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APPLICATIO"� FOR GONST�UCTI'�N PERMIT <br /> TO BE CC�MPLETED IN BLACK INK-P�EASE PRINT �'r <br /> BUILDING DEPARTMENT HEATING SYSTEM: ' GAS i]ELECTRIC ❑ --� <br /> 259•8810 <br /> ❑ DEMOLITION f_] ��I����O�ip�1�M�,�' ������LUMBING ❑ SIGN <br /> OWNER IA4'LADDRE55 GITY ZIP ' • PMONE <br /> :s'o{� n ros�E�e //a3A -/3� aDSf; SE EUr �e'eY7 � �'��� ao� 3u�� - �c;7� <br /> TEN4NT RIFI:ADpRESS GRV ZIP PMONf <br /> ARCHITECT.OROESIGNER . ._. JdNL\QQ9ESS . ._ . CITV..__.. . . _ .. LIP__."" _ . PHOhE .. . __'_...._ _._._/pZ`(i3}�QOA <br /> �PS'/�n Cons�ic�Rn�' 9sd-`� i9 �UES�E, FUE/Zl•. TY 9.PaOS' '10(n_,��3�o,-3a�`t'iY�n �iiinr�� <br /> GENERAL(.�NTRACTOR �hIFILAL']RESS CITV ZIP PhlNE TA ELIL N M <br /> �.'���,c,�__Qu_�n��g _ib'��3S�nek+�.� Pem'f /SLvO l��C��a�an °i �.�a3 . ^o63�LSri9�d3�14 �i <br /> MECHANICALCONTPACTOR MAILAD�RE55 CITY ZIP PF6NF- $ E[ySE�I�J <br /> f/an��iin� 344��iiti .: <br /> PLUMBINGCONIRACIOR-- _._.AfA1LA�➢RE55 CITV 21P PHONE 5T j 1 (i.� <br /> LJ'�C7110 7TGTP �n� <br /> CONTRACT PRICE OF WORN <br /> - o'f drO�-pdp.,_p�._. 3Q0� r7b11UJIU� (A) <br /> DESCRIBEWORKANCSQUAREFOOiAGE1NVOLVEO • CONTACiPFRSONANDPN0YEN0. � 340�Y7R3V13 (8) <br /> (�o�TSf 2a1c'�-'-- - -2. . . __ u ��2 i 1I� � G� �1 <br /> �o Ze � �u�---- Ew = O �Ob -(c�- �{�s'f TIMR39YAW3VIf74 (d) <br /> _. _ _ ---_-=___:_:- - /�✓ <br /> /�7�T" /�tA '�A�Krl9E` � 9� I59 'f-7� i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSE�USEOFBUI�DING d APPLICAlION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> - ��e������;�e������a��,,'����'��'�`���R <br /> LE3ALDESCRIPTIOVOFPROP !�T SNOWN RATTAClI1WJCOPIES� WGRK WILL E CO 1 LETED WI H <br /> � � ' � ��_. _. N6Yi"JT�f3�MRll�)98�Y8E9�P�1614A�T��II�€9�F��/ipGIVE <br /> tor e� � AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF AN" <br /> PL�-�- D � L lJ C /�� I-T-�LC�— .OUi �l IT,lDT1�I�R�S�IA'4��'E�IF��Gl1LATIdG_C�NSfi�S`80��R THE <br /> ' 0 C . ! P R¢e c t�oL� 07 S d . C [I �' ��1�p��JWyp LECATIONISI�S M�����7 COF���WV6H�R,.IC,�'FyD�WV�F��E <br /> PARCEL TAX I.D.NU BER - - - � QppfTRACTORS�LAW iB.Z�IQD ZSE.YOO WAC:—�U�`� <br /> V! .3 .2 .N <br /> CONSTRUCTION LOAN LENDER.ADDRESS,TE/LEPHONE NUMBER c��.�� � � /�� <br /> LlI R-Sh F/f�'S� F.R o� n Y Jlls�•G`�L 4l. I�7�Ci� /0����� <br /> PROJECT ADDRESS � n"'E <br /> i ccr� wooc� �vF - - U� nc�rr r �E�s��� - <br /> PLUMBING-— -- M �CAL <br /> N0.- ---LYPEDF_EIXIU9E.DHJTEM FEE N813 3S TYPE OF EQUIPMENT FEE - <br /> WATER CLOSET(TOILET) � —A/HNDLG UNITS—H.P. � <br /> '- -BAYMfiU§=���—_-_=_= � ORCED AIR SYSTEMS—B.T.U. M E.A. <br /> LAVATORY(WASH BASIN) i UNIT HEATERS—B.T.U. M � <br /> SHOWER ' CLOTHES DRYERS � <br /> KITCHEN S�NK 8 DISP ' " �'7 TION FAN ; <br /> T <br /> DI$HWASHER _. . $ N Uf�T R OOD � <br /> LAUNORV TRAY ; WATEF HEATER ' <br /> - "CLDTHES�WASFiER--"--�" i ' TOVE —� <br /> . _ UHINAL---_—_— � Z3 AAH� V1OIT� � MA�FIREPLACE(WOOD BURNI ) � <br /> DRINKING FOUNTAIN � FIREPLACE INSERT � <br /> FLOOR DRAIN � HEAT PUMP � <br /> BACKFLOW PREVENTERS I .ING � <br /> ROOf DRAINS—RAINLEADERS^ EXHAUST FAtJ � <br /> SINK(SERVICE—BAR,ETG.) � <br /> � <br /> � <br /> � � <br /> � <br /> , � <br /> SUB TOTAL $ ' SUB TOTAL S ' <br /> PERMIT S PERMIT 5 � <br /> TOTALFEE 5 ' TOTALFEE 3 ' <br /> FOR OFFICE USE ONLY: Z� <br /> FRONTSETBACK / RERFSETBACK SIDESETBACN PLANGHEGKNUhIBER F@E REC IPTNO. <br /> s s � Z� ' 7i 7� . � <br /> use oNe iornaen VACANTSITE FEES VALUATION FEE <br /> ��-'�, O -' YrS I i NO BUILDING ZZY 6 D '!� <br /> iVPEOFCONST. NO. FSTORIEo n[cuvL;Gv hOo�Cv.uin.ucA:u — J <br /> _ 1 2 °0�°2 iY PLUMBING �1 1 _ � <br /> .7 J J-. �—�—' <br /> 5J1 E OF B�S� t FIRE SPRIN�ERS REG'D BASEMENT MECHANICAL � <br /> S `� p �=��. YES _� NO D� <br /> OCCUPANCV LOAD FIRE ALARM REOD NEIGMT LIAIITATIOy ADDITIONAL PLAN CHECK Z i� <br /> � 7 <br /> � OTHER � � <br /> PEASON ' <br /> � STATE BUILDING SURCHARGE �� i� <br /> •TAKE BV PL�NS AP ROVED�Y CITY OF EVERE7T PUBLIC WORNS �� (/� <br /> _ ��1�- LOCAL SALES '-;-- <br />