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'^•F�ro�n C O N S T R U C�I O N� everen <br /> crtr or <br /> everett PERMIT e <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPT. <br /> 259-8745 � COMBINATION ❑ BUILDINO ❑ MECHANICAL ❑ PLUMBINO ❑ SICiN <br /> OWHC11 M�q�D�RE99 CIIY ZIP PNONE <br /> 7Rt�,(�n�. '�ScHs l�;njrl;C+ 2.S/2 /.36��'�.J./L� G�n.r<..tisl �,Y�3 � ;�ys- y�� � <br /> ♦NCNIIECIOROF.919HEIi � M�IL�DORESS CiiY Ii� PNONE <br /> 7��',�;c .J7�{w1 v�' <br /> ❑fNlN�ICUNIP�CtON M�II�D�RESS �IIY IIP PNONL LIf.[NSf• <br /> �,�.,��s ..��.,.,�. �ti��,��,�s��yy� � <br /> uEC�uNiUl COM1R1LfOq M��L�OURE99 'Cilv !iP �•nUN[ �i�ENSE• <br /> S h•.v ;.2s h.•.-,c <br /> MUMpIHGCOHIN�LION M�IL�DOHE55 pIIV !IP p110NE LICENSE• <br /> ��?n.,:-�/C /'�•v,i�� r� .3 2� � 9G��'�L . .b�i� . /y,4CJ�J6!%f k^'i. l-��3– 7 L G4.�1' <br /> cuss or wonK <br /> NEW ❑ ADDITION ❑ ALTERATION ❑ PEPAIR ❑ DEMOLIi1ON ❑ WQODSTOVE/FHPL INSERf ❑ BUILDING RELOCATION <br /> VA/1}$!e1�1�0/N�0l�WORN�COSI AflniqyPLU9UB0�11 <br /> /r '�lG'„'�� �'/� /1/'1/tl��� <br /> nescnie[-vZonK /- �� r7L.C/ <br /> s;•��,�t 7A...��v yl�r,� <br /> US[O�B IDM�— <br /> s�����. — I HEREBY CERTIFY THAT I HAVE R�AD AND EXAMINED TI115 AP� <br /> b� PLICATION AND KNOW THE SAME TO BE TFUE AIJDCOFRECT.ALL <br /> lEOILDESCRIPIIONOfPRO EHtY�5110WNB�ElOWON�TI�CMi00NCOVIE51 pqOVISION50FLAWSANDORDINANCESGOVEFNINGTH15TVPE <br /> io�2 aior�or �/'� � "���� ��� Z' OFWURKWILLBECOMPLETEOWITNWIIETHERS?ECIFIEOHERE� <br /> IN OR NOT.THE GRANTING OF A PERMIT DOES NO?PRESUME TO <br /> GNE AUTHORITY TO VIOLAIE OF C4NCEL THE PROVISIONS OF <br /> __ ANV OTHE{7 STATE OR LOCAL lAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF C�7NSTRUCTION. <br /> — SIGN��E(1�FGOfI`�CIQRvUM10iH0712EL<�ENf OAIE <br /> �1/ .�. 'J G'_ , �c:..�. <br /> r d� x %j r <br /> �/U�!-/0 r- ���J °L ) .' y✓'�r, ,_ _L . <br /> P������ ���l,� �� � �, . /`'�/� �PGLI NI'SCIIYtlU5iNE59lIClNSFNO <br /> J�. <br /> ~ L\�� <br /> � <br /> PLUM!'�NO MECHANICIIL <br /> NO. �YPE OF FIKTURE FEE N0. TYPE OF EOUIPMENT FEE <br /> 1- WAIERCLGSET�TOI�ED a AIRCUND.UNITS-HP.FA. <br /> T BAiHfUB � b REFRIOER�iION UNIiS-H.P.EA <br /> ' IAVATONY�W�SH BASIN� O BOILERS-H R EA <br /> � SIIOWEI7 (�J OAO FliiED AC.UNITS-TONNAGE E� __ <br /> _ KIiCNEN SINK 6 DISP. _ � FO�CE��iR SYSfEMS_BS.U. M U <br /> DISIIW�SMER C� WALL HEAIERS-B.T.U. M <br /> UUNDRYTPAV UNITHEATER9-B.T.U. M <br /> � CLOTHES W�SMER OO EVAPORATIVECOOLERS 7 <br /> - WA1ER HEATER O CLOiNES�RYERS y•Sro L� <br /> 11RINRl Z VENYLA�ION FAN _ ���Q Q� <br /> DRINNINO FOUNTAIN RpNOE HOOD �y '� <br /> FLOOq OR�IN AIR H�NOLINO UNIT- GF.M. <br /> VACUUM OREANERS STOVE <br /> ROOf DRAINS-P�INLE�DERS METAL FIREPLACE d'CHIMNEY <br /> SINN SERVICE-BAR,ETC. WpOD$TOVI§/FIPEf �CE INSEPT <br /> �J�.�l P.[./�'- _�•��_ <br /> .. __ _._— —_._— _�5_� <br /> —��l ✓_ _ <br /> _ 9UBtOtAL BUBTOTAL � <br /> ____ __ _PEPMIT � PENMIT � <br /> _ TOT�L FEE � TOTAL FEE _ _ f ���_ <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> Ipp11�SE1p�GN OURSE�B�CLL BIOEBE�BACIt PI�NCHECMNOMBEII M�NOQCMiEE <br /> Cy U� � cR-7i r�-e� � /`3�� � O ID �� 1 rF[ �50�-~�nrc�i���.3_�.._ _ <br /> USelUNt lUl�nt� __ <br /> V�WN18rtE FR.F{ V11W�TION fE[ <br /> 7�C0 JIYEB ONO _ _ _ <br /> IYP[Of CUN51 OCfu��NCYG110UP NO Of DWEILINO UNIIS 4�Z� <br /> U- nJ �– � � eui�oiNo i S —� --- - �'�- <br /> s¢e ar bioo Ho or sioniee Mea occ w.o . — <br /> x `� VLUMBINO f <br /> MECNIINIC�L � 2 <br /> fIRG SPRINNLERS IIE�UIliEO q YES ❑NO � �0 - <br /> O7NER a� <br /> � _ —_ <br /> PENALTY I��' <br /> •1'PilUIiON�GG BY VL�NBCHECNEUBY 1Ppq fONIS96�ryCEBr ---- <br /> TOT�L � �� — � <br /> � � S� v `� _ ,,. � - <br /> ,��— <br /> i `��i�� <br />