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m. e..�p,«� <br />cin or <br />everett <br />BUILDING DEPi. <br />259•8745 <br />�1PPLICATION FG,! ' ���,�„ <br />. CONSTRUCTION e <br />� PERhi;T <br />TO BE COMPLETED IN BLACK INK— PLEASE PRINT <br />❑ COMBINATION �UILDING ❑ MECHANICAL ❑ PLUMBING ❑ SI6N <br />U�iSf� <br />M�IL <br />MAR <br />- �L�.j -CU,3/7, <br />• <br />MEC�uNiG�LCONTRAGI011 M�ILAOU11E55 , CItY 2iP P��ONE I�GENSE• I <br />PLUTABINOCONfMGipR MMLADDOE55 GItY 21P PIIONE UCENSE• <br />L"J NEW ❑ ADDITION ❑ ALTEfiATION ❑ REPAIF7 ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILOING PELOCA710N I <br />ww�non or wonn�cds� or M�ienu�s rws ��aoy <br />oEstnieEwonrc <br />(�� <br />use or ow�ov+o <br />or rno <br />� �Q.51 C �J� � <br />I 11EREBV CERTIFY THAT I HAVF READ AND EXAMINED TH�S A(` <br />PLICATION AND KNOW 71iE S4ME TO BE TqUE ANDCORRECT. ALI <br />rvon�rt�cr FOURCOPI[S) PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPI <br />� �.� OFWORKWILLBECOMPLETEDWITf�IWHETM-IERSPECIFIEDIIERC <br />— I'J OR NOT. TH[ GR�NTING OF A P�RMIT DOES NOT PRESUME il <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OI <br />ANY OTHER STP,TE OR LOCAI LAW REGULATING CONSTRUCTIOP <br />OR THE PERFORMANCE OF CONSiRUCTION. <br />SIONAIURE OF ON MCTOR OR AUf110R12ED'AGENi O�IE <br />�'���7� ���/." �///��� <br />rNw�cr �omress �/ <br />LC7CDLG.J <-f-TW I��Z. S.E <br />f1:JNi SEI��CK <br />2 n� <br />USEION6 <br />� � I <br />IYI'E OF GONSi. <br />� � I..� <br />s�ze av oip_n„� <br />� rCSI <br />iu . 7f <br />�� ti� <br />r % � c.'� . � <br />�NICAL <br />TYPE OF EOUIPME <br />AIRCOND. UNITS—H.P. EA. <br />REFRIGEf7ATION UNITS—II.P. EA. <br />OOILCRS—HP.EA. <br />GAS FIRED AC. UIJIfS—TONNAG <br />FO(10EC AIR SYSIEMS—P.T.U. I <br />WAIL IIE�TERS—B.T.U. M <br />11NII' IIEATERS—B.T.U. M <br />'', ; i� >• <br />f <br />THIS PORTION 70 BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />PEAtl5El0AGK SIOESEiOAGK �UNGIIECNNVMp[R `1'L- � —� AHCUCCNFII .� <br />zp�� �°-�7 S� 1�.�ia � rcE ncceiv�uo <br />LOIApE� yqCAN191IE FEES V�WRTION �EE � <br />OCCUPRNGVGROUP <br />jZ —3 <br />PUNS CIIECNEU BY <br />J� <br />c,,• <br />�5 ONO <br />NO.Of pWELLIN <br />I <br />M�x c cc �oao <br />�. ron issu, <br />�� � <br />ow�oir+c <br />PLUMOING <br />MECHANICAL <br />0711E11 <br />PENALTY <br />TOTAL <br />� <br />3► <br />._ ■ <br />