNER <br /> PENALTY <br /> :•PPlILR110NACG9Y PLANSLHECNEODY pVPR.FOR155UANCEBY ---- <br /> G.' . C , Torn� _ <br />