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ApPLICATI� FOR CONSTRUCT�N PERMIT <br /> cm oF�•suu.a;xi awsroN � <br /> asao ceaw srn�r•evEaFrr,w�eezo� •c+2s�zs�-ee�o <br /> O DEMOl1TWN ❑ COMlMAiION ❑ WILOMO ❑ MECNA1MC111 ❑ PUMI�MO ❑ f10N <br /> OJECT ADOREfB`� <br /> �..��' ' 1s4�7 ss.tJ �� .s,a.�9ltG3�,��' •:' 7 <br /> / n rui af an �� <br /> �t.uwi u.n.00icss on n ^� <br /> NCN1fC�W�fLONFR MIN�CO11f5$ CI�Y /i• PI�MF <br /> Y.Q� �J, __ r.. __ L� as��r�.,.J/....%�k�1oeN.,�o.l�/e,�•. S1ti�sl�er.)i3Z.oras <br /> Mmlc W ��W�fsi t�lr )m M�O�E 5t�rt1IINlE� <br /> YFLN�ML4f.ONiN�Clp1 M4l�d9F55 diY iM' ���Mf ii�tFlKEHiF1 <br /> qIMlMGCOMIPY;IOR MM�LGR55 Gry lIP PM.YF Si�IFIICfM]F� <br /> CON`"�' °``�` � NEATNIO SVSTEM: ❑6AS O EIECTRIC ❑ <br /> w < <br /> �x,�.�,.M.�.��..�.,,b„�o �.� n.,d..��� 97S-G9(o� <br /> r - - ��f� � . o.� sr — <br /> P <br /> • I NEREBY CENTIFV TN11T 1 M�VE 11EI1D 11ND El(�MNiED TMS <br /> 11P9LIC�TtON N1D 1(NOW TNE S�ME TO BE TIIUE ANO C011RECT IILL <br /> morouo a mmwn pqOVIS�ONS OF lAWB N�D ORDINNICE6 OOVEIINMq 1M5 T'PE OF <br /> yypq(y�q�!E CqAPL1E0 YATN MMET/IER SPEpF1ED IIEREM OR <br /> �eeko[scam.wnamaea �vownet�owo��roenrooeonEs NOT. T11E 6R�NTIN6 OF�PERAN7 DOEB NOT PRESIIME TD OIVE <br /> i�� �� p AUTNORITY TO VIOUTE OR GINCEL TME P110VISWN OF YIY <br /> OTIIEF STATE OR LOC�l L11W REOlAAi1N0 CdAT11UCTI0N OR TAE <br /> pEqfq�4UNCE Of CONSTRUCTION.TN11T 1 NA WTIIOIIILED B�TIIE <br /> OMT�ER OF TMS PROPERTY TO PEIIF011M TIE WOIII{FOII W111CN <br /> •PPLICATION IS MME �ND I COMPLY WIM TNE 6TI1TE <br /> �Ei � n CONTR�CTOPS L�W 1l27 RCW��N�D ".20D W�C. <br /> ����E.���,,�,��'r •,LS�.....;.,cL�:.r-.� 9��> <br /> wF� D�IC <br /> /� <br /> diY MIlR55lCFM5C NO <br /> nuwnm ��"�"� <br /> NO. TYK OF ARi1111E 01111FM fEE MO. TYr!Of[OIIRIINI �! � <br /> � W�TERCLOSET�TOILET) NC—M1OL��8 <br /> B�TNTUB FORf,ED MN SYSTEMS <br /> LAV�TOi1Y(W�SH B�S�N) ��T�� <br /> 51qM/ER UNIT 11E�TERS <br /> kITC1/EN SM/K i DISP CLOTHEB ORYERS <br /> D�SNWI1S11ER MNGE MOOD <br /> L�UNDRV 7qAY WATER HEA7ER <br /> CLOTHES WASHER WOO�STOVE <br /> VNIN�L MET�L FIREPLACE(VJOO�BURNRlG� <br /> ORINKMG FOUM��N FIREPUCE INSEiR(WOOD BURNING) <br /> fLOOR DRAIN GAS FIFEPLACE <br /> BACNFLOW PREVENTERS (il\i MNGE <br /> SINK(SERVICE—B�R,ETC.) CAS�IPING <br /> -- EXHAUSTfAN <br /> SUBTOTAL f SUBTOTAL { <br /> PERMIT f __ PEf�AIT t <br /> TOT�LFEE S TOTiU.FEE f <br /> FOR OFFlCE USE ONLY: <br /> 111(1NfYlP�fF fK�115{1P�Ck SILfS(ISI�CK f�1�NC11[CSMMI�P IFt R�I'fll'1NO <br /> ac[aovr �m r.rKn v.c�v�sr[ FEcS V�LUIITION FEE <br /> OrEs O�u �����y�; <br /> ��F�f.nt 1�4i1I,lq4 MO b MHll1NG SItE d h0O'11 n� <br /> �mns . �4 niwnrvn _ _'_ _ '_'_. G <br /> U:Um��er M^n5�;wiea Ofrunw��O�n R�Ru[N� yrtwrnCy _/�� � <br /> f.�(lUn � _ <br /> O�[s ❑uo <br /> �____ — �owuw�in�Martr..� <br /> rn+c<n,wxiinn�o�o rr.�� -- <br /> o�r�rn <br /> ii i.ununro�o " m.•ov -- — � �-^ <br /> fuR�wtfH�AMHtH�M:F ?.151 <br /> •rr�orri»�a nevs�rmwtnar CRYOFEVERETT nm�rwur.c <br /> LOCAL 8�LE8 -- -- — <br /> oat (0 8 �/ Tl1%CODE IS 7f05 TOtl1l <br />