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E,PPLICATION FOI� <br />,".`""'"" CONSTRUCTION <br />�,r o. <br />everett PERMIT <br />BUILOINO OEPARTMENT <br />258-88t0 TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ DEMOLITt7N ❑ COMBINATION ❑ BUILDING �L[�AECHANICAL <br />f�7J��],T:[II�[�] <br />❑ 51(3N <br />filNEPIL LONIRnC10A M�IL AOUf1F5ti C�Iv IIP �Pp4L I�Cf'ISE • <br />f9Y <br />UC V�.c . L � <br />Da NEyyV^ ❑ ADOITION � ALTERATION ❑ AEPAIfi ❑ DEMOLI7IUN ❑ WOOUSTOVE/FHPL.INSERT ❑ BUILDING PELOCAtIOPi_ <br />�eiwn,�or wqn. �r.o9t r�r r.uu i�ei r, rtus unon� <br />/J� � �w <br />UFSCA�9E WORK <br />I,fs��� , . <br />UtiEUFBWLOM <br />�i <br />�( .. � cr <br />�[ ,e� ocsCnirrior� o� cnorrn*� <br />io�--ewcK—os_ <br />PIUMBINO <br />�u�p�t5E18�C� <br />nst n]nr <br />Tl <br />TYPE OF FI1 <br />CLOSETITOtU <br />)B <br />IRV �WASH B�! <br />R <br />N SINK d DISP <br />�S�ER <br />9Y TRAV <br />ES WASHER <br />VGFOUNTAIN <br />— RAIHLEAOERS <br />— 8�R ETC 1 <br />SUeTOTAL <br />PERMIT <br />TOTALFEE <br />ilfat� �f IP�GK <br />�oi nin n <br />06f.111'411CT GROUP <br />nir�a�� o. ��•in:;�:nccncoar <br />,.j ,� <br />; ,_ . <br />� <br />f <br />S <br />SiOE SEIBNCK <br />VRf.ANI SIfE <br />❑vE5 UNO <br />NO OG DWFLLW .UNrtS <br />MAM OLL LOAO <br />nrra ron �sswnce er <br />I HERE•BV CERTIFV THAT I HAVE READ AND EXAMINED TIIiS Af'� <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. AlL <br />PROVISiONS OF LAWS AND ORDINANCES OOVERNING 7 HIS 7 VPE <br />OF WORK WILL BE COMPLE7ED WITH WNETHER SPECIFIED HERE� <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME 70 <br />GIVE AUTHORITY TO VIOLATE OR CANCEI THE PROVISIOPlS OF <br />ANVOTHERSTATEORL CALLAWREGULATINGCONSTRUCTION <br />OF THE PERFORMANC OF C NSTRUCTION. . <br />SIGNI]UpF�OFCONTR CTO V� Q� R�ZEDAGENT p4tE <br />X ��� �', ;• � ; ;, �_s � <br />���- ,, <br />1PPlIf.ANTS GITY BUSINE 5� I�CEq56�N0 <br />MECHANICAI <br />NO. TtlPE OF EOUI <br />AiC — A/MNOLG UNITS — M.P <br />REFHIGERA710N UNITS — M F <br />BOILERS — B.i.0 MP. <br />GAS FIPED A.C. UNITS — B T.I <br />FOR ED'AIR SVSTEMS — B T <br />WI1LL HEATEFS — B.T.U. <br />UNIT HEAtERS — B.T.U. <br />VENTIUTION FAN <br />?M7GEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPIACE INSERT <br />HEATPUMP <br />GAS %PING <br />VLAH CNECH NUMBER <br />! TOTAL <br />P[RMIT <br />T0TI1L FEE <br />IFEE <br />M <br />M <br />RECEIPT NO. <br />FEES VALUATION FEE <br />BUILDING S <br />PLUMBING <br />MECHANICAL <br />OTHLR <br />STATE BUILDING SURCHAPGE <br />STATEENERGVSURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />PROPF.RTV OWNERS ARE RESPONSIBLE FOR DETEPMINING AlL <br />PROPERfV LINE LOCATIONSAND RELAiE� EASEMENTS. <br />