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� � <br /> APPLICATIOf� FOR <br /> ,".E",°`»° CONSTRUCTION �e <br /> �,�,a, <br /> �verett PERMIT <br /> BUILDING DEPAfiTMENT <br /> 259�8810 TO 8E COMPLETc'D IN INK - PLEASE PRINT <br /> ❑ DF.MOLITION C] COMBINATION ❑ BUILDING I I MECHANICAL ❑ PLUMBING ❑ SiGN <br /> �na�un r.nq enina�.�:: ___'_-'_'___.__'. :n� nurnrt <br /> ,,,. ,,, ��..n 8 -S.y,�Tl, ��� l�aX� .5`9�� .t�4'_ sT.��� y8ass G�.�-�n:.?s- <br /> •����„�„�.,�;v��; ��,�,,,�•�. � . :�„ �.� ,., <br /> �.I!Illl�l(111�t�1�i...1�IR 1.1111 >(III(ll':e iil' 11i �� �:'Irl':I • <br /> /�P�am ��� �� ;�i� <br /> .���-��•v�r•i conia.c.nq uu:nnonrs= c�i. tro r��nr�r n�_rnsi . ' <br /> �i'�MfllH�i(f]N�A�l�f11N M�I� �D(1N(Sti l'I�Y 1��� 1`IInNf 11.. I 1',1 I <br /> �SSU�WOR� �� <br /> NEW ❑ A�DIfION ❑ ALTERATION ❑ AEPAIR ❑ DEMOIITION ❑ WOO�STOVE/FRPLJNSERT ❑ BUILDING RELOCATION <br /> vqll��i.lqql W��n. .i,1S1��I14qIh��lltil�PnW � <br /> ��/�Oo j <br /> OLtiLPiyf WOqM �� <br /> Il�l� fli!il��N(: . <br /> J j� '� /�,!/,t�/ I HER[BV CERTIFY THAT I HAVE READ AND [XAMINED THIS F P� <br /> � �'L FVo�-L�S' � v��'� ��_ PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECTALI <br /> �tc��`�i+ scnirnnti��� vwui�rrn ����owr.oe�nwan�na,,��r������ra�•n•;� pqpVISION50FLAWSANDOFlDINANCESGOVERNINGTHISTVPE <br /> � <br /> �0��3. OF WORk WII.I.BC COMPLET_D WITH WHETHEF SPECIFIED HERE '� <br /> ni nr�_o� R" � � �'Z IN OR N07 iH[GRANTING OF A PERMIT DOES NOT PRESUM[ TO <br /> GNE �UTNORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANV OTNER STATE OR LOCAL LAN'REGULATING CONSTqUCTION <br /> OR THE P[RFOFMANCE Of CONSTRUCTION. <br /> $IGN4ILIP� �IIIiI•�;HN�11.qJI1f�11fMi-tUJIDTI�IryI L�IF <br /> .. ..,��o �.�- ��' <br /> 1ov�- /op�T s,.E, " - " �,, ,.�'��� u - <br /> PNOrtC1�U0BfG5 it� � [ry . <br /> PLUMBING MECHANICAL <br /> N6. TYPE OF FI%TURE OR ITEM FEE NO. TYPE Of EOU�PMENT FPE � <br /> WATEP CLOSET�TOIIETI A-� -AMNOLO UNITS-H P <br /> B�THiUP nEfRiGERATION UNITS-11 P F.A <br /> IAVA iOpY IWASM B�SINI Anq.EAS -P 7 U�N P � <br /> SHOWER On5Pi11EDAC UNITS-9TU <br /> NIT/'MEN S�NK 8 DISP FORC[0 AIR SYSTEMS-B�U M FA <br /> I OISHWASHEH WALL HEAT[h5-A T U M <br /> LAUNORY TR�Y UNiT HEATEf15-F]T U M <br /> CLOTNES W45MEN GVAPOPATIVE COOLEAS <br /> URiNAI fIOiHESnAYERS <br /> ORiNNING fJUNTpIN VFNTII.ATIpN GAN �_ <br /> FLOOR QNPIN RANGE/1000 <br /> BACKFLOW PPEVENTERS wAT[I7 HEATER <br /> ROOF G�P.INS-R�MLEAOERS W(10f)STOVE <br /> SINK hERVICE -0/A.ETC 1 METnt i"IL EPl AfE 6 CHIMNE� <br /> HREPLACFINSEHT <br /> IIF.A7 PIIMP <br /> GAS PIPING <br /> E%HAUSiFAN <br /> 6UETOT�L f SUBTOTAL <br /> VERMIT i P[RMIT <br /> T0T11L FEE f p 1'OTAL fEE <br /> ��Wrp.1�Hn r �9�n S!�B¢� S�pE 9F19�Cx. �'t.•�N�? :;N NUMf1ER �EE RECEIPT NO <br /> Zo� iii o � o � �^• 5 �_ � "� 7 �c:(c�'r� \�Y���IC — -- <br /> „�.� ; "° .�'•°t• wceH�srtc FEES VALUATIDN FEE <br /> � � � Es •;Ho � � � <br /> .� "i t.aqt.! ur t'u��NCVGPDun NO ofOwllunGUNrts OUI•_OIN i S _S.'y-c�-+-+- � � <br /> T7 ._ � �(7- � PI.UMOWG l <br /> _JL— <br /> - ,� HiDr nn ur s�pn�Fs u.v occ lo�o <br /> � MECNANICAL L'd S ' <br /> OiHEH <br /> 1 INE SPqINKLERS REOUIRED ❑ YES �j NO _� $TATE 9UILDMG SURCHARGE O <br /> STnTEENER6YSUHCHAFGE <br /> L- <br /> .. ,��r�qn�, p. eqgi;HECnEOBv ��enfOPi95u�v:� Hr <br /> PU9LIG WORKS � ( � <br /> � � �— � TOTAL <br /> -���t� -�' �' <br /> -- _ _- --- - --- -- <br /> rHnP1 mv nwr�l Ivc 4Rr rrt Sr i,a.`�.iRl P rorv nf-it'H6� � L <br /> rn�u�t_r��� i ��u i��cnn���i� nyni�Fin�tninctr,�rrn� <br />