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rhr F.ir.�¢mrn <br />('�iY OI <br />everett <br />259-8745 <br />C'1NSTRUCTION <br />PERMIT <br />^ r <br />PERMIT NO. 18684 <br />❑ DEMOIITION ❑ COMBINATION � BUILDtNG ❑ MECHANICAL O PLUMBING ❑ SIGN <br />ON?il�I FIAq ADDIICR C11V ZIP MIONL <br />iY01}1 Timothv Knopf 932 Wetmore Ave. L'verett 9820 252- 410 <br />♦nan�lCtoHn�s�nN[n un�t�no��[ss c�ir zm q�oN[ <br />GCNCR�t COrviMqOR Mnil AppRC55 �iTv IiP pHpNE LiCENSE � <br />owner <br />MLCH�WUICONTRnCiOP MMl�Uf1PC55 CI1V ZIP IMONE UCENSE• <br />RUMBINGCONiR�CT011 M41L�ODRC55 CITY ZIP PIIONE ULENSE� <br />❑ NEW � AODIT�ON ❑ ALTENATION ❑ REPAIR ❑ DEMOLITION <br />V�W�tION Of WOqN <br />S 1�10�.00 <br />209 sq. ft. Ueck. 1b 1CiIX9t renew permit #15278. <br />+E�* wuncE <br />O ELECTRICITV ❑ GAS ❑ WOODSTOVE ❑ OTHEN <br />Single family residence <br />�or ,�Qi �c� �,� or �' ��' <br />PLUMBIN6 <br />11�:'���� <br />WATE. �LOSET �TOILET� <br />BATHTUB <br />LAVATORY�WASMBASM) <br />SHOWER <br />KITCNEN $INK 8 DISP <br />DISMWASMER <br />LAUNDHYTRAV <br />CLOTMES WASNEP <br />URINAL <br />�RINNING FOUNTAIN <br />FLOOR DRAIN <br />BRCKFLOW PREVENTERS <br />ROOF DRAIN$ — RAINLEADEP.S <br />SINK (SERVICE — BAR. ETC ) <br />SUBTOTAL <br />PEi1MIT <br />TOTAIFEE <br />or I ruHsc�rttneoor <br />❑ PUILDING RELOCATON <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTH(1RITY TO <br />VIOLATE OR CANCEL THE PHOVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SiONR1URE 1 CONiRPCTOR. �UT110qi1ED AGENi. OR OVMER DATE <br />x �� e - Z�—��— <br />MECMANICAL <br />TYPE OF EOUIP <br />A'C — A'HNDLG UNITS — H P. <br />REFRIGERATION UNITS — H P. <br />DOILER;; - B T U./H P. <br />GASfIREDAC UNIiS—BTL. <br />FORCED AIF SVSTEMS — B T.0 <br />WALL HEATERS -� � T U <br />UNIT NEATERS — B T U <br />EVAPORATIVE COOLEflS <br />CIOiHESORVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER MEATER <br />WOODSTOVE <br />METAL fIREPLACE S CHIMNEY <br />FIREPLACEINSERT <br />NEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUB TOTAL <br />PERMIT <br />85/15278 <br />uncnHr sirz FEES <br />]Y[5 ❑NO __ <br />�+ooFoweuiNaur+rts �UILDING <br />PLUMBING <br />Man occ iono . <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE OUILDING SURCHARG <br />STATE ENERGY SUfiCHnRGE <br />pprp r Od �SSUANCF ov - <br />DRI� EWAV PERMIT <br />FEE <br />M EA <br />M <br />M <br />VALUATION FEE <br />3 <br />Sec.�041e) <br />TOTAL I I 17I00 <br />PERMIT VALIDATION <br />WH[N Pl70PERLV VALIDATED (IN THIS SPACE� THIS IS YOUR PERMIT <br />�� <br />� <br />�0 <br />� <br />r <br />