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r'\ <br />�ri'PLICATION �O� ��� <br />CTION 0 <br />��.E»ro�»^ CONSTRU <br />""°` PERMIT <br />everett <br />BUILDID!�DEPARTMEN7 TO BE COMPLETED IN INK- PLEASE PRINT <br />259•8810 ❑ SI(iN <br />� BUILDINO ❑ MECHANICAL O PLUMBINf3 <br />O DEMOLITION ❑ COMBINATION i�p r��nrr <br />- -- c�n „_�♦ <br />to' <br />^��qorvroaK� qEpq�p ❑ DEMOL�TION ❑ W�UDSIOVE/FRFL.INSENT ❑ BUILDIN6 AELOC���OH_ <br />❑ NEW �DDITION ❑ ALIER�TION ❑ 1 / /� <br />_ __"'.....�...�.�.mu9l�nnR� _ _ �i i �G v � /1/� I iQA� <br />KUMOINO <br />NQ. TYPE OF FI%TURE <br />WIITER CLOSET ITO�LE71 <br />BATMTUS <br />U��TOAY IW�SH BAS�NI <br />s�IpyYER <br />RITCHEN 91NK i O�SP <br />p1lHW�SMER <br />� �,q�ppY tRAV <br />CLOTME! W�SHER <br />URINIIL <br />DN�NNINO FOUNT�iN <br />FLOONDRMN <br />B�CNA.OW PFE�ENfERS <br />ROOF OPIIINS — AA�NLE�DE <br />SINK ISENV�CE — BAp. ETC � <br />TOf11L <br />�IIT <br />�lfE[ <br />I��K' RE�RSE�� <br />Z <br />� o� �n[� <br />�� � ocwv�n <br />/ <br />��o or S <br />SF Q9D <br />F�Y' ��(� <br />��g Cr1EGKC0 BY <br />� <br />��J <br />�3 <br />sme sETe•cK <br />� ' <br />WG�H 5�11. <br />pYES O <br />No orowe�una <br />� <br />M1�.OGG L0�0_ <br />%Y rT <br />ervn ron�aso, <br />'GII�/ <br />u <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TIIIS AP• <br />PIICATIONANDKNOWTHESAMETOBETRUEANDCORRECT AI.L <br />PROVISIONS OF IAWS AND ORDINANCESGOVERNINO THISTVPE <br />OF WORK WILL BE COAIPLETED W�Tf1 WIIETIIER SPECIFIED HERE• <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUiHORITY TO VIOIATE OR CANCEL THE PROVISIONS OF <br />OR HE PERFORMANCE OF CO STRUCTION. G CONSTRl�CT10N <br />9�ON�IURE CONIMCIO �UT��ORi1F0 �uENf I�A1F .� � <br />X b'�l� l ��'C <br />..,... . ..��nr �awF99UGNSFHO -, � <br />MECHANICAL <br />NQ TNPE Of EOUIPME <br />p�C — IVNHULO UNIT� 5 —� <br />9EFPIGERI1ilON UNITS — H P E11. <br />BOILEAS — B.T U iH P <br />OAS FIRED �.C. UNITS — B.T.U. <br />FORCED ��N SYSTEM4 — B.T.U. M <br />W�LLNE�TERS—B.TU. M <br />UNITHEI1fER9—B.TU. M <br />METPL f IREPLACE ► CMIMNEY <br />FIREFLACE INSE� <br />HEA�PUMP <br />CiAS PIPINO <br />E%HAUSTF�N <br />eus toi <br />pl11MIT <br />TOTALI <br />p����1( NUMBEP FEE <br />� a� � <br />PECE�PT NO. <br />131�s <br />BUILDIN6 '� <br />PLUMBING � <br />MECMANICAL <br />OTHER <br />STATE BUILDIN6 SURCHANQE <br />STIITE ENEPOY SUACMRRGE <br />PUBLIC W�RKg <br />TOTAI <br />. pp���'�-NiYOWNERSARERESPONSIBLEFORDETERMIN�NOALI <br />��, t v LINE LOCATIONS AND RELAI ED EASEMENTS. <br />_, . . . .,;.:_ ....:�:�__.._ <br />