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`'�qPPLICATION FCJ'it <br /> everen <br /> fhs Erarpree^ C O N ST R U CT I O N e <br /> CITY Of <br /> evere;tt . PERMIT <br /> TO BE COMPLETED IN BLACK INK- PLEASE PRINT <br /> BUILDING DEPT. ❑ SI(3N <br /> 259•8745 �COMBINATION ❑ BUILOING ❑ MECHANICAI ❑ PLUMBING _ <br /> �o�Iyfa n u�i��oonEss �//-r2�7�_ n L�� r��on[ � <br /> T 2C ('� .fvn/ �7a7- �'�02�'. � �0 3.S'3- 4�53 <br /> Clrv 21P P110NE <br /> �fICH116iOf1�E5�GN[fi M�ILAOORE55 3sr- 3�� <br /> —! •.�rs ' .�• l` " a 3'.4c,eso.c� ,Ev�,.�� %G"u3 <br /> ocrannic NIMCIOR MAI��DOf1E55 cirv zir PHONE uceNsee <br /> �� ,�a, �i f9�u ��O/LSd.1.I /do7- b'`� '�2 ' ,�- /y��e�; (TP� $�z�r 3ss-uY3 <br /> -cu�rac��co�+�n�cion <br /> n+u�noonEss� cm zi r�wrie y�vDG'�EG A�%�7�L <br /> PLUMOR�OLONiRAG10R Mr11LFDDPE55 C�IV ZIP PMONE liC[NSE• <br /> GLR55 OF WOA. <br /> ❑ NEW �DDITION ❑ AITERATION ❑ AEPAIR ❑ DEMOLITION ❑ H'OODSTOVE/FRPL.INSERT BUILDING RELOCATION <br /> MW�iIONOf fi ILOSIOFMAIERULSFLU9LRBORI <br /> ,� � �� c> <br /> uescmnc wonK <br /> n ��/•-r� 'v 4z �id�t� �CAG�.ua <br /> i�or nunoiNc I HEREBY CERTIFY THAT I HAVE READ AND EXAMWED THIS AP• <br /> �S�a/.��,�p� PLICATION AND KNOW THE SAME TO BE TRLIE AND CORRECT.ALL <br /> t[o��o[scmm�onoFrnOreiarl5nownocwwonenncNrouncoriE51 pROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> � I OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERF- <br /> �`�� �� INORNOT.THEGRANTINGOFAPERMITDOESNOTPRESUMETO <br /> �or__o�ocK_or f� � .i ��1�. �� " <br /> (� GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> � -�� " ��I� OR T�HE PER ORMAONCE�OF CO STRUCT�ONNG CONSTRUCiION <br /> SIGNA GON ACTORORAUTIIORI2� ENT OME <br /> X llGl' � � � �'�_ <br /> qP IGAN CIlY0U51NE55L NSF.NO. <br /> ❑na�cuoon�ss "� � <br /> � , ,� � .�v-�f� <br /> PLUMBINO MECHANICAL <br /> FEE NO. TVPE OF EOUIPMENT FEE <br /> NO. TYPE OF FI%TUflE .� <br /> �/ WAtEii CLOSET�IOILEp AIR COND.UNITS-H.P.EA. <br /> ��" BATHTUB � RE�RIiERAT10N UNITS-H.P.EA. <br /> -v LAVATORY�WASIIOASIW _ BOILERS-N.P.EA. <br /> Z SH0IYER GAS FIRED AC.UNITS-TONNAGE EA. <br /> KITCHEN SINK 8 DISP. �ORCED AIR SYSTEMS-B.T.U. M EA. <br /> W�LL HEATERS-B.T.U. M <br /> OISHWASHER <br /> LAUNDRV TI7AY � _ UNIT HEATE(15-O.T.U. M — <br /> CLOIIICS W�SIIEII i EVAPO(1�TIVE COOLERS <br /> --~ CLOTHES DRVERS �� <br /> � WATER HEATEP - - VENiILA710N FAN <br /> URINAL <br /> DRINKING FOUNTAIN __ RANGE HO00 -- <br /> AIR HANDLING UNIT- C.F.M. <br /> FLOOR DRAIN —-- <br /> VAWUM BREAKEf15 STOVE <br /> ROOFDRAINS-PNNIEADENS __ METALFIFEPL. .'.A CHIMNEV <br /> SINK SERVICE-BAR.EiC. WOODSTOVE/I'G�EPLACE INSERT <br /> 9U8 TOTAL f `Sv <br /> SUBTOTAL pEPM1T s <br /> PERMIT s �� <br /> TOTALFEE : — <br /> TOTALFEE 3 <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> PUN CIIECN NUMOER P�AN GHECH fEE <br /> f00Nf5E1pRCN �C��SCICACR SIDESE1pCN FEE RECEIPINO. -Jqq� <br /> 2sf'T �fL� f�.5 �G , 15�}.�0 /dJ ry <br /> US[20NE LOIARE� VAC�Ni511E FEE4 ������T�ON FEE <br /> . �� C OYES ONO <br /> ..J <br /> h'PE O�CONSi. OGCUPANCY GROUP NO.OF OWEllINO UNI15 <br /> vtil 1l3 � o���o�Na �(�6— 'd3$— <br /> s¢cornion rvo.oFs�onics MA%OCC.LOAO �p OO <br /> 1584 s,('. 1 w-, PLUMBINC 0 <br /> �� MECIIANICAL � <br /> FIRE SFRINKLERS REOUIRED ❑YES tJ NO oTHER <br /> PENRLTY <br /> RPPLIL�110N�CC.BY VUNS CII[GHED OV A��R i0R ISSUANCE BY w � � <br /> TOTAL � <br /> M•Ml. .�.{-(�J I 1\ L .C.. <br />