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�':�PlICATlON FO�:�-� <br />'".E".,`."" CONSTRUCTION <br />GTY OF <br />evere�tt PERMIT <br />BUILDING DEPARTMENT <br />259•88t0 TO DE COMPLETED IN INK- PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINATION �BUILDING �IAECHANICAL <br />C�LUMBING <br />everen <br />� <br />❑ SIGN <br />�NEW ❑ �ODITION ❑ ALTERAiION ❑ REPAIR U DE OLITION U WOODSTOVE/FRPL.INSERT U BUILDING REIOCAiION <br />v�LUA��ONOFWO�KILO510�M�1ERUL5PLUSLPB _ ^�' � �O <br />�V <br />PLUMBING <br />Np, TYPE OF FIXTURE OR I' <br />WATEN CLOSET (TOILET� <br />^L BATHTUB <br />LAVATOFVIWASH BASIN� <br />SHOWEF <br />KITCNEN SINK 6 DISP. <br />OISNWASHER <br />LAUN�FV ;'t�ey <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DHAIN ' <br />611CKFLOW PREVENTERS <br />ROOF DRAINS — FAINLEADEHS <br />SINK (SEfiVILE — BAR. ETC.) <br />SUBTOTAL <br />USE <br />SETB�CR <br />� i <br />Zm � S � <br />LOT�AE� ypC�NT51tE <br />g�� j � OYES ONO <br />DCCJPRNCYGBOUP NO.OF��L <br />�7 -3 <br />NOAF STOp1ES MA%.OGQ LC <br />1�"' "� I /�' V�"� I �� af� <br />I HEREBY C[RTIFY THAT I HAVE READ AND EXAMINED i HIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE ANDCOR!iECT. ALL <br />PROVISIONS OF LAWSAND ORDINANCES GOV[RNINGTHISTYPE <br />OF WORK WILL BE COMPLETED WlTH WHETHER SPECIFIED HERE• <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANYOTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. . <br />SIGNATUFE OF CON1Rp�TON OR/KITH0�12E0 er�uT [14TE <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT <br />AIC — A/HNOIO UNITS — M.P. <br />REFRIGERATION UNITS — H.P. FA. <br />BOILERS — B.T.U./H.P. <br />GAS FIREO A.C. UNITS — B.T.II. <br />FORCEDAIRSYSTEMS—B.T.U. M <br />WALLHEATERS—B.T.U. M <br />UNITHEATERS—B.T.U. M <br />VENTILATION FAN <br />RANGEHOOD <br />WATERHEATER , <br />w000 srove—r <br />METAL FIREPLACE e <br />FIREPLACE INSEPT <br />HEATPUMP <br />OAS PIPINO <br />EXHAUSTFAN <br />9U0 <br />PIAN CHECK NUMBER <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHEH � <br />S7A7E B ILOING SURCHARG <br />S7ATEENERGVSURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />ree <br />FEE RECEIPTNO. <br />z��r�s rZ$�iQ& <br />PROPERN OWNERS ARE RESPONSIBLE FOR DETERMINING ALL <br />PROPERTY LINE LOCATIONS AND RELATED EASEMENTS. <br />