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..PPLICATION f0._ <br />,°.E'.`°""° CO N STR U CTI O N <br />cin o0 <br />everett PERMIT <br />BUILOING DEPARTMENT <br />259-8745 TO BE COMPLETED IN INK - PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINATION ❑ BIfILDING p'MECHANICAL <br />� <br />uncoo <br />-l-�ilbc2� ��a3 <i=lc <br />M�IL ���RESS <br />M�IL AOpNE55 <br />. (=�I1:� ��•t_`:. f?c�X 1{�(r <br />r.ua eooness <br />- C� �S ! (U111 P• I ���r <br />�ei� eooaess <br />rir <br />�� <br />zm <br />C3"PLUMEIING <br />��.orve — <br />, ,��. � <br />P��ONC <br />w�ur�¢ <br />r��or¢ <br />,: ,-,,.- <br />everetl <br />� <br />❑ SIGN <br />- �r,;� 3 ; <br />�� <br />Srjl�l�- i 1��1U�� 5-31-67��� <br />tU55orwonn��t, / <br />❑ NEW L`7 ADDI710N � ALTERA710N ❑ REPAIN ❑ DEMOLITION ❑ VJOODSTOVHFRPL.I.VSERT ❑ BUILDV�G i7ELOCniION <br />V�l U�110N O( WOl1 N �COSI Of MAIC qu�5 PW 5 LABOAI <br />[�ESCn�O[ WOAK <br />c�n� ���� -lc�_ �al -� �r�. •�,o �_��- 1 IIi�7rN�d, <br />��.o�� �,,.o��� � <br />ioi— <br />PPOJECiepOnE55 <br />,� 1 �'J <br />PLUMBING <br />I I� � I HEREBI' CERTIFY THAT I HAVE READ AND EXAAIINED iH15 AP- <br />�WX PLICATIqNANDKNOWTHESAMETOBFTf7U[ANDCORRECT.ALL <br />vaoventrisnowHoeim�oa�necNvwn[owes� PROVISIONSOFLAWSANDOFDINANCESGOVEF7NINGTHISTVPE <br />OF WORKWILLBECOMPI.ETEb WITH WHETHERSPECIFIED HERE <br />—�' IN OR NOT. THE GRANTING OF 4 PERMIi DOES NOT PRFSUME TO <br />GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROV!SIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUC7101J <br />— OR THE PERFORM1IANCE OF CC�NSTRUCTION. <br />SIGNA7UAE OF �pry1RACiOR OR AUMORIZ[0 AG[Ni pAIE <br />X � � f .,''i � �4' � <br />� RPPLIUNI'SCIIYpp5WE55LICENSENO � <br />DISNWASNER <br />L�l1NDRY iRAV <br />CLOiHES WASHEfl <br />�RINKING <br />NO. TYPE OF EOUIPMI <br />AIR COND. Utl115—M P. EA <br />REFBIGERAt10N UNIiS—HP EA <br />BORERS—H P. EA <br />GASFIREDAC UNITS—TONNAG <br />M <br />�— SU8 TOTAL �— SUBTOTAL f <br />� rEflM1T S PERMIT __ 5_ ___ <br />_ TOTALFEE 3� _ TOTALFEE _ __S ___ <br />iHIS PORTION Tv BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />feONISEI�AfN R[n115[lO�CK S�pE5Eip4�N PLAYCMELNNU�'�ER �`LANQI[(:nlfC <br />�E[ ��EClII'1N0 <br />USE20NE LOiARf� VaC�Ni511E <br />fEES V�LU�TION �EE <br />pvES ONO -- <br />iYPCQICONSf OCCUPPNCVGROUP ��OOFOWEILiNGUN:iS <br />ew�oiNc s <br />s�zE o� oloc NO O� sieRIE9 � M�z. occ lo�o - --- <br />�CC <br />BY <br />APPN fOf1155U4110E BY <br />G-� <br />PLl1A1pING <br />MEGMFIlILAL <br />OIMEP <br />f'ENAIiY <br />TOTAL <br />