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;;� PLICATION FO�� <br />« �� ""' CONSTRUCTION <br />everett PERMIT <br />BUILDINO DEPARTMENT <br />2b9•8810 TO BE COMPLETED IN INK • PLEASE PRINT <br />O DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />M�II <br />M�IL <br />�F . <br />O PLUMBING O SIfiN <br />PMOHE <br />35S - o94D <br />PMONE <br />PHONE 4lETSE �K <br />as�- an� s.�ok;� <br />PMONE 110ENSE • <br />� <br />� . ILUMlINO CONTRACTOR , M�II �DDRE55 ��n' ZiF PNONE LICENBE � <br />1 <br />� C1A�60F WORK <br />��'v��iwno or On coarolOr renaev� sEueomN ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSEHT ❑ BUILDINO RELOCATION <br />� 'E % 6 �n a [� . ... _ , <br />D[�CIU�E WOFK <br />�or� <br />�-v S r- <br />f, i i <br />h�/I� i., � . �u_� _ : e <br />� <br />rLUMSINO <br />..J <br />— A�INLFAOERS <br />. — BAR. ETC.1 <br />u �� <br />LOT�PE� <br />/i oX � � <br />f. OCCUP�NCY GRI <br />N M-� <br />9Y <br />f <br />f <br />SIDE SETB�CN <br />G <br />V�C�NT SITE <br />DOo ores�+o <br />P NOAFDWELLINOUNITS <br />� <br />M�%. OCG. IOSD <br />N,¢ <br />�NO _ <br />f �PPR. FOR ISSU�NCE BY <br />G �G. <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNO W THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISI ONS OF LAWS AND ORDINANCES GOVERNIN6 TH IS TYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEHE• <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF' <br />4NY OTHER STATE OR LOCAL LAW RECULATING CONSTRUCTION <br />�.'�. THE PERFORMANCE OF CONSTRUCTION. � . <br />T'.;.,,NREOFCONTRACiORORAUTHORIZEDACENT O�TE <br />X <br />MECMANICAL <br />MC — AMNDLO UNITS — M.P. <br />REFRIQERATION UNIT$ — H P. I <br />BOILER5 — B.T.0 M.P. <br />OAS FIRED A.C. UNITS — B.T.U. <br />FORCE� AIR SYSTEM9 — B.T.U. <br />WI1lL NEATERS — B.T.U. <br />UNIT HEATERS — B.T.U. <br />EVAPORATIVE COOLERS <br />CLOTMESORYERS <br />VENTILATION FAN <br />RANOENO00 <br />WATER HEATER <br />WOODSTOVE <br />MEfAL FIREPIACE 8 CHIMNEY <br />MEATPUMP <br />O�3 PIPIN� <br />EXHAUSTFAN <br />DUlTOTAL <br />K11MIT <br />TOTAL FZE <br />PLAN CNECKNUMBER FEE <br />qc�=Yi l.oy <br />� <br />au��oiNc <br />vi.un+eir�a <br />MECHANICAL <br />OTHEF <br />STATE BUILDINO SURCHARG <br />STATEENERGYSURCNARGE <br />PUBLIC WORKS <br />TOTAI <br />1 /O/�G/ 8 7 <br />RECEIPT NO. <br />qC�3 <br />PROPERN OWNERS ARE RESPONSIBI.E FOR DETERMININ� ALL <br />PROPEHTY LINE LOCATIONS AND REUTED EASEMENTS. � <br />