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A ONSTRU�CTION � \ ee <br /> everett P'ERMIT <br /> DEPT.OFC0�IMUNRYDEVELOPMENTSERVICES , <br /> CITY HALL 259-8745 <br /> EVERE7T,WP.90201 �OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> M II �Il� f5S OIY <br /> �,�..�a f�,ues � I�rls�n� —s.�aa- iscst� �o�x�rs��A�� ��% 7 <br /> R,�i�A,eo w Npa�rs � �IY cirr z�r r��or+r <br /> �HCIIIIFQ ON IlI51LNl0. NAII ADOHISS <br /> n(J�L PHO��F LILfrvSE� <br /> UlY LP <br /> G[�ER�LCONi0.eQ�0�{R MAIIAO�R65 <br /> ��QV� l.11' PMO�[ IICENSE� <br /> MECHA41UlCONiRAClOR <br /> ANII�UOR65 ❑lY <br /> ���'�' - PIIOVL LK[NSF1 <br /> ��Jy 21P <br /> PIUM1INNG CONiRACiON <br /> ANII A000.f 55 <br /> unss or wauK �eUILDING RELOCATION <br /> ❑NEW ❑ADDITION ❑AL7ERATION ❑RCPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VGWAtION OF N'O0.H <br /> , <br /> 4 3000. �� �.µ ��.� <br /> �,FS�Hiii�„�aRK <br /> I��cAre �. 04pl�ri �31dv s <br /> rxorosmustor ounoi+c I I1ERE6Y CERTIFY THAT I HAVE READ AND E%AMWED THIS AP- <br /> Q�T�� PLICATION�ND KNOW Th1E SAME TO�E TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDIIJ�NCES GOVERNING THIS TYPE <br /> i[cniotscai>no!+orrxortaiv6�����'rvnuo�+�oanrreunouamrns� OFWORKWILL6ECOMPLIEDWITHWHETHERSPECIFIEDHERE:N <br /> 7"TA�I)eL �y[�UTHOR TRnTOIVIOO TE OR CAN DOETHE�PROVISIONS OF <br /> lOi�flIOCA�Of <br /> ANY OTHf.R $TATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CO��STRUCTION. <br /> SIG4ATUHC Of CONTHAC70R ON AUTH081ZC0 AGkNT O�TE <br /> ioo�ooa�ss X �(,(�G�v(��/1�'i'� �"4.�0/�/ 7 L <br /> ,d7,ar na,� o� $3a'7 NA2UrcSoN �d <br /> MECHANICAL . <br /> PLUMBING 7YPE OF EQUIPMENT FEE <br /> NO. TYPE OF FIXTURE <br /> FEE NO. <br /> AIRCONU.UNII$-���' �� <br /> WATER CLOSET ITOLIETI g�pHlGfRn710N UNITS-II P.EA <br /> 6�TNiUO pOILfNS-��� �� <br /> �AVATpR11H'A511 DASINI ❑qS IBED AC Uti1T5-TO`�NnGF E4 <br /> SHOWCR �pg(.�DAINSt57f�15-O.TU ���� <br /> KITCH[N SINY.&D15� N'AI.1.HUiCNS-0 T U. '�1 (1-�P�'�/� <br /> DIS\YASHLR �ry�t��{NlHS-fl1U A1 <br /> LAUNUBY TRAY �pqppgqJ�y�COOLEH$ <br /> CIOTHES���SHEft C10111f5 DRYFHS <br /> WATER HUT[R VIN7IUT'O�fnn <br /> URINAL µqNGl IIOOD <br /> OkINA1NG FOUNTAIN ��g f�p�;lll'NG UNI7- ���! <br /> FLOOR�RAIN g�����[ <br /> VANUM l4REAKERS ,yITN FIN[I':ACL &CHL\1N(Y <br /> ROOF ORAINS-RAWLfA0CR5 <br /> SINK(SCRVICF-ISAR[TC I <br /> SUB TOTAI S <br /> SUBTOTAL pfH�M�T s <br /> PERMIT s _ 70TA1 FEE s <br /> TOTAL FEf S p��N CHCCK f[[ <br /> SIDC VANO 5[TISAIX STREET S[TOACK N'�N YAHD SI�BACA PLnN CIIICK M1UMOCN Ff,� S� gECEIPT NO. <br /> S .a.d ' d� 7Q6S o � <br /> USE ZONf LO7 AREA \'AUPI7 Slil�. FLES <br /> VAWATION FEE <br /> j 1 0 3Sf ��s cNo <br /> h '� no ot nwti.unr.umrs <br /> Tvrc or co� n � occurnNcv caour � b� <br /> �,vt,� _ 3 �������N� ' <br /> NO.Of$lORl6 M1tA% OCC LOAU <br /> SIZE Of f��DG I . pW.V111NG <br /> S0.'J � '.J`T��( <br /> NR[ZON[ ItnS[M[nT ItIUu00�V1 N�k���RfU�Lluti ,1�ICMnMU1 ', <br /> 3 �no � �,�s ��� � <br /> BY [)AT[ Oili(H <br /> APPPOVAlS U 11 C <br /> 1. CNVINOUMLNTAL CIIECK LIST I9 nnl7V Sf C 30)lal ' <br /> l OUILIIING PLANS TOTAL <br /> 3 FlFf HYDRAM <br /> PERMIT VA��DATION <br /> i RRE �HOiCCTION SYSTCb1 �YIIfM1 PNOI'I.HL1\'AL�DAI�UIIN TIII$$IUCFI THI5151'OUR PERMI7 . <br /> 5 GRADINGIL%CA\'ATIO4A('�.t�HIN(JLRUI1111NG <br /> I - 6 ORAINAGI <br /> 7. ENVIROYAt[NTAL IMPAC7 S7ATfM[NT � <br /> B HEALTM OIS7NICT <br /> APPLIUTION ACC OY PlANS CHlCKEU IlY I ��'�k ION 65U�v�� ��� <br /> p. .n <br /> J <br />