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IM En�pn�n <br />��ry : <br />everett <br />BUILDING DEPT. <br />259�8745 <br />A,PPLICATION �C�R <br />CONSTRUCTION <br />PERMIT <br />TO qE COMPLETED IN BLACK INK — PLEASE PRINT <br />er�retl <br />� <br />❑ COMBINATION ❑ BUILDIHG ❑ MECHpNICAL ❑ PLUMBINf3 ❑ SIGN <br />OW fP <br />� c -T�,c, c_-c>iJ�>7� G�� <br />nn m si� �nt n <br />/sr��Ai.;: <br />ZIP pllOryl <br />%/5�:. - :-f' : ��:_ <br />!IP <br />6EM1141f.ONfR�l:lu11 MML�M0055 piY ZII' IYu�lll lii.lull <br />JCf /i( '�_ <br />Mtb���N�f.�ICONIN�C.Oq M�IL�OONE9S [IIY jIP I4�nN1. ip',�ry;�� <br />III.IIIiNU CONIP�CRiN <br />rnoN�. Urtb11 . <br />CI �ti1 O! WOON � <br />� NEW ❑ ADOITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOO�STOVE/FRPLJNSERi ❑ BUILDING REI.Of,ATION <br />V� i�p��NOIWpRNICn91U1AullP��ISPlU51�BORl .h- � '- <br />����-t�c'%�� �> y aoo' <br />u� srnmt wone . . . <br />'>�/ii/e^_ /—!2 �tt, <br />n`A a� Oun f iNG <br />� r- �-� <br />� �� .0 n� swicuoN or rnor[m r is�� <br />/ • � <br />in� L�eio�.e_or � <br />rn <br />- 2�-S <br />— C' "�.'-r' --�'' �/� -3 — ---- <br />I HEREB`� LERTIFY THAT I HAVE (i[AD AND [XAMIHf D TIIIS AP� <br />PLICATIGNAND NNOW THE SAME T05E TNUE ANDCONRECi AI I. <br />PROViSIONSOFLAWSANDORDINANCFSGOVERNINGTHIS 1YPf <br />OF WGRh�. WILL BECOMPLF.TED WIiH W11FfHEHSPECIFIFf� IIfRf-� <br />IN OH N07. Th1E GRANTING Of A PE(ildli DOF S NOT Pfi[SIIAtE I n <br />GIVE AU7f10RITY TO VIOIATE OR CANCR THE PRnVISIf)NS (>I- <br />ANYOTHI'F STATE OR LOCA� LAW HE(iULATINGCONS�RUC�I(lP! <br />OR THE CERFORMANCE OF CONS1RUf,IION <br />SIGNAiUREO:CONtR1CTONOR�11111U111f1[�Ai.Lqi P�II <br />�?�� i ;`' �'f= - �z�z � <br />, �,, <br />:,, <br />YIIUILC��011lll55 /� /J /� �PPIICrNr5C11YB1141N[59lIf.Ifl51110 %--- <br />' �'� -� �° /c � L' � � � // �. L l� ..J�/ '.O� <br />PWMBIN6 <br />_ __ _ _. MF.CHANIGIL <br />NO. TYPE OF FIMTURE FEE NO. TYPE OF EOUIPMENI <br />� WAIERG03E11IOILEq-'_ ' -_ - - AIRCOND UNITS-IIP CA � �� -- -� <br />_i.._ _.. '. _.- __ <br />pAT11IUB__ � R°FFIGERATIONUNIIS-IIPIA <br />_a_ ._.__ _- _- _ _.__" _._-'" _' _ <br />�'. IAV�fOflY�WASII B�SIN� ,( 0 <br />. _._ ._. ... . _._ _ y__ _'. _. OOIlIiRS-HPEA <br />$IIOWI.R C.1S flliCD AC UNIIS IUIlN4ti! 1 n ��- --� <br />" . '_ _ _" _ — _ _' __ __- _.... __ _. _" <br />� NI7CIIFN SINN! OISP �(% FqRCEU AIR SYSTEMS- B I U M LA <br />. .__'__ _-_--__' _ __ .._"_ _-"..."_ <br />_-_"_'__ __.. __. _._. <br />� DISIIWAfi11Efl ,_ "' __� 0� _ W�1IHEATEflS-BTU M <br />_-' __ __. '___"_'- "__ . <br />. _ . 1 �UIIf111v IRAY_.... _ 119IT �IEaIER9-B T U !A � ' " <br />.._I LIAIn(5 WASMER __ __ CU E�APURATIVEl.00�[fl5 -�- _ <br />_ � WAiEII RF.RIER � � �_ CI O� IES DRYERS _ _ _ <br />IIHIN�I _ _ ___ _ � VENTII RIION f�N <br />DRINNI/!G FOUNT�IN. __ _ '�_ pANfF. IIOOD �--_ _. _ _' ' ' <br />fLOUH pNAIN __ �IH 111NDI.ING UNIi- C F M <br />. -_. <br />'— _ ___ __'___"-_-_ _ _ ..__ _ _ . <br />VFCllllf.l BfIC�NERS S10VIi <br />_ _ ROU1 I�f1AulS-RAINLEADEfl9 __ � _ AIETA�, FlRl '.CE 6 CIIIMNEY__ _ _____ _ <br />_ SINh�Sf.HVII.E-BARETC� WOOOSTOVE,r�REPlACE1NS[RT _. _ _ <br />. _ - __-_ '-___.. __ . _ <br />_ .__. _. . _'.'- _ _' -_�____-_-.._ _ . <br />_ _ - _ _ <br />- <br />__ <br />_ _ _ <br />_ _ ___ _ fiUB TOTAL _ _ �[J C� __ gUB TOTAL f <br />_ _ _ _ PEPMIT _ t _ _ PERMIT f <br />_ iOTAL FEE ___ �_� 0 0 __ __ _ TOTAL FEE 3 <br />THIS PORTION TO BE CCMPLE7FD BY BUILDING DEPT. PERSONNEL <br />��e�N�SI�B�LX BI�IISf�tl�LX SIOE9E19�CN PI�NG�1ECflHu11010 �. ry� n��ir <br />J�'l' 7��' � � J,.s//:���% "(;,. . ,�,�„�� <br />usituHi iui.ne♦ t �re. <br />�•l v�feNfS�IE � — - - -- - - <br />FEE <br />- I <br />( <br />L/ I S [) <br />/I 5 7 <br /><J <br />i <br />% �'z' <br />I? I �C ��� � f��15 IINU ilEB _ V�tU���ON !Ef I <br />\I —_.-._ _—_-"- <br />�1 "n) <br />tiqt ��1 PIUti <br />�. .� ' � �G� <br />��� •�t�) <br />I IIII. til'NINNI I:RS flf <br />��1'1 Il �111111 A1 1. HT <br />UCCUP�Nf.YLROIIP NO0IUWEI. <br />., > � <br />UU tlf tifONiE9 <br />I �J <br />91 0_I1 YEb f', <br />r i u�s culCet D B <br />�7 �� <br />M1Y OCG 10�0 <br />f 91 <br />� <br />BUIlO1N6 <br />rwMeiNa _ <br />MECIdNI��L - <br />p111kR <br />P[NAIiY <br />TOT�L ----�—_- <br />