2001 MCDOUGALL AVE 2016-01-01 MF Import

' �PPLICATION FG.t '°""'°'"" CC1t�STRUCTION �`��`�`" arr or everett P�RMIT BUILDING DEPARTMENT 259•8745 TO BE COMPLETFD IN INK- PLEASE PRINT O DEMOLITION ❑ COMBINATION t3UILDING f�MECHANICAL ❑ PLUMBING ❑ SIGN M�IIApOPE59 CItV ZIP pMONE ��u��i- a�l fYlU�r�aanr�_I Fl�r�. .i .�c�.r�e�-I� Q��I ,�.��- GB�a`l OENER�LLONfR1CTON M�ILAUpRE55 GIiY ZiP pNONE IiGENSE� MAIL �.n.�m Y�1V�ll /f_ ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ HEPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION TRAV ORINKINO I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• PLICATION AND KNOW THE SAMETO BE TRUEANDCORRECT. ALL PROVISIONSOF LAWSAND ORDINANCES GOVERNINGTHISTVPE OF WORK WILL BE COMPLETED WITH WHETHERSPECIFIED HERE• IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEI THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTIOtJ. SIQN�TURE OF CONTN�CTOR OR AUTHOR12E0 AGENT OATE X iPP4L11NT5 GITY 6USINE55 UGENSE HO IECHANICAL NO. TYPE OF EOUIPMENT AIR COND. UNITS-H.P. EA. REFRIGERATION UNITS-H.P. Fq. BOILERS-H.P. EA. QAS FIREO AC. UNITS-TONNAGE EA. 1 FORCED AIR SYSTEMS-B.T.Ufd1A EA. WALL NEATEFS-B.T.U. M UNIT MEAiEl75-B.T.LL M EVAPOflATIVE COOLENS CLOTHES DRYEf75 VENTIIATION FAN RANGEHOOD THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL iPONt SEtB�CN RE�R SEIBACK SIDE SETB�CK PL�N CHEGK NUM9ER >lRN C��ECh IEE F[E ( RECEiPI NO 1_I�iE lQNF I (111YC1 V�C�NT SIIE FEE9 V�LII�TION FEE OYES pN0 ofGON51. pCCUPANLYGROUP 01 BlDO. NO OF SfOpIES : SPRINKIERS REQUIREO ❑ YES ❑ IC�IIONACC.BY PUNSCHECNEDBY UNIiS OGC. fOR155U�NCEBY L•� BUILG�N6 PIUMBING MECHANICAL OTHER PENALTY TOT�L S