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��� � FR�M�EVeRETT B�ILDING DEPT T0� 2E66433475 7RN 17� 1992 2�13PM p412 P.02 . <br /> APPLICATI.iM FOF; COWSTRl1C1� IOY�1 PEi�MIT ���� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEATIIJG svS7EM: I cnS U ELEc7RIC U_.. „4] � <br /> 259•0�10 <br /> I I DEMOLITION I I GOMBINATION BUILDIHG l 1 MCCI�ANICA� I I PLUMBIN3 I I SIGN <br /> On'NEN 6wano�n[xs c�v . ziv rHONt <br /> C�u�� u�a� E�mrs �44io �,c�-�d �i �xr, �u�u{,�e, �-'�-a�c� ��1�1-a3a3 <br /> TFNRH� AIAILNCDtl[5: CIfY ZIP T f11CNE � <br /> AR(:NIiFCTUNUtSItlNCII M51�1UUNE55 CI1Y 21P PIIO!:F <br /> y�H .�3LG 2c�25 �� )2�'n /�.ue. N E it�Z �'�.l tcu�� �I�4 �I-�c��i� <br /> 'Si�� OEN[MLCO\TR�CTpR MA'LIu�DHC.^.5 CI Y ip G 0 E SiRF11CBNSEI <br /> i ,���I,� <br /> [l n y ���`{�,1�I � ,���n� 14��IU 1��1�_��„�CO �U�U_.(,'�, �i�CO� COUNt"�2iom3 <br /> ��H �FCNANiL'nLCONTfinCTOR NAILAUunc35 CItY 2iM PMONG 61ATELiC[NSfI <br /> a�3cn <br /> PLUMtltN4CONTMCTOR AIAIIAL�I1F35 GIIY 21P PNONC �1A7[LICCNSPI <br /> H �H <br /> K y� cincsckwonrc .. .— —�--. . <br /> . O� H ti0,� I�NEW I I APDITION I I ALTERATION I I REPAIR I I DEIdOLITION _I I NOODSTOVFJFRPL INSEitT I I BUILOING RELOCATION <br /> y t/�� ,({'> 0;.�5/c 7�Y1"- a� ca+r c*aEqSo!�u�o rr r;o <br /> .�. ca:rRAci NkiCt or wonK `w i c�}-- ���I.co St� - ,.�,v_�"�5 L�1-a�� <br /> Oy� °�SCRIIIPWORKANUSU�n11EtCWTM1GCI�(vvF[�. � � . <br /> �/J F(l '2��}�� (C � �3 <br /> ;U OC7 �l,p�roro• u coromimHr I HEREBY CER7IFY THAT 1 HnyE READ nND EXAMINED THIS <br /> I N L�]O �1^I�,'1\ �, y7 � APPUCATION AND KNOYI THE SAt1E O E TRUE AND CORREC7.ALL <br /> G�" n _Ly` "' "' '�' iJ �._�_. <br /> �"'� � �Ew�ut mruaH�raovl�(cH0 N BELowUndTinCu cOUR fAPiES) PROVISIONS OF LAWS AN�OflDINAN�E�GOVERNINC 7HI5 TYPE UF <br /> "E? �'7� tnt � _ BLQ:N oc ^ _ _ �'�'ORK 1N�LL BE COMPLE7ED WI7N WHETh�EA-SPECIFIED HEREIN OR <br /> NOT. TH"c GFANTING OF A PEPMIT DOES N0T PRFSUML TO GIVE <br />� H H ) AUTHOfl TY TO ViOLqTE OR CANCEL TH[ PROVISIONS OF ANY <br />. �1 C/� ��'(� m� 1 H1 lL.���11CA�� OTFiER u VQE OR LOCAL�AW REGULA7ING CONSTqUCTION OR THE <br /> n �y PEtiFORtAANCE OF CONSTRUC110N. THAT I AM AUTHORIZED BY THE <br /> C, Q� �� �/� � CQ� OWN[ft OF THIS PROPER7Y TO PERFORM THE YlOftK FOR WHICH <br /> 3 t+1 J1`-'b-r�---�=�� �` 1 f,PPLIGATION IS IAApE AND I COMPLY 1VITH 1HE STATE <br /> .x y� COFTRt.C70RS LAW 1027 RC W AND 296.200 VlRQ � <br /> H O fn _... - . �,� <br />�' � �3� ��;�`-, �v� �w x r;�. _ �: ��������� ,., � : �� <br /> � :::� ._— <br /> PNJJbIt/�D��l[SS . . .— L,Jrv�>i `l� /' /'��1 miI <br /> Gl—�'.'_.._�_._ . __. ..__ <br /> .I I�Ctl�l\f11�1�'!�.[�AO <br /> PLUMBING MECMANICAL <br /> NO. TYPE OF FI%TURE OR I7E�A F[[ NO. TYPE OF'EOUIPA7ENT FEE <br /> , `;�.��'� WATER CLOSET(TOILET) A1P-AMNDLG UNITS-H.P. i <br /> ../��` BATHIUB -._ .._ _ — � - 1 FORCEDAIfiSYSTE�dS-�.7.U. �d E.A. _ �.. � -- <br /> ` LAV/�70RY(WASH DASIN) i � UNIT HEATERS-O.T.U. Ri <br /> . I SHO�'JER � L CLOTHES DRYEfiS <br /> Kll CHEN SINK d DISP i VENTI�.A710N FAN ; <br /> !� DISHWASNEF --� R�NGE HODD �— <br /> � LAUNDRYlRAY ' \YATEfiNEqT�R � <br /> _L_ CLOTHES N'ASHER _ � VlOOb STUVE � <br /> e_ URINhI. c_ h1ETAL FIREPLACE fl CHIAINGY � �)� �� <br /> I � �%INKING FOUNTAIN � FIREPLACE INSERT ' <br /> i <br /> _ FLOOR�ORFIN � HEAT PL1h7P � �— <br /> BACKFLOW PREVENTEP.S i GAS PIPING ; <br /> � RODF DRAINS-flAINLEA�EPS ! .'�, EXHAU6T FAN T— <br /> e I � S�NK ISERVICE-�AF�,[TC.) ; � <br /> _. . .i. . . ._ <br /> _. ...._ .. _— ..� . <br /> ' L.0'.'-.i�G GC iU._� '� .,7 "JJ ,��V : L�' <br /> �_'_' _.. ._ , —.. , ' <br /> ; <br /> —;— <br /> _ SUB TOTAL 5 _ S116 TOTAL S /V J ; J'J I, <br /> PERMIT 5 �ERIdIT S i ' <br /> �'� TOTAL FflE- �F ' ^ 70TAlFEE S /i,/ 0 � Cri� <br /> � <br /> FOfl OFFICE USE ONLY: ;�//J�c. �=-S�' /�J� <br /> °pIX1TSfTfl�LK fICARG6TP>CX Si0C5GIDnC.N PLIJICII[CNNIIMUEiI FGG q6ChIY1N0. <br /> ' ,Z__ ' Z ' ... _ ^ � C' - 37� ? � Y?G. /s' �'ni7S' i <br /> dst zone tm nnrncn vnCeNt Sne FEES VALUATION FEE <br /> i'� �f /✓ � —�— , <br /> DUIIDING /(�j3 '7� �fq7l �,� <br /> YftOtCflNib-A1�ONABIE 7YP[OILON51.�^.IU4t Utn.ur �nD�tmlltibcW'�Is - ���� �- �f�- - � <br /> -�y J .... � �.'''j I PLUMDING �G ' �}J <br /> �Y-- �_ __"' ... ... <br /> ;iIEOF0166 . NO.q�VTCAIFS OISEAIFNT <br /> ��j6 Sr � MF.CHANICAL �I�I; � ��p� <br /> <915FG4(_ � � "-' " - � <br /> �cuvnAr��r.rntonu rwcsoarieicnsnEou u[�cutu��irpuoH ADOITIONAI.PLANCHCCX --�-� � <br /> �Enso FOfif",CPINNif�F �/O I— SPRINKLER �'f'!/,��L/ lC � ��) <br /> JL ( .� ,_ <br /> GTATE�UILOINpSURCHARGE { ; <r; <br /> _._.. .. � .',_' <br /> �rnKeer rii.i+:naaaovcppv CITYDfEVEflETT pUflIICWORKS ��p� ��)7) <br /> LDCAL SALES <br /> � �� � �. y� TAXGODE153105 totn� �, � � �,;_� " <br /> � <br />