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f�1�'Pt.iCAT10N FCi�� eVPf�„ <br /> '".E�.,°„'" CO �J ST R U CT I O N O <br /> CITY OI � <br /> everet�: PERMIT <br /> TO BE COMPLETED IN BLACK iNK- PLEASE PRWT <br /> 9UILDING DEPT. <br /> ?59-8745 ❑ COMBINATION ❑ BUILDING ❑ MECHP.NICAL ❑ TLUMBING ❑ SIGN <br /> i,nn[n r.ieii�ooness cnr z�r a��oNe <br /> /,,, � CGl,�—l��� f- ._�.v ,�t o.-��c�P-rT/ ui/l 3u S%J D.� <br /> v1C1111CCiOqDE51uNE�V MA�Ij�RUDR[55 C11Y 21P P11045 <br /> _.L I17 .✓�/�1S �/� /��,1� O ii .2� .?Q' . 1 G�'�SGh �uP�PIy /�I `� �.S .326 J <br /> :ENEReLCONtR OR MAI�.epDfiES Glrv ZIV Pt10NE IICE�lS[• <br /> /7�. 5- !��/�/�_ <br /> '.�[CIIRIIGLCONfPFCIOq MA'.lA0�RE55 LILY ZIP pNONE LICENSIi <br /> .5_(����.. <br /> '�'LUMBIHGCON�RA�Lifi MAILA90RE55 CIIY ZIP PHONE lIC[N51.• <br /> ''��jl� <br /> :Ln55 0�WO ifl�,/ <br /> ❑ NEJJ ICJ ADUITION ❑ AlT[i?ATION ❑ f7EPHIR ❑ DEMOUTION ❑ WOODSTOV[/FRPL.INSERT ❑ BUILDING RELOCATION <br /> �uu�ruN o�wo�n�cos*oF Meienin�s rius��oon� �/') - <br /> U <br /> v <br /> ,� �'' ��._S~ %U,�1�.�_ "�- <br /> ue•,-wmE won�n — <br /> /�lJi.I� P 7' f � -�' ..� O� �� iJ� �n ��i'�f' <br /> '.ItiEOfBUIL0ING � <br /> � ! HEREBY CE TIFY l�H.�T I H VC READ AND EXAMIIJED THIS AP- <br /> PLI�ATION AND KNOW THE SAME TO BE TRUE ANDCORNECT.ALL <br /> �rnni nr-ann•nnrvnrrnorrnrv�a�nw��nri�w�nnerrnr.nrou��r.orirsi f=1: YISIONROFLAWSANDnMINANCFF(:OVFRNING iHISTVPP <br /> � 4L�J/ Y �L �.f'rF ✓�s ' �Oh � ' OPWORKWILLBECOMPL[IEUWIIHWIILIIIGHSPPCII�Ii:UIILItL� <br /> � m / / aoc or. INORNOT.THEGRAPJTINGOFAPERMITDOESNOTPRESUMETO <br /> GIVE AUTHORITY TO VIOLATE (�R CANCEL THE PROVISI04S OF <br /> ANY OTHER STATE OR LOCAL Lo.W REGULATING CONSTHUCTION <br /> �--�--�--- OR TtiE PERFORMANCE OF CONSTRUCTION. <br /> 514NATUREOFGONiRq(;TORORAUIHORI2L�AGENT�� DFYE <br /> -- �—///�� .�/� �//�/�G/ <br /> i•ROJECtAPC0E55 � RPPLICANI'SGIiYOUSINE55LILEL5:N0. <br /> �c��i 'O <br /> PLUMBINQ � RiECHANICAL <br /> --�, <br /> NG 7YPE OF FIXTUNL FEE NO. TY�E 0� .JUIPMEN7 FEE <br /> �.� WNERCLOSETjTOILE� C.� AIRCOND. UNITS-H.P.EA. <br /> 2 BATNTUB REFRIGEf7AT10N UYITS-H.P.EA. <br /> � �AVATORYIWASH BASINI ---- (301LEFl5-H.R�A. -- <br /> S40WER U GAS FlREi�AC.UNITS-TONNAGC EA <br /> KIiCHEN SINK 8 DISP. FOliCEO AIR SYSTEIAS-B.T.U. M EA. <br /> DISf1WASHER WALL IIEATCFS-�.T.U. M <br /> LAUNOHVTRAY -- UNITHEAiERS-B.T.U. M <br /> CLOTHESIYA'sHER EVAPOR�INECOCLERS <br /> WAIER HEATER CLOTHES�fiYEf7S <br /> URINAL VEN�ILATION FAN /�, <br /> DFINKING FOUNTACJ_ RPNGE HOOD ry U <br /> FLOOROFAIN AINHANDLINGUVIT- GF.M. <br /> VACWM OREAKEPS STOVE <br /> ROOF[1RAUIS-R4INLEAOERS METHL FIREPLACE 8 CHIMNE� <br /> SINK SERVII;E-BAR,ETC. WOOOSTOVE/FIREPLACE INSERT <br /> —_ _ �— " — — <br /> SUB TOTAL �� SU9 TOTAI 3 �C.� <br /> PEfIM1T S PERMIT S <br /> TOTALfEE S I TOTALFEE 5 (O <br /> THIS PORTIUN TO '.�l�c COMPLETED B`( BUILDIiJG DEPT. PERSONNEL <br /> fp01115EI0ACN fiERf15E1BA�,;K SIDESEI�ACK PLRNCMFCHNUMO[R �'LANGIIECttfE[ <br /> 2�/� �//��%1l�AXG Tu + � �'f= �`' ( .'� 7 7 �� v[e L.J� S'�3 neeeir�r,,J <br /> USE20NE lG��fE� VACANISiIE I <br /> Q�2 I OYES DM� fEES YRWF?ION IEE ___ <br /> 'YPEO�CON31. OCCVPANLYGIIOUP NO.OFDWELlIN0UNIIS <br /> �/-N Avr��� IZ'3 1 — - <br /> BUILDING L O ..—_�^ �� <br /> :4E O!BLDG NOA�St09iES MR%.UCQ LO�D -�� <br /> �j I O S�r Z N A PLUMOING _ U <br /> �� MFCHFNICFL <br /> FIRE Sf?INiCLF.RS REOUIqEO ❑ VES tl NO ���� <br /> OTNER <br /> PEN�LTV <br /> nPP�IC�iION�CC.�v I'LRISGIIECREOOY APPF.FOq155UANCEBI' <br /> TOTAL U O�� <br /> ��� tY�/fll� . �, • f_� I — — <br /> — �7� �v�= �cJ I�i:.�•: % C.4IC�k� <br /> ��'� <br /> � � <br />