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,�.E..,,,�� APP�.ICATION FOR <br /> �,�,o, ���«„ <br /> everett C�NPERMITjl�N e <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK - PLEASE PRIN7 <br /> JEMOLITION ❑ COMBINATION ❑ BUILOING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWN P�� ��� MHI IOORf55 C�1V <br /> ��l-C/cG�� ��:-LJ,tif�C�ir l H?7-�o�.t�. .�-aw ��VGh'r� I,�f� �`� � � � � ,� 6 � <br /> � � � no ess cy � ��� � � . <br /> NUNL <br /> ql�U iU� t pMIReCIi�n MMl apORE55 Lr�� !�� <br /> �' ONl I ILFNiF� <br /> --�-, �G,- ��7— /v a;cJ� >?:�<<� ��-t L �/,S'"9�"{ 3 S�� — 3 x tr3 <br /> M������,�:�..� cor��n.r.me Mu��none s j Or« c i t r <br /> P��ONF LICCNSC• <br /> PIUMfliN�iCUNlR�(�ON M�q IppRISti Uh I�P <br /> P��ONf ii(:fNti! • <br /> C11550� WOPv <br /> L'� NEW ❑ ADDITIpN ❑ ALTERATIpN ❑ REPAIq ❑ �EMOLITIUN ❑ WOODSTOVE/FRPL.INSEFT <br /> vau+� �uorwon.,rpsr� un�aiu.vii�si.�yna, ❑ BUILDING RELOCAfION <br /> �9' �`1�,.� �s - <br /> 1)15CHiNl W:)FN <br /> r NL'���'�if` <br /> u}� o�au¢mpp 1 ��/� �/ � <br /> � /k��^'9-"�. I HEREBV CERiIFY THAT I HAVE FlEAD AND EAAMWED THIS AP. <br /> i[r.�io[scaicr�nHorcaovcnir�s«owr�ee�owoH�rt�c�.roun[ov�fs� PLICATIONANDNIJOWTHESAMETOBE7RUEANDCORRECT.ALL <br /> PROVISIONS OF LAWSAND ORDINANCES GOVERNING THIS TYPE <br /> i o�_ninc�or OF WORK WILL BE COMPLETED WI7H WHETHER SPECIFIED HERE <br /> IN OR NOT. THE GRANTING OF A PERMITDOES NO?PRESUME TO <br /> GIVE AU?HOR11V TO VIOLATE OR CANCEL THE PROVISIONS O� <br /> ANVJTHER STATE OR LOCAL LAW REGULATINGCONSTqUC71pN <br /> OR THE PEiiFORMANCE OF CONSTFlUCTION. <br /> SIGN��UREO�CONiR4Ci(iqpqqUil�pRijFOApENi pnfC <br /> X� G .'� " Z ��J_s.L��e GG;� �� � Z�c ���'.S� <br /> VROJtLi�0ORE95 AVp�If�N�MCrtY USiNESSIrf(115lh0 <br /> — � 4 �-7 —lU C-t.�� .,1-7`-�cr �yrr�`L ;4,�� <br /> PLUMSINO MECHANICAL <br /> NO. TYP!OR FIIfTUR!OR ITEM FEE NO. TYPE Of FOUIPMEN� FEF <br /> WATER CLOSET�701LET� � qiC -RiHN�LO UNITS-M P <br /> BATMTUB qEFRIGEFAiION UNIT$-H P EA <br /> UVATORY 1 WI1SM B�SIN1 BOILERS-B T U rM P <br /> SHOwER �AS FIPED A C UN�TS-B T U <br /> KIiCHEN SINN 6 DISP FORCED AIR SYSTEMS-B T U M EA <br /> OISMW�SMER WALLNEATEHS-BTU M <br /> LAUNDNY TRAY UNIT HEATER$-8 i U M <br /> CLCTHES W45HER EVAPOAATIVE COOLERS <br /> VFINA� CLOTMESDRYFRS <br /> ORINKING FOUN�FIN VENTIUTION FAN <br /> FLOOR ORI11N RANGE NOOD <br /> BACKFLOW PREVENiERS WA7ER NEATER <br /> FOOF OFAINS-P�INLEAOERS WOOD STOVE <br /> SINN�SERVICE -8AR ETC I MEIAL FIREPLACE 6:MIMNEY <br /> � FIPEPLACEINSERT <br /> � MEAT P�MP <br /> CAS PIPING <br /> _ E%MAUSTFAN <br /> !UlTOT�L � <br /> — sue ror�� <br /> VCRMIT { - <br /> P[MWT <br /> T0TI1L Ff! f TOTAI FEE <br /> 'uuN�st�p�r� nE�nSEIB�CR S�DE SCIB�Ce �'LAN�MECK NUMBER F <br /> EE � C� RECEIPT NO <br /> �..� 4 <br /> .�f„�t ` � �' . 5��„ _.,•�.� h ��_;>pl �� j3— c17 ��S <br /> �O��PEe y�C�N+Si�E <br /> FEES VALUATION FEE <br /> �--t-.l �S-L'•� �res o <br /> '��lO�COuS� w/ OCCuc�NCYGROUC NOO��WFLLiNGUNrtS BUILDING F� J <br /> .' S 37 <br /> �_,r �� / �� 7LUMBING <br /> -:t rn e,nc No or sion�e9 M�. occ ioeo <br /> 2Cv �� ��- � N�1 MECHANICAL <br /> OTMER 1 <br /> �iF7E SPqINICLERS REOUIRED ❑ VES NO <br /> STATE BUILOING SUt7CHAPGE ^� <br /> STATEENERGYSURCH�RGE <br /> '�"' '��^� i^� � R' �UNSCHECnCDP� �PGHfONI55U�NC[9w - <br /> vueuc wonHs <br /> �� � I�I. �,� �_ ?OTAL � - <br /> PROPERTV OWNERS ARE RESPONAIBLE FOR DETERMINING ALl <br /> PROPERTV LWE LOCATIONS AND RELATED EASEMENTS <br />