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r <br />L <br />r <br />(IIP£r['rgrrrn CONSTRUCTIOP � � <br />UiY 0� <br />everett PERMIT PERMITN0.116gH <br />CI7V H4LL 2599]d5 <br />Ever�ETT c�� �szu, ❑ COMBINATION C� BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNfN NPILA�[JFlR CI1Y LI' cnpY! <br />HARRY RZEKEN 3317 WETlfORG AVE. EVFRFmm agZpl �c�_��_+.. _ <br />PNCIiItCCiORptS�uI.U1 MPiLnUDRE55 PiV ZIP PINNf <br />GENERAICOYfFAC10N FIAILApDNEiS G1Y 21C PHONC UGtiN5E1 <br />GFT F` <br />UFCHFNIGAL WNiRPCiOR MAh ApOP65 Qi♦ ZIP PHONE L�CEbSE I <br />V`lUM9'NGGON1PACtOR M4R ADDFE55 CIiY Z�P MO���E UCENSE � <br />____ __ <br />❑NE\Y ❑AD�IiION ❑ALTERFi10Y �JREPAIR LIDEMOUTION ❑FENCE OSIGN ❑GFRAGE <br />VnW>ti0v Of WOPK <br />S LiO�.�� <br />CCSCRIBE WUHn <br />PROPJSED u5E Oi BWLDiNG <br />�[cA� ocscaiariorv o� raovEH� <br />�o, ui«K_o� <br />PLUMBIN� <br />N0. TYPE OF FIXTURE OR <br />WATER GLOSET (TOIL[TI <br />BATIRUA <br />LAVFTOFY�WASM 9ASIN� <br />SIIOWCA <br />KIICHEN SIIJK 8 DISf' <br />DISHW4SHE(i <br />LAUNDRYTRAV <br />CLO7NE5 WASHEF <br />WFTEH HEFiER <br />URINAL <br />DRINNING FpUNiAIN <br />FLOpR DRA�N <br />VAGUUM B�EANEHS <br />P(NJP DRPINS — P/JNLEADERS <br />SINK bERVICE — ftAR, CiC l <br />SIIB TOT�L <br />SIDE YARD SETBACK <br />USEZONE <br />TYPE OF CANST <br />STRCEi <br />L0T AR <br />dASEMENi <br />1 FNVIRONMCNTAL CMECK UST <br />2. BUILDING °LPNS <br />3. FlREMVDRANT <br />L a. FlRE PFOT[GiION SYSTEM <br />5 GflADING <br />6 �RFINAGE <br />7. ENVIPONMENTALIMPACTSTATEMENT <br />e H[AUH OISTPICT <br />APPLICATION ACC. BV PU+NS GNECKEO �Y <br />lo <br />RCAF VAPD SETB�CN <br />I'XES :INO <br />NO.OP pWELLRJG <br />MA% LK;C. LOAU <br />BY I DATE <br />APPR. FOR ISSUANCE Bv <br />I HEREBY CERTIFY THAT 1 NAVE READ AND EXAMINED THIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING TfiIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIF'cD <br />HEfiEIN OP NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUM1IE TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OH LOCAL LAW REGULATING <br />CONSTFUGTION OR THE PERfOflMl4/}JCE�9F,EONSTRUCTION. <br />C�C.�idillNf O� LOt1THFCiG[IO�Llli�l'Jrll$C[)IGVit / UAiL <br />MECHANICAI <br />TYfE OF E�UIPMENT <br />NNCAND UNIi$—HP EA <br />RCFRIGEiiAT10N UNITS — 11 P EA <br />HOILCR$—I/P EA <br />G�ti 1:PG� A C UNITS -- 10NNAG[ EA <br />FOPCLD AIN SVSTLMS — BT U M EF. <br />YlAll HEATER$ — � i U M <br />UNIi HEAttRS — � i U M <br />VCNTRAiION 1 AN <br />RANGL HOOD <br />AiR HANDLING UNIT — <br />Sl i TOTAL <br />PEPMIT <br />TOTAL FEE <br />GH[CKNUMPET <br />PEE R[GEIPf NO <br />VALUIITION FEE <br />oU1LDING 5 1200.00 ZO SO <br />PLUMBING <br />M6GHANICAL <br />OTHER 1 <br />PENALTY U.6G <br />5[C 303�a) <br />TOTAL 20 50 <br />PERMIT V�LIDATION <br />WHEN PROP[FLY VAUDAT[O IW THIS SPACE� iH151S VOUR PERMIT <br />5552 5020.50-0�1• <br />� <br />t-'i <br />YOUR RECEIPT� <br />Tli,-1NK YOI' <br />ADDRESS FILE <br />12a�83 <br />�i <br />� <br />J <br />� J <br />