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rn. E..ro�^ <br />C11Y O� <br />everett <br />BUILDING DEPARTMENI <br />259 87A5 <br />O OEMOLITION <br />ow,.,� <br />f>.PPLICATION FO�. <br />CONSTRUCTION <br />PERMIT <br />TO DE COMPLETED IN INK • PLEASE PRINT <br />f] COMBINATION <br />M�ii ��mne� <br />, �,�L�� ' ' <br />M�rt �I1I111C! <br />C',vi_��t� `�,_ <br />O BUILDING <br />- i a- <br />�r I ( � <br />❑ MECHANICAL <br />iy !m <br />�U�.��T- <br />fY )IC <br />c` r n ,-,-� C <br />❑ PLUMBINO ❑ SION <br />r�roH� <br />I��l�zC�' �5�i-sy31 <br />�v��nNr <br />-/ ,�i �J S%�'�i� <br />ouoMf LiCENlf • <br />J_ll-�I�j� <br />r��owe ucu�er . <br />OIUMB�H�IGONIP�G�U� MMl�f10�E91 ���� l�P P��UNI UCENSf • <br />�L�S1nf WOIIM <br />❑ NEW � ADDITION ❑ ALTEPATION ❑ AEPAIR ❑ DEMOUTION ❑ WOODSTOVE/FRPL.IN9EIIT ❑ BUILDINO �ELOCATION_ <br />V•111��ION O! WOOM ICOS� OI IA� I I IMlS Pl U9l�B(1N1 <br />C�� .7 7 <br />r <br />O[9f,Plpf WO N <br />. . '- ' . _ . c.... r_ <br />USE Of BUIIO���� <br />�"C l i)G_1�%Crc._ <br />LEO�L OE 9C11iP1 iON O� PAOpEPI v � <br />l <br />�L'_ <br />p, TYPE OF FIM1 <br />W�IEIICLOSET�fOREI) _ <br />pAIIIfUA <br />-� I.�V�iOf1YI�VA911AA91N1._ <br />-�. SIIOWSR _._ <br />NIICHENSINNSDISP _ <br />CLDiHE9 W�SHER__ <br />U�IN�L _ <br />OIIWNINOfOUN1AIN_ __ <br />�IOOR ����N _ <br />VnCUUM tlREAKER$ <br />f1UUf D�PINS-17A�NLF�UER! <br />SINK�SGIIVICF-BAR_FICf _ <br />� npN� 9F �B�Le <br />USf lONf <br />R-i <br />�rrt or�pNs� <br />i <br />s•rr or eina <br />I FIEREBY CF.R7IFV i11AT I HAVF READ AND EXAMINF.D TFIIS AP� <br />PLICATION AND KNOW THE SAME TO BE TRUE ANDCOiiFECT. �lL <br />PROVISIONS OF LAWS AND ORf11NANCES G(IVERNING THIS TVPE <br />OF WORK WILL BE COMPLETED WITH WHETHEF SPECIFIED HERE� <br />IN OR NOT. TNE QRANTINQ OF A PFRMIT OC,ES NOT PRESUME TO <br />QIVE AUTHORITV TO VIOLATE OR CANGEI. iHE PROVISIONS OF <br />ANV O1NER STATE OR LOCAL lAW I7EQULATINO CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />siaN�ivae or ror+�nnc�on ogwn�Nqniarn eacr+i oeie <br />M <br />.9 <br />NSE NO <br />_____..._ _-. _ <br />TYPE OF EOUIPMENT <br />AIPCONIJ UNI15-H P El1 __ <br />f1Eflii(iEI1�110NUN1T5-IIP E� _ <br />�OILE(i5-11 P E4 _ <br />O�5 FlfikO A C I1NI75-iDNNA�E EA <br />fORCEDMR5Y5�EMS-B!_U MEA. <br />W�LLNf.RIER3-BLll_ M !' I <br />UH�T NE�IERS-B I U M�__ <br />EV�POR�INE COOLERS <br />CLOIMESORYERS <br />VENII�AIION FAN <br />MN(:E 11(pD _____ <br />SIOVE <br />MEt�L Hf1E�UCE 6 CIIIMNEY <br />WOODSIOVE/FlREPUCE INSERI <br />l— Il� �Si <br />._ _ ".__--- . <br />__-_ _ -_ __— <br />"_ . _.___ I I � <br />.i� I $UBT01�1____--_� -- � � <br />SUA TOTA1 _� - ---- � � <br />--" - — -- . � � PEPMIT = <br />_ _"___ _ <br />PEOMIT � -'-_ _'_ _ _-._ _ __-___-_ ii <br />"-. - ___ " � ,,i <br />T0TI1L FEE / .1 �' "' tOT�L FEE __... _ "_ _�. __-1 ' '--' <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />R(1ORF19�CM 9DE9CIP�GF �'f� <br />PUN GlEfe NIIMpf P �f 1 �N LPECK f Ef <br />�r' �u / �7 /��.�(_ �!E I���� �ECEIVINO �..35G3 <br />�� r� <br />lUl���l� V��'.�N19�IF F[!� V�LU�TIOM �![ <br />/� ¢ �� �IYfR I1N0 — <br />l <br />Oq:11i'eN[tili�OUP NOOlpWfl`IINOIINIB ____ - � J�-- <br />i'•: ��'� � am�oiNa • 1'L% �1Z <br />NO Uf 4��)pIES M�e OCG IO�U <br />1 -�- �0 .::)��/\ <br />4 �S'4�AL't' <br />.rrur.ounn��i B. rioivuf�.n[oe <br />i <br />��. /�:� <br />� <br />rpn <br />PLUMB N _ __ __ ____ <br />ME[II�NICIIL --- �I I�1.� <br />0111F.R <br />VEN�UY _ <br />i � <br />tOT�L �' � �-. I ) <br />itox zt 445t r�s <br />� �Sk j, -: 1G, 4��' Avn, <br />