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1 i-�PPLICATION f01� <br />:� fMFvayr�n CONSTRUCTI�N <br />��n o� <br />' everett PERMlT <br />� BUILDING DEPARTMENT <br />259-8810 TO BE COMPLETED IN INK • PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �i(MECHANICAL <br />Owr�cn u.�i �oontss / A `.V � % ��� ��m <br />MOR2�5 �raFa �SO/ ��!F �, Z,n <br />� 1PGH�tEC1ONOt5�O�fN M�IL��ORC55 <br />(ikMER�ILONIF�C1011 •ppI1C55 � � ��� . A ' � /�w/) <br />' COZ�/ ff�� �a �lL llI/ / iJ�f <br />,tia aoa.2/'- �� r"'--` �n`J <br />i MECH�Hi �l CONIP�C*DO MUL �DOaE55 ��Y �J Z �,� , 1 <br />GT !J:, <br />` _....._ ................�..m MqL �ODRESS CIiY iP <br />❑ PLUMBING ❑ SIGN <br />rr�oHe <br />3ss-a9�a <br />VIION[ <br />Gl�p�lE�� � L�GF� • <br />� y; S <br />_P1'ONE� �� LICENSF • <br />�3 <br />PHONE LICENSE • <br />CL�550� 1vOt • <br />❑ NEVr ❑ PODI710N � ALTER�i�ON ❑ REPAIR ❑ DEMOLITION ❑ WOOOSTOVE/FRPL.INSERT BUILDING RELOCATION <br />v�l WT�oN or woRK �CoS� o� ����EA���S rWs UeoRi <br />'IUMISINO <br />�W�TEP <br />t30/ L� TD <br />• / \ <br />SINK <br />URINAI <br />oRINKINO FOUNTAIN <br />DRI11N5 — A�iN�[wu <br />CFRVtCE — B�R. ETC <br />TOT11L <br />� wONT 9E�B�Cx -- I AE�A SE18�CN <br />I <br />osetaHE LOi�nE� <br />OF <br />♦cC Ff• <br />ON <br />D" � <br />�- /k65ii}Lr.�- <br />ilpE SETB�CN <br />VACANfSRE <br />pYES ONO <br />HO Oi OWELL <br />MAF OCC LOI <br />fOR <br />. ..� �\l��A�. <br />I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUEANDCORRECT. ALL <br />PFOVISIONSOF LAWSAND OFDINANCESGOVERNINGTHISTYPE <br />OF WORK WILL BE COMPLETED WITH WHETHERSPECIFIED HERE- <br />IN OR NOT. THE GRANTING OF A PcflM1T DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. . <br />SION�IUREO�CONiR1CTORORAUTMORIZEOAGENT O�TE <br />X 1��� �i `��/��F� <br />�PPLIL�N �5 Cllv 9USiNE34 UGEN9E_ <br />MECHANICAL <br />NO. T'VE OF [OU1PMEiR <br />A/C — AIHNOLO UNITS — M.P. <br />REFRICERATION UNIT9 — MP. EA <br />BOIlERS — B.T.0 /N P <br />4AS FIRED A C. UNITS — B.T.U. <br />FORCED AIR 9VSTEMS — B.T.U. M EA. <br />WALLME�TERS-9.T.U. M <br />UNITMEAiERS—B.T.U. M <br />WATER MEATER <br />WOOOSTOVE <br />MEfAL FIREPU� <br />FIREPLACEINSF <br />HEATPUMP <br />QAS %PIND <br />ws <br />�- TOTALF[! i — <br />P�AN I:HECK NUMBr.p I FEE I RECEIPT NO. <br />BUILDING 5 � <br />PLUMBING � <br />MECHANICAL <br />OTNER <br />STATE BUILDING SUR�.MRi7�E <br />S7A7E ENERGV SURf.HARGE <br />PUBUCWORKS <br />TOTAL <br />PROPERTV�INELOCATIONSANDNRELAEEDE SEMENTIyINGAIL <br />�. � . . .. . . . . 1LS• :-�.. .... <br />