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w� � �NSTRUCTION � � <br /> 25�t <br /> PERMIT PERMITkO. 16834 <br /> 0 osMoutaN o cowxunoN o suwwNo ❑ r�auu�cw n �+sma ❑ � <br /> "'""'"0°"E� dTM 98201 n� 258-442� <br /> Gs�q lbtrl� 3030 Rucicel Evezettr MA <br /> ��� r�n•oo�ss an ziv Aar� <br /> aErEwiconrn�cTon wa�ooacss cin zir pa� ucam�� <br /> Self <br /> rFp•�M�ucoNrn►ctai M�tL�DDRE55 c�n 21P A� ��� <br /> 0.1��G���L�� M��LADDRE55 CITV 2iP PMONE LIGEH9E• <br /> CLA55OF WORI( <br /> C7 IIEw ❑ ADDI710N �ALfEMT10N ❑IIE�AIR � DEMOU710N ❑ �ULDN1611ELOC1ITION <br /> v�uu�nor�a wor+K <br /> t <br /> oescan�v.on� <br /> Cemolition <br /> "`"T 5°""c� ❑ a�s ❑w000arove O OTHER <br /> ❑ Et�cnMaTr <br /> •n000seouseoreunoma I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TMIS <br /> Duplea APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> �pµpESpppTIp10FPROi4NTY�5MOWBEIOWORl1TTACHFOURWFIES) CORRECT. AlL PROVISIONS OF LAWS AND OROINANCES <br /> 15 G 16 72P Plat of Everett Div H GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITM <br /> �or__eioc� — ov WHETHER SPECIFIED HEREIN OR NOT. THE GHANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTMFR <br /> STATE O C AW REGULATING CONfiTRUCTION OA <br /> THE OF CO TRUCTION. <br /> JO!11D[MESS SiGNAT E OF C GTO , Y.ORILE OATE <br /> 1309 Pacific Ave X �� <br /> PIUTASIN6 MECHA IC <br /> Np. T1TE OF flKTU11E OII ITEM fEE NO. TYPE OF EOUIPMENT �E <br /> WATER CLOSET(TOILET) A C—A/NNDLG UNITS—HP. <br /> B�TMTUO REFRIGEN�TION UNITS—H.P.EA. <br /> LAV�TORV('N�SH B�SIN) BOILEFS—B T.U./N.P. <br /> SNOWER GASFIREDAC UNITS—BT.U. <br /> KITCHEN SINK 6 DISP. FORCED AIR SYSTEMS—B T.U. M EA. <br /> DISMW�SMEP \4RLLHEIITERS—B.T.U. M <br /> UUNDRY TNAV UNIt HEATERS—BS.U. M <br /> CLOTHES W�SHER EVAPORATIVE COOLERS <br /> UHINAL CIOTHES DRYERS <br /> DRINKING FOUNT�IN VENTILATION FAN <br /> fLOOR DR�IN AANGE HOOD <br /> B�CKFLOW PREVENTERS WATER NERTER <br /> ROOF OR�INS—R��NLEADERS WOOD SiOVE <br /> S�NK ISERVICE—BAR.ETC� METAI FIqEPLACE 6 CHIMNEV <br /> FIREPLACE MCiERT <br /> ME�TPUMP <br /> GAS PIPIN(i <br /> E%�iAUST FAN <br /> {U�TOT�L t fU�TOTAL _ � <br /> ��T { PEIIMIT 1 <br /> TOTK FEE � T�T��FEE <br /> FHONTSFIB�GN <br /> q�q SETe�GK SioE SETBnCK PLAN CHELN NUMBER FEE RECEIPT NO. <br /> U9E ZONE LOi RRE� V�CANt S�T[ �Es VALUATION �E <br /> ❑YES ❑NO <br /> BUILDING E —O— <br /> TYPE Oi CON51 OCCUPANCV GROUP NO OF DWELUNG UNiTS __. <br /> PLUM8ING <br /> SRE O�ELDG NO OF STOA�ES MA%OCC LORO --"' <br /> MECHANICAL <br /> INVESTIGATION fE1? Sec.30a�e) _ <br /> FI PRINKLERS REOUIRED VES NO STATE BUII.D�NG SURCiiARGE 1 SO <br /> STATEENERGVJUFCHARGE L7�16IBG �: �IISOZZ L�� <br /> 11PPLICRTIONRCCBY R�NSCMECREDBY RPVRf(n.:55U/NC[BY / <br /> DRIVEWAV PERMIT � <br /> TOTAL �_pp 1 50 <br /> M.M. 0 <br /> rE�nr v�uc�non • <br /> yAiEN PROPERL\'VMLIDATED PN T�aH15IS YOUR PERMIT �� <br /> ff{ER !.^..SO M <br /> p�Q{ 14.00 CO <br /> CD <br /> � <br /> , <br />