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r - <br /> , .PPLICATION FO.. ���,�„ <br /> f��ENIO�N� C O N ST R U C T I O N O <br /> i ���oF <br /> ev�rett PERMIT <br /> BUII.JIN(; �EPAIiTMENT <br /> ?59-BB10 TO dE COMI'I.ETED IN INK - PLFASE PRINT <br /> 69 DEMOLITION I 1 COMBINATION I 1 BUILDING 1 I MECIIANICAL I"I PLUMBING ❑316N <br /> ..-- � -- - -- - - �- - � ------� -- --- — <br /> awmn <br /> --"-------'_-�---�uii nni,iii�a� � -� - - - -- -' riR -�i� rvurn <br /> ����_C�_l�—�r �� ' 1 '__13� � .(.� Ci. .._:_L'_il��__ '/a % .:'/ .� '� � i: (•� �� <br /> u�nunn��nms�nrnr� �'�—sun�unniss � -nv nr w�oui. <br /> �IINO�4 [Ohip�G101� . — A141aP1�11l::: ---�—�—� '—�:��v -�-��---_� !iP i'uD��l �ICU4C• <br /> � (1-j � ! 1 � l. . _ <br /> • ___ <br /> �.i.n�•H�rucoHrn.ann nu�� .urnnsi.-- a�� nr r��nNc ncrr�sr. <br /> nuueirv�l[ornn.Uai� eun �0o�nf;s citv !n� runnt uci.ersr . <br /> C1�550!�YOP� <br /> ❑ NEW ❑ ADDIIION ❑ ALTEHAIION � REPAIR ❑ �6A1f11J11(lfl ❑ WOOf)SIOVE/FRPL.INSERT ❑ BUILOING FEIOCATION <br /> v.'y+vaH or won.�r.osi or�a+n nu�s i�i us unon, <br /> � �`SU <br /> M S[Rip!NORn <br /> �� / � ' <br /> 't r-1 {1-[ -c�- ����Ct._.'11� �"� �) <br /> usc or ocun�r�c. I HERE�V CFRTIFY THAT I HAVE READ AND E%AMINED THIS AP- <br /> ' /�eL'� � �•.d��"`�–'`"-- pLICATIONANDKNOWTHESAMETOBETRUEANOCORqECT.ALL <br /> i[r,+im mm�oNornnorcmris��owenuowon+iucnrnuncnrn:a pROVISIONSOFLAWSANDOFDINANCESGOVERNINGTH15TVPE <br /> OF WORK WII.I_BE COMPLETE[1 WITH WHETfiER SPECIFIED HERE• <br /> w�_e�oc.--o� ---- INORN0T. IHEGFANTINGOFAPERMITDOESNOTPRESUMETO <br /> GIVE AUTHORIIY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANYUTf1ER STA7E OR IOCAL LAW REGULATING CONSTFUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> JlliNeIUHLU1lUIlIN51;i6R0lI�IIIIIOf112F0AGENI U41k <br /> / <br /> X -/ <br /> ,�.�,�. ✓ /�.�t �� j•7-Z. S-�' � <br /> PROJ[Ct�DDRE55 aP19 if 411'S GI:V IIIIS�Nf 551�f,1.14[NO <br /> - 2 30l GU e� rnPra <br /> •LUMltNG ' MECHANICAL <br /> ; NO. TYPE OF fl1(TURE OR ITEM FEE NO. TYPE OF EDUIPMENT FEE <br /> W�TER CIOSET�TOILET� a�C-��HNOLG UNITS-��P <br /> IB�TMTUB NEFRIGERATIONUNITS-��PEA <br /> LAV�TONY IM�e511 BASINI OOILERS-0 7 U rM P <br /> � SMOWEA (iASFIHEUAC I1NIT5-BTU <br /> KITCHEN SIN` F OISP FORCEO AIR SYSTEMS-0 T U M EA <br /> ! WALL NEATcRS-B T ll M <br /> DISHwASMER <br /> UUNORV TRAV lIN1T HEATEHS-B T U M <br /> CLOTME$W�SHER EVAPORnTIVE COOLEFS <br /> JRINAL CLOTMESDNYERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FIOOt�DRAIN RA`!GF Nn�?p <br /> I � OACKfLOWPNEVENTERS W�TERHEATER <br /> � — ROOFDPAINS-FAINLE�DERS _ w00�STOVE <br /> SINK�SEA��LE-O�A.ETC� ME7'A� FIIIEPLACE d CI IIMN[V <br /> FIREPIACE INSEfiT I, <br /> 1 <br /> I�EAT PIIMP II <br /> — GAS PIPING <br /> �, ENIIAl15T FRN ''� <br /> 340 TOTAL { S118 TOTAL <br /> PERMIT f PENMIT <br /> T0Tl1l FEE f TOTAL FEE <br /> ����>�+�SEtuu:r �[ReSkrB�cn smLsno�cn �'��•��+�-��EGKNUMpER FEE NECEIPTNO. , <br /> nsctor+[ ior�nu ���;uemiE FEES VALUATION FEE <br /> urCs u�iu S <br /> — �UIL�ING <br /> rvrcorcor+st oauru�crcnour rmormvnurmur�ns <br /> PLUMBING <br /> Si1CO�0iD� NOOlSiORi[5 M<cpCf. �0�0 MECMANICAL <br /> Of11EH <br /> FIRE SPRINKI.ERS REOUIFED ❑ YES ❑ IJO _ $TATE Bllll C:NG SUPCHAflGE <br /> STATEENEHGYSURCHaRGE i <br /> cp[qif.ttiDn+,�l9r �9tNSf.uFLKCf10�' A��+�I �ORi55u�1¢i0v <br /> ' PIIBIIC WORHS : <br /> `�; 1�✓� . / �.. � . V� TOTAL <br /> 1_ I FI� <br /> PNOPF.RTY OWIJERS ARE RESPONSIBLE FOR DETERA!'�NINC ALL <br /> PROPERTY LINE LOCAilONS AND RELATED EASEMENTS. i <br /> � <br />