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APPLICAT��FOR CONSTRUC��1 PERMIT <br /> CITY OF EVERE7T•BUILDING DIVISION � <br /> 3200 CEDAR SiREET•VERETT,Wq BB201 •(q2�257-BB70 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDINO � ❑ MECHANICAL ❑ p�UMBINO O SION <br /> PHOJECT D�RESS: <br /> ��IV��'�'���-p � �o�exob K'rkla..d 94p34 425 Pz2 4174 <br /> WwrtN uu�40PE55 pry ip h� <br /> IENWI MNIMpI[$5 <br /> un no �� <br /> .� enc�rzcroaoesa�A �:7'rob"'A�°"�{} 4i cir. nr �.,K.,F <br /> i <br /> �I n��. S'.,;te 9t�c K;rkla-�d _�a'j34 425-82�-4q4 <br /> GE MtCON1p�C10R uu1�WnE55 Oli - .liP niqqE [41LliCfHS.• <br /> 4ECN1MC�lLWIR1CiUA Y�it�W[F$$ f.lry IR' P�ICNf SI1if.LICEN$f� <br /> FIUMBM6CON1R1qp11 4M1�0011E55 Clry !IP pNpNf $l1fElKFM$F• <br /> CONIPALI CnILE Ot WO�N <br /> • �� NEATING SYSTEM: .�GAS ❑ELECTRIC ❑ <br /> oE evwon��wosawncroovacMvaveo c .crr�nsa.. vralrtw <br /> k � + oll - �-��9 <br /> --�� <br /> � � � � I HEREBY CERTIFV TN�T I HAVE REAO AND EXAMINEO THIS <br /> �AOFOSEO USE OF B�nIM� <br /> � APPLICATION M!D NNOW THE SRME TO BE TFUE ANO COHRECT ALL <br /> PROVISIONS OF��WS AND ORDINMlCES GOVERNIN6 THIS TYPE OF <br /> � �� M/OW(W�LL BE COMPLIED WITH WHETHER SPECIFIEO MEREIN OR <br /> IEG�LDESC PI�ONOfPR01�[ rvILO IBELOWd1�T1/LM1YqCOPIE51 <br /> R� � NOT.THE GRANTING OF q PF.RMIT ppES NOT PPESUME TO GIVE <br /> im a /_e�oa pt k,l0o AUTHORITY TO VIOLATE OR CANCEL THE PqOVI510N OF ANV <br /> OTHER STATE OR LOCpL LAW REGULATINO CONSTRUCTIpN OR THE <br /> PERFORMANCE OF CONSTRUCTION.TMAT I AM AUTHORIZED BY TME <br /> OWNER OF THIS PROPERTY TO PERFORM T11E WORN FOR WHICM <br /> APPLICATION IS MROE AND I COMPLV WITH THE ST�TE <br /> nwcEL*ui i o uuue¢n CON7R�CTOFS lAW 1B 2]RCW AND 296200 WAC. <br /> Cp151PULTIpIIO.WIENOFP.�ppiE55,iFlfRIpNEMU4Bfq x �lf��� I''Z, n(� <br /> � Y '1-1 <br /> �...iva o��F <br /> CItYl119NESS LILENY HO <br /> PLUIIBING MECHIINIGIL <br /> NO. TYPE OF FUfTUqE OR ITEIA FEE NO. TYPE OF E6UTAIO�{ FEE <br /> (i WATER CLOSET�TOILET) '� A/C—NHqp�p UNITS <br /> BATHTUB � 7i FORCEDAIRSVSTEMS <br /> (a -LAVATORV(WASH BASIN) Q HEAT%JMP ' <br /> � SHOWER � UNITHF.ATERS <br /> y KITCNEN SINN 8 DISP Z CLOTHES ORYERS <br /> Z DISHW�SHER y qANGEHOOD � <br /> LAUNDRY TRAV y Nrq�q H��R <br /> Z CLOTHESWASNER WOODSTOVE <br /> O URIN�L � METQFIPEPLACEpY00DBURNING) <br /> ORINKING FOUNTAIN FIREPUCE INSERT(1Npp0 BURNING) <br /> � FIOORDRAtN GASFIREPIACE <br /> B�CI(FLOW PHEVENTERS GAS RlWGE <br /> SINK(SEHVICE—BAR,ETC.) GilS PIPING <br /> E%HAUSTFAN <br /> SUB TOTA� 3 � SUB TOTAI, f <br /> PERMIT f PERMIT f <br /> TOTALFEE f TOTALFEE f <br /> FOq OFFICE USE ONLY: � <br /> fRM1'4ry1�CM Ni.WaEllKN LOESEfl�CF OtY1bIECRMUWR ' fFf PFf.FMf1p <br /> IISF IONF 1011RFA' V�CYII yfE / �EES V�lUAF10N FEE <br /> ❑vF5 O MJ �� <br /> RUIM1� <br /> NFIGMIIIMII�IIOM NOQ{DWE(1111G �a1 � � ' <br /> Uni15 SQF M N I - � <br /> 2 34x f2t S,F, ��"�*•«� _._.LS �, <br /> OCGIVM,tr �q n L�wK IXI[uv�H�lo�o B/SFUE91 / � �_--�- — <br /> f�J{� � 4f1:M�Hry�4. ���^ - <br /> �J Z O�FS a'f�0 � v � <br /> I�MESPPiNxIFPflE]"0 f1F14p1 �ppIKINM.ry�NC�(CM <br /> Olx[q <br /> lINENARMPf00 RF��nV <br /> 5��1[8��40M�:S��nC��41f.t /_ �J� <br /> M1CF Of CpJGI PLI.Np1GPIbVEDlV ' ' �j— <br /> CRYOFEVENETT n�er,w�pwc <br /> LOCAL SALES i� <br /> ont Z7� Y�J TA%CODE IS]105 TOTAL - � � <br />