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��h`PPLICATI�DN FO�=y' <br />.. fMEwrpn�n CONSTRUCTION <br />pr o. <br />everett PERMIT <br />BUILDING DEPARTMENT <br />269-8810 TO 8E COMPLETED IN INK- PLEASE PRINT <br />O DEMOLITION ❑ COMBlNATION ❑ BUILDING ❑ MECHANICAL <br />Cta'r+�1 �i•^^�'��/��J�oneSaO,��'G�18 c'GY�F�i r Zwr-Op• <br />Y <br />�•�NITECfORDE IONER �� M�iLOOR� I� `��ITY� ��. Lk+�_ <br />p cvtr�� c < <i�� �r� <br />NNGP11 C. NfH/�CIOP � M�IL I�DORf55 CIIY IIP <br />❑ PLUMBING ❑ SIGN <br />NECH�NIGLCONTP�LIOq M�IL�ODNE55 Ij/L!/ 7n�� �Lt{y� �, ZiP PHONE L�CENSE• <br />� M��' �'���� ICd J�GS. !Ai/► � Tlb •6200 <br />°IUMBINOCONiR1CIOR M�ILAOOPE55 CIIY Zif' P��ONE LICENSE• <br />:L�99 OF WORN <br />❑ NEW ❑ ADDIiION � ALTERATtON ❑ REPAIR ❑ DEMOLIiION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br />fsC hK!'l4LT�T � l�l1G Wi�ZH� <br />LEOAL OESCRIPTION OF PIqPEPTY�SMO <br />LOT-BLOC�_OF <br />% �r�' <br />PLUMOING <br />� NO. TYPE OF fll <br />2(� WATEH CLOSET ITOILI <br />BATMTUB <br />� Z,9 UVATORV IWASH BAf <br />SIiOWER <br />KI7CHEN SINN 6 DISP. <br />� DISMWIISHEN <br />` ' LAUNORV TRI1Y <br />• CIOiHES WASHE(1 <br />, " p UHINAI .. <br />: /.i �RINKING FOl1NTA1N <br />� <br />� <br />� <br />0 <br />FLOOH ORAIN � <br />BACKFLOW PREVENTEFS � <br />HOOF DRAINS — H�INLEADERS <br />SINN ISERVICE — BAR. ETC.1 <br />� I ' 4UlTOTAL <br />PEPMIT <br />TOTAI FEE <br />fRONfSEtBl1CN qEGRSEiB�CN <br />USE20NE LOT�REA <br />� <br />1YVE OF CON9T. OGGIIP�NGY GRO <br />SI2E OF B106. NOAi S70RIE5 <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED TIIIS AP• <br />PLICATION AND KNOW THE SAMETO BE TRUEAND C�R�iECT. ALL <br />PROVISIONS OF LAWSAND ORDINANCESGOVERNING THISTYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PqESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />9N.Y-0T1i�R STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />O TH R OF CONSTRUCTION. . <br />51� qTU EOF CT O AUTHORI2E�AGENT DATE <br />�} •29'•$� <br />IiCENJE <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />� A/C—NHNDLOUNITS—H.P. <br />REFNIGERATION UNITS —H.P. EA. <br />BOILERS—B.T.U.iH.P. oD/<—,�pq <br />6AS FIRED �.C. UNITS — B.T.U. <br />FORCED I11R SVSTEMS — B.T.U. M EA. <br />WAILMEAT6F5—B.T.U. M <br />UNIT HEA S— B.T.U. M <br />EVAPORATIVE COOLEHS <br />CLOTMES DRVERS <br />�' VENTILATION FAN <br />MNGE HOOD <br />WA7ER HEATER 2 . , (� <br />WOODSTOVE ` " <br />METAL FIREPUCE S CHIMNEY <br />FIREPLACEINSERT <br />MEATPUMP <br />OAS PIPINO <br />ai�e sc�nn�n <br />WC�Ni SIfF. <br />OYES ONO <br />NO.OF �WEILIN <br />Mn%. OCC. L04D <br />APPR FOR �SSW <br />SUBTOTAL � <br />VCRMIT <br />� TOTALFEE � <br />PLnN CMECK NUMBER FEE RELEIPT NO. <br />Q��')n� '7l I � I T i/C 1 <br />BUILDING S <br />PLUMBING <br />MECHANILAL ry <br />�J <br />OTHER <br />STATE BUILDING SURCHAf7GE <br />STATEENERGVSUFCHARGE <br />PUBLIG WORKS <br />TOTAL <br />PROPERTV OWNERS ARE FESPONSIBLE FOR DETERMINING ALL <br />PROPERTY LINE LOCATIONS AND RELATED EASEMENTS. <br />