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4904 SEAHURST AVE 2016-01-01 MF Import
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4904 SEAHURST AVE 2016-01-01 MF Import
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Last modified
3/9/2017 3:31:45 AM
Creation date
3/9/2017 3:31:25 AM
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Address Document
Street Name
SEAHURST AVE
Street Number
4904
Imported From Microfiche
Yes
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I . . ' ��►PPLICATION FG,t ���,�„ <br /> ; cmEor�m� CONSTRUCTION � . <br /> ; everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259-8745 TO BE COMPLETED IN INK- PLEASE PRINT <br /> ❑ DEMOLITION ❑COMBINATION pG BUILDING ❑ MECHANICAL O PLUMBING ❑ SIGN <br /> � /� Ir MeR�ooREss cliv T.�r F�ioNE <br /> OWNER �'Ght� �IGS <br /> , Trpp�� t/.�^ aii.ii SK•, '�l��vr `-'�Hll�i-��cOrrl i.]q ��Yl� 75�3�9RD <br /> AqCHITEG�0ALE510NER MML�D��E55 Clrv �— P ONE <br /> � . nn..�„r ����'✓� yr�rf�� 9f�i.-�3 <br /> TfiE /i1f//Jll%71(,(,)Al.���,�� �,r nr rr�oNe ` LICENSE. <br /> OEHER�LGONTR�CTOR I.IMIApDFESS <br /> i 1i ia c'_'!s��S�i��fic,�� �D�1 S�l-7Ht1,eST A�t��J�•�r�TZ 9 '_ 70�-R!/�-naCea/ - <br /> � MECM�NICAL CONiP�LTOF M�IL�OORE59 /� n n <br /> C�y� <br /> � MAIL POORESS CIIY 21P PIIONE IILENSE• <br /> PIUMBINOC NTR�CION <br /> � <br /> 7 C�eLM1490FWONN <br /> y,� NEW ❑ ADDITION ❑ AL�ERATION ❑ �7EPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT �� BUILDING RELOCAIION <br /> V�LU�TION Oi WORNIGO51 J�M1Ut[RUlS�W9 LeBOAI <br /> 4�ri 9�-.. r0�� , ou <br /> '� UEDCRIBE WOAN <br /> i <br /> i <br /> � <br /> , us¢ovewio�ea 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> � Q��/�,j��r PLICATIONANDKN01/TfIESAMETOBETRUEANDCORRECT.ALL <br /> 3'=� PROVIS�ONSOF LAWSAND ORDINANCESGOVERNINGTHISTYPE <br /> tEO�L OESLNiPT10N OF PROFERiY�SNOWN BELOW OA�TT�CN fOUN COPIE51 <br /> OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br /> • �or_e�oc�.—ov — IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHOfi�TY TO VIOLATE OR CANCEL THE PROVISIONS O� <br /> ' ANY OTHE^STATE OR IOCAL LAW REGULATING CONSTRUCTION <br /> ' OR THE PERFORMANCE OF CONSTRUCTION. <br /> SION�TUAE OP CONINRCiO��OR AUTNOPIIED�GENT DRTE <br /> � X ° ' 9 <br /> c� <br /> �� PPOJECT�ODRESS �PVIIC� SQI i E Sli NSE <br /> � y �vy � <br /> �! PLUMBINO MECNANICAL <br /> TYPE OF FIXTURE FEE NO. T'PE OF EOUIPMENT FEE <br /> � NO. / � AIR CON�.UNITS-H.P EA. <br /> .i WATERCLOSET�TOILEI <br /> BATMiUB / PEFRIGERAiION UNITS-H.P.EA. <br /> � LAVATORVIH'ASH BASIN� BOILERS-H.P.EA <br /> y 6AS FIREO A C.11N1T5-TONNAGE EA <br /> SHOWER <br /> q � KITCNEN SINN 8 DISP. �U FORCED AIR SYS7EM5-B.T.U. M EA. <br /> � � OISHWASHER WALLHEAlERS- i.U. M <br /> '� LRUNDRYTHAY UNITHEATERS-B.T.U. M <br /> ��� CLOTHES WASHER EVAPORAIIVECOOLERS � <br /> j WATER HEATER CLOTHESDRVERS <br /> '� Q URINAL VENTILATION FAN <br /> i <br /> p DRINKING FOUNTAIN RANGE HOO� <br /> D FLOOR DFAIN AIF MANDLING UNIT- C.F.M. <br /> � O �ACUUM @REAKERS STOVE <br /> O ROOF DNAINS-RAINLEADERS METAL FIREPLACE 6 CHIMNEY <br /> O SINK SERVICE-BAR.ETC. I WOOOSTOVE/PIREPLACE INSERT <br /> i Q <br /> 1 <br /> 3 <br /> � <br /> SUB TOTAL �'U �� SUB TOTAL f <br /> � PERMIT f ' PERMIT f <br /> , TOTALFEE t � TOTALFEE s <br /> � THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> '� /� ruH cr��c�rce Ip <br /> � iRONT 9E1B�GN RE�R SEIB�LN SIOE SE�G! P����,c�Nl �IM9f�`�C FEE ��S � REGEIPT NO. ��n(J` <br /> � � � W I f J "� Y <br /> � USE20NE LOI�RE� AN1511[ V�LU�TION FEE <br /> ( c� FEES <br /> � ��p 1 SF res o��o <br /> y TVPEOFGONSi. OCCUANCYGROOP NOOF1DWELLIN6UNIt5 � � <br /> - 1 ( OUIIUING � � <br /> -. /V � <br /> � BiZEOFBLD�. ��OOFSi0RiF5 M�N.00CLO/�0 � /y'� <br /> . � � PLUMBIN6 ���� <br /> d�9 Sh rj� <br /> � MEGN�NICpI �� <br /> ,'�. FIRE SPRINnLERS REOUIRED ❑�ES ❑NO OrHEH 3 3 _� <br /> �. PE N�LTY /s w <br /> APPLIC�110NPCGBY PLAN9CIIECNE09� APPRi0�Ig5UANLEBY <br /> TOT�L <br /> ' � '� L G �a���:c�,�����-r 'P.ruTN ti,i�-r �+a�t. <br /> T� P.>.� F"-tl-,aPCr� 1�.�T0 �.�W�/L <br /> `-, I .. <br /> o S�•� <br />
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