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1 <br />,,��.`��TYeaF ''ONSiFiUC:I'i�N <br />everett PERMIT PERMIT NO. 10350 <br />CI7Y HALL 259�(i7a`i <br />ever,Er. �vr �ezo� ❑ COMBINA"fIUN C� BUILDING ❑ MECHANICAL ❑ PLUMBING <br />p:.u�i� I.�AiLADDRESS Citv ZIP �nOGL <br />SENIOR LITTL� LEAGJ� PO BOX 25��_ Rvpr tt 98 0'� �'�7-71]^, <br />.:eam�cror,c[s��r+te rani�nooaEss cirv zia .��oe.� <br />i161iEi�5LCONiq�G10R MAILNDpRE55 CITY 11P PHONE LICEtlSE� <br />Same <br />'.tiOVduC:.LCONiPNCiOP IAFILADDfi[55 QiY ZIP PNONE UCENS[r <br />iWd�INGGONTRAGTOR MAILAO�PESS CIiY ZIP PHONE LICENS[� <br />CLlSS OF Y/ORN <br />X�JEW ❑ADDITION LJF,LTERATION ❑REPAIR ❑DEfdOUTIOIJ ❑FENCE ❑SIGN ❑GARAGE <br />VA W 4T10�' OF 190RK <br />= 600.00 <br />PROPOSED u5[ OF <br />i;�r,� o[sCau rioN oF vncren*v �sHov� ee�or� o� <br />LOi 9lOC�OF <br />..�oo nooarss <br />PLUM8ING <br />TYPE OF FIY.7URE OR ITEM <br />WATER CLOScT (TOILET� <br />BATHTUf3 <br />LAVATORY �YlASH BASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTHES\VASHEN <br />I URAIN <br />ltd BRFAKE <br />D aAINS — <br />SFRNCE — <br />SIDE YARD SEiBAGK <br />USE ZONt <br />Tl'FE OF CONS <br />5¢EOFBLDG. <br />PERMIT <br />TOTALFEE <br />STRE[TSEIBACK <br />LOT qqEA <br />GROUP <br />I. ENVIRONMENTAL CHECY. LIST <br />2 BUILDING PLANS <br />3. FIRE HVDRANT <br />4. FIFE PROTECTION SYSTEM <br />5. GRADING <br />G. DRAINAGE <br />�. ENVIRONMENiALIMPACTSTATEMENT <br />B. NEALTH DISTRICT <br />APPLICAiION ACG IlY PLANS CHECKED BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br />Founwaies� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AIJD ORDINANCES aOVERNING THIS <br />TYPE OF WORK WILL BE COMP�IED V�ITH WHETHER SPECIFIED <br />HEREIN OR NJT. THE rRANTIIJG OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHGF�IT" TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF NY OTHSR STATE �F LOCAL LAW REGULATING <br />CONSTR N Ofi T'E PERFC�I�ICE OF CONSTRUCTIOIJ. <br />sicr�r��u �.oF � rr+ti r anurrioai � Nr on�e <br />� va,-ki X i' _ ��� 3/22/82 <br />FEE <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — hl. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — T01 <br />FOPC[D AIR SYSIEMS — B.T <br />VJALL HEATERS — B T.U. <br />I INIT HFATFRS -- R T I I <br />VEtJTItATION FAN <br />RANG:HOOD <br />AIR Hl.VDLING UNIT — <br />STOVG <br />METAL FIREPLACE & CF <br />REAR YARD SETBACF: PLAN CHECK NUMBER <br />VACAN'i SITE <br />LIYES ❑NO PEES <br />N0. OF DWELLING UNITS <br />BUILDING <br />MAX.00C.LOAD <br />PLUMBING <br />FiRE SPRINKLERS <br />ucnwacn MECHANICAL <br />BY I DI1TE <br />APPR. FOR ISSUANCE BY <br />PENALTV <br />FEE <br />EA. <br />M1I <br />M <br />�600.00 <br />U.8 C. <br />SEC. 303 (a) <br />FEE <br />RECEIPT NO. <br />FEE <br />rarA� � � ii so <br />PERMIT VALIDATION <br />WHEN PROPcRLY VALIDATED pN THIS SPACE) THIS IS YOUR PERMIT _I <br />o2i3 �0 I 1.50 �—�' 1 <br />� <br />�;r_.�UR RECEIf� <br />T:-I��PdK YOU <br />ADDRESS FIL[ <br />� � !!�P 82 <br />