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IM Ew�/n�rr <br />an ar <br />everett <br />BUILDINO DEPARTMENT <br />�69•0010 <br />..PPLICATION FO�. <br />CONSTR.UCTION <br />PERMIT <br />TO BE COMPLETED IN INK - P�EASE PRINT <br />O DfMOLITION ❑ COMBINATION O BUILDINO O MECHANICAL ❑ PLUMYING ❑ SION <br />'�pWxl11 MMI�pDVIl� CIN 21V MIOHE <br />�. r ..k �a�uu:..i,�..a A.,:. F,,._.t� ti�a�o r �SS-ib'37 <br />IR�iF� OY M MML�OO � CRY IV MON[ <br />\���µ ppryT�q�p� M�il �DDRE�! CITY ti� �HON! LIC{N![ • <br />� (� ill• �tv <br />MlCM�NiC�I CONTIUCTM MMt �OG��l� CIT' tl� MqNI LK�N\! • <br />KYMMNOCONfR11GIOR M�IL�DORE94 CITY SIV W�OME IKkNSE• <br />C111N M wO11M <br />� NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ OEMOLITION ❑ WOODSTOVE/fqp�,INSENT ❑ BUILDINO RELOCATION <br />� i •� OIM�IlIIi�LSRU�I��Mb � <br />� Dw�t� <br />MK�M W011M <br />' n � . � - -- -. _�-4 -ry-, �n �G=, i � +�phn i 'T #- I�-1 �Gi <br />sizE <br />WAT[IICL03ET <br />- B�R. <br />fU� TOT11l <br />NO Of <br />RE <br />WC1NT 311E <br />OYES ONO <br />�o�o <br />FOR 194WNCE BY <br />t HEREBV CERTIFV THAT I HAVE REAO AND EXAMINED TNIS AP• <br />PLICATION AND KNOW TME SAMETO BE TRUE ANDCORRECT. ALl <br />PROVI910NS OF LAW3 AND ORDINANCE9 OOVERNIN01HI3 TVPE <br />OF WORK WILL BECOMPLETED WITM WHETHERSPECIFIED NERE• <br />IN OR NOT, THE QRANTINO OF A PERMIT DOES NOT PRE9UME TO <br />OIVE AUTHORItY TO VIOIATE OR CANCEL THE PROVISIONS OF <br />ANV OTHER S?ATE OR LOCAL LAW REOULATINO CONSiRUCTION <br />OR THE PERFORMANCE OF CON3TRUCTION. . <br />91pN�TUHE OF CONTRI1CTOp OR 11UTNOR12E0 AOENt O�IE <br />i <br />X „�., _ _ , J� L . . _ <br />MECMANICAL <br />NC - MMrOlO UIMTS - M.O. <br />REfl110EPATION UMT9 - N.P <br />901LERS - B.T.U.M.P. <br />13�5 FIREG A.C. UNITS - <br />FONGED AIH SYS7EM8 - <br />WAIL MEATENS - B.T.U. <br />IPLACE 8 CHIMNEV <br />INSERT <br />OAS RMNO <br />BUILDIN� <br />PLUMBIN6 <br />MECHANICAL <br />OTHER <br />STATE BUILOIN� SURCHARO <br />STATEENERGYSURCHANGE <br />PUBLIC WORKS <br />TOTAL <br />FEE � � I11E ��I <br />PROPERTV OW NERS ARE RESPON9IBLE FOR DETERMININO ��� <br />PROPERTY LINE LOCATIONS AND RELATED EASEMENTS <br />