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3501 EVERETT AVE 2016-01-01 MF Import
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3501 EVERETT AVE 2016-01-01 MF Import
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Last modified
2/13/2017 6:51:01 AM
Creation date
2/13/2017 6:50:40 AM
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Address Document
Street Name
EVERETT AVE
Street Number
3501
Imported From Microfiche
Yes
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n. I <br /> �,E„ro,�„ rAPPLICATION F�R ���,�„ � <br /> �°� CONSTRUCTION e <br /> everett PERMIT <br /> TO BE COMPLETED iN BLACK INK— PLEASE PRINT <br /> BUILDING DEPT. <br /> 259•8745 ❑ COMBINATION ❑ BUILDIN(i ❑ MECHANICAL ❑ PLUMBING ❑ SI(iN <br /> N� �L.V�. 1 0 pE� I 17� �ir�e1� ✓l /C�.i I ! O//./ .WJ'V/ <br /> UE�1 1DE� R-+1^ ��M�IL�D✓"�v 1 �/ �� � V /� N'11 W III4lwJlJV7V NE`l��/.`�lVl? <br /> OENEML Lpq7p/�C7qT-�MAIL ADORE99 Cltt 21P PHONE IILENSE 1 <br /> NECM�NICALGONTR�CTOq M�IL�ODRESS CITY 21P VNONE LICENSE• <br /> PLUMlINOCONTMGTOIi M�ILAUUPESS Cltt 21P PNONE LICEIISE� <br /> Gl�lB OF YIORK <br /> ❑ NEW � ADDITION ❑ ALTERATION ❑ flEPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSER( ❑ BUILDINO REL()CATION <br /> V�IU�TIpN OF WOFK�GOSTOF MATEPI�LS PWS UB01?� <br /> �t '�`�,��'U _ <br /> °y�'lX�� _�„ PieEr� >t¢Ew�t'/' /►'+�tt�/ .�ii/�f/it SE►-vi�,&rc �c� !'v�o5 u�ca'l fctntQ �cQ, <br /> use or euaoiea ,,/ <br /> CQY� �ndio inohrll��r�n GtT! ,J R'1[c/ 4 CQ I HEREBY CERTIFY THA�I HAVE READ AND EXAMINED THIS AR <br /> � PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br /> lE6�L0ESCRIPTIONOFPROPERTY14H NBEIOWORATfAGHFWPCOPIES� pROViSIONSOFLAWSANDORDINANCESGOVEHNINGTHISTYPE <br /> �'-� p�� �� �►" � OF WORK WILL BE COMPI_ETED WITH WMETHEq SPECIFIED HERE• <br /> �or_eioac�;, S or IN OR NOT.TH E GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> !7`f �; GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> � J Y � . J l� - LG�i � � ANYOTHER STATE OR LOCAI LAW RECaULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> S NA OFCONTMCTOR OP AUTH HIIED AGENT DATE <br /> X '��5- <br /> i'ROJECi�ODPFSS C�NTSQT INE54 ICE 0. <br /> '��( �l�re�lf f��- <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE OF FIKTUNE FEE NO. TYPE OF EOUIPMENT FEE <br /> WA7ER CLOSET�TOILE7) AIR COND.UNITS-H.P.EA. <br /> BATHTUB REFRIOERATION UNITS-H.P.EA <br /> I LAVATORY WASM B�SI BOILEfiS-H.P.EA. <br /> SMOWER 6AS FIRED AG UNITS-TONNAQE EA <br /> KITCNEN SINN 6 DISP. FORCED AIR SYSTEMS-B.T.U. M EA. <br /> DISHWASHER WALL HEATERS-B.T.U. M <br /> LAUNDRVTRAY UNI7HEATERS-9.T.U. M <br /> CLOTHES wASHER EVAPORATIVE COOLERS <br /> WATER NEATER CLOTMES DRYERS <br /> URINAL VENTILATION FAN <br /> ORINNIN6 FOUNTAIN RANGE HOOD <br /> FIOOR DRAIN A�R HANOLIN6 UNIT- C.F.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS-RAINLEA�ERS METALFIREPLACEd CHIMNEV <br /> SINN�SERVICF.-B�R.ETC. WOODSTOVE/FIREPLACE INSERT <br /> Sl1BTOTAL SUB70TAL f <br /> PEHMIT t PERMIT f <br /> TOTALFEE t TO7ALFEE S <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> fRONT SETB�ICK REAN SETBACK SIOE SETB�CK PUN CHECN N MBeR PUN CIIECI(fEE <br /> O � b �� /� FE�O(/ � PEC�f 0.� <br /> -r <br /> USE20NE LOT�RE� yAC�NT5ITE <br /> G�/ I�/� S� �YE9 xN0 FEES V�LUATION IEE <br /> TYPEOfCONST. OCGUP�NCYGROUP NO.OFDWEILINQUNIT9 <br /> g'ti/ 15-2 o a���o�No �.� 27 <br /> 512Q p� p S�A Q NO/7 t�►(EL� MA%.OCC.IO�D � <br /> 2 Yo 6T PLUMBIN6 <br /> MECHANICAL <br /> FIRE SPRINKLERS RE�UIRED ❑ YES NO <br /> OTHER <br /> PENALTY <br /> APPIICATION�CC BY PI�NS CHECNED 8Y APVR.FOR ISSl1�NCE BY <br /> L -G �• <br /> G . � T�T�� _ <br /> ,Ono� 9�u� �rw�•�G' �. ��Lr 70 � <br /> n� p A�z��u� �Y Nc,�-� <br /> Qe� � �3 UY'•2/ �/'1/ 7-�/l��-�r <br />
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