|
�r�
<br />>H
<br />:��ix
<br />atim
<br />'ti �
<br />K � `"1
<br />05U
<br />� W H
<br />�O�
<br />HC
<br />��g
<br />�. n
<br />z��
<br />g �' H
<br />C'] C7 y
<br />��[r�1
<br />�-3 O Cn
<br />I��
<br />I, I-�..�
<br />���
<br />���
<br />�
<br />f���f�..64�Q����.Jfi� F'�d'i'i +.•�1�-:Y Y 4u,c.i�•�".r �� 5n .A�i R-�i'YYVY� � .. ,, �.
<br />. TO BE COMPLETED IN INK—PLEASE PRINT �
<br />E.�v�erett I HEATIIJG:iYST[At�. d1GA5 J[LfGjHiC J �
<br />I'.UILDWG C�PAHiMENT � -� �
<br />:'S0 8�10
<br />DFMOLITION COMBINATION x BUILDING x MECHANICAL ,�' PLUMBING SIG�!
<br />.. .� �, ��n�� ni�out �,s . . ., .
<br />� �' �y 1 C . . e p. _�_� p' � 7_ ' _ �/;
<br />7�F'� ��1-, �` —1-:z3'�—_ • r _ .
<br />�.��� , _ „�„���»�ss � �:�, ,...
<br />— ---
<br />---
<br />�u��.raiectopoeser+en rnnn.�oort.ss ��+r e�r N�ro�+e
<br />,..qIqA�CCN111�L1OR MMI�UDRt55 ��� �� �JfV iIP PN�NE UGF:I15E•
<br />�,7.U.P� c,.,Ns—. Z.+c \SwR _�?�NE.. 1'.,aF,l'r+�i �� Qo'��_ge.� ti� �L AZUP.�S.S�1�.w `-w
<br />. ��inNrt.ni t.n^�inn6lnn M�ii Pl]ORE55 �'�r Zi� �r�OHF tICENSE •
<br />------ - - '— - -- -�- - --i i� pip fh)4( UffNSf•
<br />i^. i n�i:r�a�nnu,�a neinnoiru �Si �0521
<br />� ' Qo �„ �c0 � ���__Pl :.-��r�...� d +q" / � �2Ti� p11c�aJ
<br />��1T�� _.Yi��k,.__ '� .ln� 1J . �o. `i�.�_�.L--_�-`�`�:-5fl— B--
<br />f.1�550� WdiK
<br />:{NEW ADO!TION ALTERATiON ��F�'ArIH ❑[1dOlITION WOODSTOVEI'RPLINSERT OUIl01NGRElACniic✓I
<br />�— �_ hle:�C�PILM L�c .ti ����nEa9oNu�owaN�equ r
<br />�'
<br />i� �un nr�icvnrwov� `JL; lG';� ��.UN�.i__ �_��•.��---' ��� 1� J�--
<br />�.� . . 1. �+r aryf15CUPRh 1OOtAOE Ilryt .�....
<br />�/�i�iC�....�_�1:.f.tlt .1.�%_�j �
<br />. i � t [[ 6! q! f I i L D R i
<br />r 1,1A�t .�'.?�[t � �Y _h . atr.� G�-
<br />i�-,ei.�.rnntl`��1. fli.f110.�. •I'.'....' � Sui .e..l.i
<br />, i9 �, . 1 �d��. Ln��
<br />VJI Sl �-1 1'IAf �
<br />?�-', Z2o f, 22 1
<br />�� _
<br />I, � 5.� .S.�IJ. . L �t-_K!.TI. � W ^ �i � Z �' .S
<br />� �. . . .., �.� ..
<br />N0. TYPE OF FI%7URE oR n
<br />l. WAiFR(.105[-11TOILFIi
<br />1 flAi:11�113
<br />� ; nyn7l�Pv �VlASH BASitJI __
<br />•r�+ V `•'fOYlI fi
<br />( KrtC1�[W'�V�NBDISP
<br />� nr;��wnsiiEa
<br />I nUNI�Nv TFAV
<br />l t,IpiHPti WASHER
<br />uiurini ...
<br />DIIINKING fOiRJ1AiN
<br />1 I OON ��i.51N
<br />IiACNfIOW PREVI t�l[RS
<br />f1OnP I�Nt.WS NniNl f �DERS
<br />SIVH �ti! RVP:G HAR I IC� I�
<br />SUB TO1fA 5
<br />-- �PERMII i
<br />'OTALKf S
<br />�J L �
<br />'. �:L
<br />S.�
<br />FOR OFFICC USE ONLY:
<br />:,��. , . ,�(
<br />1(l �, � �.0�
<br />i. . , „ ,,,
<br />R� ; .. . �
<br />� . , .
<br />{
<br />��-„ � �-,� � _ n �� 1 � � i
<br />' ��Sr i Nonrs�omes Pesr.���n
<br />..I�•ii(�/1r1 _.�—__ � u2o
<br />�"
<br />�p.v�OAU �01[SnNqLE��fiP10U r��� iM1���n�=��ri
<br />��---- N''
<br />� � �.rnqsrnnni�u�.
<br />,. I n.nnr�iu�vri�m I CITYOFEVERER
<br />� � � � �,� LOCRL SALES
<br />TAI( COUE IS J105
<br />�� HFREBV CER7IFV THAT 1 HAVE READ AND E%AMIilEU 7HIl:
<br />4PPLICATION AND NNOW TN[ SAME 70 BE TRUE AND CORFECT Al l
<br />P�70VISIONS OF L�WS AND ORDINANCFS GOVERNING THIS TYPE OI-
<br />�'JONK WILL BE COMPLETED WITH WNETHER SPECIFI`c'; HLAEIN 0��
<br />NOT TH[ GRANTINv OF A PERh11T DOES NOT PRfSUME TO GWE:
<br />nU7HOR11V TO VIOLATE OR CANCFL THE PRO': �3�ONS OF ANY
<br />� li��LR STATE OR I.GCAL LAW fiLGULATING CONSIRUCTION OR TNE
<br />'E:RFOFMANCE OF CONSiRUCTION iHAT I AM AUTHORIZED BV THL
<br />GWNFR OF THIS PROPERTV i0 PERFORM THE WOfK FOR WHIC��
<br />n��PIIC�TiON IS IdAOC AND I COMPLV WI7H THE S7ATL
<br />�,'�HIqALinR51 �Y! iP.:7 FiCW AND 29G 2G0 WAG
<br />. .. �. . �.� ..,��n,i ,..a.dar �,c��
<br />X Y� ��2 ��a 1� _ _.
<br />..�� ,.. � .. .. .�C�.,-�., � nr��� �. �i .�,r�n�!i
<br />NO, TYPE OF EOUIPMENI
<br />AG AIINDI(9UNI75 �iIP
<br />� (Ofii;f.� NF S'ti1[il.15 P 111
<br />UNlilq'nIf115 II�I1 !d
<br />GLOiHCS DRVFRi
<br />2 V(NiP.AilUh!{AN ._
<br />( r�nv;��t �aoor, _
<br />� \YATb{: N( �iFR . . __
<br />Vi�'UD STOVP
<br />� !d! in! �IREPLACE S GHIMNEV
<br />� iHf i�l ACF WSER7
<br />� ii nt Pl1MP
<br />� �.n�, 1� viNG
<br />I xHr� .��.1 FAN
<br />0
<br />!} F A
<br />c�, Ui su u�� cG.t !, U�%' sf
<br />� �75
<br />�„�, � „ ,
<br />���,�,.���.,�, _
<br />LII �. �INi��Cnl
<br />AI�.:� Ii�.Vl:.l I'IANf.111.GN
<br />„�„� ��
<br />51�I1. PIIII DING SURII��HGI
<br />r�nl.IC WORNS
<br />m n� --
<br />FEE
<br />SUB TOlAI
<br />PEHldli 5 . " _
<br />rbrni rrr 5
<br />��i ��ri��•,�,.,
<br />�( ).� �} �f 45
<br />JALUAiION FEE _
<br />��n->3� �a��i'o,
<br />.,
<br />� '�S� �/���`
<br />LL'L�i���
<br />I T
<br />�t
<br />
|