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r <br />r.PPLICATION FO�. <br />'""""°'"" CONSTRUCTION <br />Gry �, <br />everett PE(tM1T <br />BUILDING DEPARTMEIJT <br />259-8810 TO BE COMPLETED IN INK - PLEASE PRINT <br />❑ DEMOLI710N ❑ COMBINATION ❑ BUILDING �MECHANICAL <br />� 7/}�7jr��oon�!/�� � �� S'l "C��m/C <br />�PLUMBING 0 SIGN <br />/rv�uw� �i��'� � u�i� � <br />inu�ntctowo�e�autn M����ounlea cnr z vuor¢ <br />OENC��L COlIIH�CIO� M11L �OU11E45 CIIY LIP ���ONE LIGENGE • I <br />�L{(� <br />/ V �!� /...� <br />110 <br />OIUMB��Ir CONIII�GIOB MMl �OUPE99 CIIY �� } �� � <br />z H �-�� /� J <br />Ct�54 Of V�ORv �.y— <br />❑ NEW ❑ pDD1710�� ,L.'y, A�TERAiION ❑ REPAIR ❑ OEMOLITION ❑ WOODSTOVE/FRFl.INSERi ❑ BUILDING �1ELOCAi�011_ <br />v4 W nun O� Wb��r iCOSt p� rnnR����LS �LU9 UADn� <br />1 E�f%'S� Gtl/iLL <br />��i1Lt ( L � <br />io�_ <br />vnolEct�oonEsS <br />��io - a/ z 7' <br />PLUMBINC <br />TYPE OF FI%TURE <br />WATE�CLOSET �TOILEi� <br />OATHTUB <br />uv�ronr �wns�� onsu�� <br />SNOwE�7 <br />NITCHEN SIHN 8 DISP <br />LAUNDRY <br />CLOTHES <br />URINAL <br />ORINKING <br />FLOOR �N <br />��OH�SE�04Cv <br />O:i IUiIE <br />���'E Of f,0�15� <br />SilE Of OI�G <br />FIRE SPRINKI <br />•PCI IGRI I(1N �CC <br />Pf1EVEN I E�5 <br />JS — P����LEnOE <br />CE—Onn ETCI <br />sue ror�i <br />PEIIMIi <br />10TAlFEE <br />rn:cureucr <br />�'Ln115 CII[CNED BY <br />vnr,nm sn[ <br />m[s ur+o <br />NO Of OWFlLINOUNIIS <br />er <br />�I.�S7��� F,�}S r�lkl/�+G �77C <br />I HER[BY CERTIFY THAT I FIAVE READ AND EXAMINED T�115 AF� <br />PLICATION AND KNOW TNE SAME TO BE Tf7UE ANDCORRECT. ALL <br />PROVISIONS OF LAWS A,•JG ORDINANCES OOVERNINO iH15 ivi+E <br />OF WORK WILL BE COMPLETED WITH WHETHFR SPECIFIED 11ERF � <br />INORNOT. iHEGHANTINGOFAPERMI7DOESNOTPRESUAIE'i0 <br />61VE AU7HORITY TO VIOLATE OR CANCEL THE PROVISIOMS OF <br />ANV OiHER STATE OR LOCAI LAW f7EGULATING CONS7RUCTION <br />OR TNE PERFORMANCE OF CONSTRUCTION. . <br />sXn��nE ,�i;anctORO'RAUlMO �zEoncEr+r n�_�_�� <br />NZV M <br />MECHANICAL <br />TYPE OF EOUIPMEN7 <br />qrC — �/HNOLO UNITS — H P. <br />REFRIGERATION UNITS — H.P. EA. <br />001LER5 — B.T.0 /H.P. <br />6A5 FIRED A.C. UNITS — B.T.U. <br />FORCEO AIR SYSIEMS — B.T U. M EA. <br />WALLHEATEIIS—B.T.U. M <br />UNITHEATERS—B.T.U. M <br />VENTIIAt�ON FAN <br />RANOE LIOOD <br />WI1TE�7 ��EATER <br />wOODSTOVE <br />METAI FIREf'LACE 8 CHIMNEY <br />FIf1EPU�CE INSEfiT <br />HEATPUMP <br />GAS PIPiNO <br />ExHAUSTFnN <br />SU9 TOTAL <br />PERMIT <br />TOTIIL fEE <br />PLAN(;HECNNUMOER IFEE <br />FEES ' <br />BUILOW6 S <br />PLUMBING <br />MECNANICAL <br />OTIIER <br />STAtE BWLDING SUPCHAt1GE <br />STAIEENE�GYSURCHnRGE <br />rueucv;onKs <br />TOTAL <br />AECEIPT NO. <br />PROPERTYOWNERS nPE f1E5PONgIPIE FOf1 DEIEiUdININC ALL <br />PFiOPEFTY LINE LOC�TIONS AND REL�TEO E�SEMENTS. <br />