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APPLICATION FOk <br />'"""'°""' CONSTRUCTION <br />pn or <br />everett PERMIT <br />BU�LDINO DEPARTMENT <br />259•8810 TO BE COMPLETED IN INK • PLEASE PRINT <br />❑ �EMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />ownEn �ML�oOPEss �/J�� A/ //ci��rv Ln <br />� I� ���,�I�� //AJ �� /lO• � �� <br />❑ PLUMBING <br />E <br />❑ SI(iN <br />• u� �cioa lS�GNER � M�Il1pONl55 cnr ru, rv�e�rt <br />�.nrtn�i ro�/a\rn�er,�on Mui �nonEss cnr tm n��or�t ueuise . <br />M'rUN�L�lCO11�R�Oq MML�DORL!! CIIY IIP P�I(lHC IICI�1°I • <br />plUM�1111�iCO�IIN�G�n�1 M�II./��lnf1E59 C��Y SI�` f'll(lNl IICI�Ic� • <br />:L�55O! WOA! <br />❑ NEW ❑ AUDIIION ❑ ALTERA710N <br />ulp�UCv ur v�Cn"�:o51 Vr !�an �yni �; pyi�S uAO�i <br />• <br />� <br />ii. <br />1.[fi1lOF5CR� 17401 VP <br />�o�_aioc._ <br />/' <br />PPOJECIeD0AE55 <br />/ �G/��.� � �LI'O�/1ri) /Cl7 • <br />1 <br />PLUMSINO <br />NO. TYPE OF FIXtURE OR IIEM <br />W�TER CLOSET ITOILET� <br />BATMTUB - <br />I.AVIITORY IW�SH OASiN� <br />SNOwER <br />KItCHEN SINK A OISP <br />DISHWASHEA <br />UVNORY TR�Y <br />CLOIMES WASMER <br />UR�NA� <br />DRINK�Nf3 FOUNTAIN . <br />ROOf DRRIN$ —RNt1LEADE <br />SINN ISERVICE — DAR. ETC � <br />I PEIIMIT <br />iOT�LfEE <br />RpNr5Et0�lM BUq5E1B�tK <br />/REPAIR ❑ DEMOLI110N ❑ WOODSTOVE/FRPL.INSERT ❑ BUtLDING A&LOCatiO�l <br />��� ���� � I V�f.�Nf S�IE <br />OVES C)NO <br />OCCU�AIICYGNOUP NOO�DWF�4NGUHIfS <br />OGC lOAO <br />u,��nr,euo•i•er,n� ��'I���SC��EGKEOBv ��rrNfOpI55U�HGEBv <br />I HER[BV CERTIFV THAT I HAVE READ AND E%AMIfJED TIIIS Ai'� <br />PLICA110NANOKNOWiHESAMETOBETFUEANDCORREC1.AlL <br />PROVISIONS OF LAWSAND ORDINANCESGOVERNING iNIS 7VFE <br />OF WORK WILL BE COMPLETED WItH WI1ETIiER SPECIFIED HERE� <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PP.[SUA1E TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISInMS C1f <br />ANY 07HER SiA1E OR LOCAL LAW REGUTATING CONSTRUCTION <br />OR THE PEPFORMANCE OF GOhSTRUCTION. �� <br />9aN�iuAEorcor+rnnctonOnnUo�on¢fn<c[Nr nntE ��-'J��'i <br />X�f�ff� � i <br />MECHANICAL <br />A/C — MHNOL� UNITS — NP. <br />REFRIGERAT�ONUNITS—HP EA. <br />�OILERS — B.T.0 /M P <br />6A5 FIREO A.C. UNITS — B.T.U. <br />FORCED AIH SYSTEMS — 8 T U. <br />W �lL HEATERS — BS.U. <br />UNIT HEATERS — B.T.V. <br />EVACORATIVE COOlERS <br />CLOTNESORYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WAiER MEATER <br />WOODSTOVE <br />METAL FIREPLACE S CHIMNEV <br />HEAT PUMP <br />GAS FIPINO <br />E%HRUSTFAN <br />i+�AN I:MECK NUMBER <br />lUeTOTAI <br />PCRMIT <br />TOiALFEE <br />�FEE <br />euaou+c 5 <br />PIUMBING <br />MECHANICAL <br />OTHER <br />STATE BUILDING SURCHRR(iE <br />STIITE ENERGV SUHCHARGE <br />auaucwonKs <br />TOTAL <br />M E� <br />M <br />M <br />RECEIPT NO <br />fEE <br />PROPERiV OWNERS ARE RESPONSIBLE fOR DETERh11NIN6 ALL <br />PROPERTV LINE LOCATIONS AND FEIATED EaS�MENTS. <br />