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h <br />�CONSTR C TION��, <br />rn. ewrom^ <br />ci*Y or <br />everett PERMIT <br />BUILDING DEPARTMENT TO BE COMPLETED IN INK- PLEAS= PRINT <br />259-BB 10 <br />❑ DEMOLITION O COMBINATIJN �BUILDING ❑ MECHANICAL <br />b <br />M,�.' <br />cnr <br />vJ+�� A'"• � <br />O PLUMBING ❑ SIGN <br />r��o�+i <br />—3 5-"� — �� Y 7 <br />i,i�� ,i� -„�,�Hi UCENSE• <br />OENERMGONIR�CIO� �jl� ��l�I1f1BES5 <br />K p p� �a.v�- t � 2N G�" �W. � �'d�.ae..io5 �ibv�o % 7/ —`/ 34 J�/Yro�O� �47f <br />MECH�NrUL CON�N�CiDq MNl �I1pRL55 <br />cnr z�o v��one '— <br />V W MB�N6 CONIR�GIOA <br />M�11 AD��C55 CIIv Si� P��ONE UCENSE • <br />;USSOf WO�� <br />❑ NEW � ADDI710N ❑ ALTERAiION ❑ REPAIR ❑ D[MOLI110N ❑ WOODSTOVE/FRPL.INSERT BUILDING RELOCRTION <br />i�w+non or won, icosi ��M�� [ni�� s rius ���on� <br />c �'-7� o ._ <br />oc� �e��/S�R�tr/ �v�ua! s� OfUC ��iJ, <br />usc or ewi �� <br />/ClSiQrNT%?�- <br />IFO�I �ESCNiF��ON O� OROI'Ea1Y I$NOWN BEIOW O� �1T�G� fOUu COYe _, <br />f,C'll << ��'�� — <br />.00' �"Y�o«—o, — <br />� �. .7 �� F�_ G:/t.--- <br />Sf�� 3 f �� <br />� A . <br />�"�/ 8 <br />�� <br />rLYM10tN0 <br />� �AOHTSEItlAGM <br />; a5' <br />n/O /i^�• �. <br />�WASN <br />NR�O <br />20NE <br />-� <br />I Of CON t <br />r� <br />ov e�a <br />� �pt- Dt�K <br />JN�GC 0� <br />1'�'� ` <br />TOT11L FEE <br />�P SE1B�Crc <br />as' <br />, .��. <br />l9, 5ov <br />;CUPANGY GRC <br />� or� iEs <br />NECnEO Bv <br />l,�t— <br />�f <br />SID[ SEiB�CN <br />7� 5' <br />�.�.H, S��E <br />❑res oNo <br />T/v�✓ <br />rnnK occ i��+� <br />�d.� <br />� T <br />�rrn ronissu�Mci <br />�,G� <br />I HERGBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUEANDCORRECT. ALL <br />PROVISIONSOF LAWSAND ORDINANCESGOVERNING THISTYPE <br />OF WORK WILL BE COMPLETED WITH WfiETHER SPECIFIED HERE• <br />IN OR NOT. THE GRANTING OF A PERMI' DOES NOT PRESUME TO <br />GIVE AUTHORIiY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANV OTHER STATE OR LOCAL LAW REGULATiNG CONSTRUCTION <br />OR THE PERFORMANCE OF CONS7RUCTION. <br />SIGN�IUAE Of GON �� F RUTNORI.ED 4GENT l/ATE <br />��11 ���-! �`!?�tCV I ICiNiE NO �'y� <br />MECNANICAL <br />A/C — A/MNOIO UNITS — HP. <br />NEFRIOER�TION UNITS —N P. EA. <br />901LER5 — B.T U MP <br />d�$ FIRED AD. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — B�T �� M <br />WALIHEATERS—BS.U. M <br />UNIT NGTEPS — B.T U. M <br />VENTIUTION FAN <br />AANGEMOOD <br />WATEA MEATER <br />wOOb STOVE <br />METAL FIREPUCE 6 <br />GAS P�PIN6 <br />EXMRUSTFAN <br />5LI! TOTAL <br />p[pWT <br />�� TOl11L FEF <br />p�AN I:HEC'[ NUMBER nn <br />FEE RECEIPT NO <br />o--7 i lL�i.7te %Q� 7S%.�'� <br />BUILDING Sd�� l `"-' <br />PLUMBING <br />MECHANICAL <br />07HER , <br />STATE BUILOING SURCHnRGE <br />S7ATEENERGYSURCHARGE <br />PUBLIC WORNS <br />TOTAL � <br />PROPERTYUNELOCATONSANDN EBATEDEASEME TISINGnLL <br />-- .,. .. . _ ,- . .�ri .. <br />