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�� � �PLICATION FO� . <br />�� <br />� �»�^ .. s.;�,;��,��; � .. �CO'N'STR•UC�TION `�� �; <br />everett PERMIT <br />BUILDING DEPARTMENT TO BE COMPLETED IN INK- PLEASE PRINT <br />259•8Q70 <br />❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL <br />a � ».7 <br />,: <br />❑ PLUMBING <br />everett I <br />e� <br />❑ SIGN <br />n M�aeooness cm ��. <br />���uck l'nse 2'�20 3y�"5T Evt,2�'t q8201 256�2�41 <br />MGCNITE—CTOROE9�ONEN M�II(��ONESS j; Zrr PHONE r/ . , <br />...�Jf m � ` <br />OENER�ICOHiRAC10R M�IL�UGHE55 Cin' 21P PHONE UGENSE• <br />�i l/ I/ ��' <br />MEGH�NIC�LCON�CTON M�IL��ONE55 Gltt 21P PHONE . . LIGENSE• <br />VWMBINaCONTN�GIOA MAIL�OORE55 Cltt 21P P��ONE LICENSE• <br />F WOAK <br />NEW ❑ ADDITION ❑ ALTERATION ❑ REPAtR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILOING REIOCATION <br />dION Oi WORN �COST OF M�IERi111i5 PLUB UBOPI <br />PIUMSIN6 <br />NO. T'PE OF FIf <br />WIITEP CLOSET �701LI <br />BATH7UB <br />UVATORV IWASM BA'. <br />SNOwER <br />1(ITCHEN SINK 6 DISP. <br />DISMW�SHER <br />' LAUNDRYTRAV <br />CLOMES wASHER <br />URINAL <br />DRINKINQ FOUNTAIN <br />FLOOH DR�IN <br />BACNFLOw PNEVENTI <br />ROOF DAAINS — AAIN <br />c�uv �eCYVICE—BAP <br />IISE <br />fUlTOTAL i <br />rERMIT f <br />TOTALFEE � <br />IOTAP'cA. <br />31, 9 vc <br />, i OCCUP�NCYGRi <br />� � .� /I� <br />N0. OF STORIE9 <br />SF I <br />" l <br />CHECNED BY <br />/r <br />��, <br />WL�NT 51 <br />O1'ES O <br />NO.OFDWEI <br />NQ <br />� <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP' I <br />PLICATION AND KNOW THE SAME TO BETRUE ANDCORRECT. ALL <br />PROVISIONSOF LAWSAND ORDI'.4NCESGOVERNINGTHISTYPE <br />OF WORK WILL BE COMPLETED ��.-:"' H WHETHER SPECIFIED HERE- � <br />IN OR NOT. THE GRANTING OF h�'._FiMITDOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE ON CANCEL THE PROVISIONS OF , <br />ANYOTHERSTATEORLOCALLAWREGULA'iINGCONSTRUCTION I <br />OR THE PERFORMANCE OF CONSTRUCTION. ' . <br />SIONATUREOFCONiRACTORORAUTNORIZEDAGENT DATE . <br />X ��.� ��/.,� 3=� -�Y� _ <br />iPVLIC�NTS CIfY BUSiNE 55 LiCENSE NO <br />MECHANICAL <br />MC — �/MNDLO UNITS — M P. <br />REFRIGEP�TION UNITS — M.P. I <br />BOILERS — B.T.U.iH.P. <br />G�S FIREO A.C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — B.T.U. <br />W �Ll MEATERS — B.T.U. <br />UN�T HEATERS — B.T.U. <br />EVAPORATIVE COOLENS <br />CIOTME50RYERS <br />VENTIUTION FAN <br />RANGEMO00 <br />WATER HEATER <br />METAL FIREPUCE 6 <br />FIREPLACEINSERT <br />MEATPUMP <br />OAS PIPINQ <br />E%MAUSTFAN <br />PLAN CMECK NUMBER <br />Uo ��DY. <br />BUILDING <br />PLUMBING <br />MEGMANICAI <br />OTHEH <br />STATE UILDING SURCHARG <br />STATEENERGYSUPCHAPGE <br />PUBLIC WORK9 <br />TOTAL <br />TOTAL <br />IALR[ 9 <br />F REGEIPT NO. <br />��16 � I RZ1 <br />PROPERTV LOINE LOCATONS A DNRELA ED EASEMENT1S N� A�� <br />