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rn. c«ryn�n <br />CI�1 OF <br />zverett <br />BUILDING DEPARTMENT <br />259-8810 <br />.-.PPLICATION FO�. <br />CONSTRUCTION <br />PERMIT <br />TO BE COMPLETED IN INK - PLEASE PRINT <br />��Q[�Ob� <br />APR - 81996 �°„ <br />_ .. .. .... . .. .. e <br />CITY OF EVERE71' <br />Public Works Dept. <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �f MECHANICAL � PLUMBING ❑ SIGN <br />014NER M�IL ApORE55 GITY ZIP PNONE <br />€xfr� �EVF�a''Wteur <br />4FCNIf[GiORDI$�GNER M�ILnDDRE55 CIiV Ilo PHONC <br />f.EN[R�LCONiAFLiOR MMLapORE55 C�tt lIP a1�ONE �ICENSE —� <br />MEC�IANiC4LC�rOC 3Z3�MA1'l.L DES�'T R� �=�f���,^, ���� �110�� Z�� LICENSC• <br />�/ct--A�fLL 2�72 DrNS�mU�ST P�4,GUA�N�tif 9B2z6 3(.0 73i 4%SL QE�F6A-�� z� <br />GWMBINGCONiR4C10F MMI PDORE55 CIiV 21P P��ONE LICENSE • <br />CU55 O� WORN <br />NEW ❑ <br />VALU4LtON OG N'OfiN <br />DESCRiBE WORK <br />' ' PLUMBING <br />ADDI710N ❑ ALTERA710N ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br />7[s0• oa = 2� <br />NO. � TYPE OF FIXTURE OR ITEM <br />BATMTl1B <br />UVATORY �WASM BA: <br />SHOWER <br />KITCHEN $INK 6 DISP. <br />DISHWASNER <br />LAUNDRYTRAV <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK �SERVICE — BAP. ETCJ <br />SUSTOTAL <br />PERMIT <br />TO7Al FEE <br />�AONiSEiBaL• qEARSEiBALr( <br />USELONE LOLARC� <br />�'/PEOFC045t OCLl1PANCYGFOUf <br />s�ze or eioc r�o or sToaies <br />FIRE SPRINKLERS REOUIRED � VES ❑ <br />APPLiCFiIOYPCC B� PLANSCMECNEOUY <br />/A <br />� i <br />� ' <br />�I Q �) <br />e� <br />SIOE SETB�CR <br />VACANT SI1E <br />OYES ONO <br />NO OF DWELLING UNIiS <br />M4R OGG LOND <br />I HEREBY CERTIFV THAT I HAVE READ AND EXAMINEO THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT. ALL <br />PROVISIONS OF LAWSAND ORDINANCES GOVERNING THISTVPE <br />OF WORK WILL BECOMPLETEp WITH WHETHERSPECIFIED HERE- <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE Oii CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR IOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. . <br />SIGNAIUREOFCONiR4CTORORAUi�pq2EDAGENT �4TE <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />A�C — A/MNOIG UNITS — MP <br />FEFRIGERATION UNITS — HP. EA. <br />BOILERS — B.T.U./HP. <br />GAS FINED A.G UNITS — O.T.U. <br />fOPCEO AIH SYSTEMS — 87L. �M EA. <br />WAILMEATERS—B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />NANGE HOOD <br />WATER MEA7ER <br />WOODSTOVE <br />METAL FIREPLACE d LHIMNEV <br />FIREPLACE INSEflT <br />HEAT PUMP <br />sus ro <br />PERMIT <br />PLaN CNECK NUMBEF <br />BUILDING <br />PIUMBING <br />MECHANICAL <br />OTMFR <br />STATE BUII.DMG SURCHARG <br />S7ATEENERGYSURCHARGE <br />PUBUC WORKS <br />TOTAL <br />FEE <br />RECEIPT NO, <br />PROPERTV OWNERS ARE RESPONSIBLE FOR DETERMINING ALL <br />PROPERTV LINE LOCA710NS AND RELATED EASEMENTS. <br />