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m. r..,o,..� <br />an nr <br />everett <br />�UILDING DEPT. <br />259•8745 <br />.numt <br />n <br />',�PPLICATION FO�. <br />CONSTRUCTlON <br />PERMIT <br />�� ` 17 BE GOMPLETLQ IN BLACH INK - PL[ASE P�71NT <br />❑ COMBINATION ❑ BUILDING �MECHANICAL <br />n� � Q� <br />�f �AQill�.i ��� �j. �� � ST i'{Fr+.S2�-� �Lk <br />_ � <br />e�rrrtt <br />�' <br />❑ PLUMBING C� SIGN <br />n� �•a �j <br />�v�� {5�✓ <br />..... nr --„-_ _.___--niy�.��.- <br />'.in�s.n Wnn✓ <br />❑ N[v: AODI <br />V�lllnf�lll�ll WIJIIYII.f]'.I <br />v,� �nr <br />❑ AL1ERAilON ❑ REPAIR ❑ OLM1IOIJiION ❑ WOOUSIOV[ifRPLINSLfif ❑ ❑UILDRlGHCI.00AfION <br />�PL S Pl U9 V f10H1 <br />2 <br />or.� �/,� �n/n��n�.m • <br />(o. lf���i� nPEn��{�(� CI�� n e�uU� 1 oUn �.or iu� <br />y a <br />101__PLOCtl��Uf <br />•ouncss <br />5'W � <br />aT . . . PU��P�—.��I F�t1�`' — <br />I H[qE�V Cf:RTiFV 1HAT I HAVE REAU AND FXAM�NFD THIS AP- <br />PUCATI0IJANDKNOW THESA!.1E IO�f:TRULANDCORR[CT.AI L <br />PROVISIONSOF LAWSANDQ�DINANCESGOVBRI�ING T111S TYP ° <br />Of WORK WILL BECOtdPLF1ED WITH WNF.TIIEfiSFFCIFIED HER�: <br />IN OR NOT. TII[GRANTWGOF APLHIdIT00E5 NOT VRF_SUME 1 � <br />GNL AUTHI)RITV Tfi VIOLAIE OF7 CANCEL 111f_ PHOVISIONS GF <br />11tJVO1HER STAI[OR LOCAL LAW RE(iULATINGCO1JSiRUCTION <br />pq Tt'c pLRFORMANCE OF CONSTHU(,fION. <br />SIG�lAtV�tl��fCUrI1HAC1UNIr11PU11�O�II1r1���IN� f��ll <br />X r,���--�.� �� � s� <br />Q/� � �--_ <br />•I'Pl�l.nql5i��.�� I��f1�4f.S:1�114St HO <br />� �7/�I — ___—__ <br />- " . 11 ' MEGIINm�n� . __ '. -" ___ .. __ _ - <br />PLUMBINO ___ ___"'-- ----FEE . Iy0 � _ . . .. _� -�- - - . . _ _-FEE <br />NO TVOE Of FIM7UHE _ ' _ TYPE OF EOUIPMENT <br />Wn1ERClOSETITOILEq _ � nlnll�rNU ulll':-I�r F� � <br />f1��Rl(]FNA�It��lUNI1S ��P G � <br />fi41N1UA -' .. . .. � <br />IWItE�i-Hf t:n ___ _ <br />IAVnTORYIWA5NBA51N1 - _- " - "_' _"__.. _. .._ '. -- <br />- - GA!iilNfl/AC li^UI$-IUNNAGCEA_ __ ____,__ <br />SIIVWER '- --- <br />-- �MITCNCN SINN6 OISR __ ___ <<1���S�.pIN SYSILMS-01 U A1 F.A _ __ <br />OISIIW�SHFR_ __ ___ �/M.111f�iGH4 OtU_..M .. "_' _ _ __—" <br />— - — ur+nr�cnro-n,--oru r.� .._— .. <br />L�UNURV iRAY " "- -.. . - - -- ----' <br />_- "'- _ "_ ._ ' ' <br />' ------- CVAf'OqF11VCCOOlCHS <br />_'"-'_-_' __ �."_ _ <br />CLUII�CSWeSHER _.-_-___._ _ _.__ <br />_ . - - � �� f.LUll�lS URrLH , ___ _ '___ ---' - <br />_ -WA1F.R N[AIFR _—_ _.1 -. __. " " _ " ""_" _'___"__._ _—.-- <br />UP'NAL � VLIIfRRiIpNIRN_ <br />._. nnr�G[ ��oOn_ _ ---.--- — <br />_" pRINMING'OUNIAIN . f --. . .-.. ___ '___ __ <br />_ I flOO� Pnnn1_ .' ____'__' 1 ain nANU- wb_lRlIT__ C f M__ '_ ."_ _----- <br />i _ <br />invr <br />-- -- � vnGUW� Oi�i nnU1S _ ���JM � inU Lt� f 6 C�u�n1EY __ _. __ _� - <br />PUOf QH�1IN5-PAINLEAOEF$ ____ . � '-- � � <br />__ SINr.ISER/ICE-[1AR.E/C� _ YIOO�GIOVG(IRF.PLACE-INSERf =_ _-_—_ - <br />_ _' '._—__ ... . . . _'__'. _ I <br />_- - -- -'" -- SUO TOTAL S � <br />SUB TOTAL - - - - . - --' - . . - S i <br />_'.- '____ ""__ .._ PF.RMIT . <br />-- <br />venMrt. ---�---s ---- - - . . . <br />. _.. -- __ ----- 1 rorni.rce s. <br />I TOTAIFEE_ ._._ _-_-f.l__"-__ "___ I._. .. . I . .. _ . .. <br />.- .._ . , ._-.. _... _ . <br />THIS PORTION TO BE COMPLETED BY BUILUING DEPT. PEFiSONNEL <br />- utme8q�n,. .��.t�eLln �� fle�� u,.yir�.uu�, �� � �... ., .��� <br />_____._ S,". r i <br />1..�. '�� '.{ Il1ni_n <br />��11 <br />_ ___ . i <br />_—"__ ._-__"—_ ._ _ .. fEE <br />u`:110q! lUTAnE� v�C�4i5�it —��--� iFE9 V�LU�IION �"� ___ <br />•. 1 S ftNO -- � <br />_ __ _.� ......... �Yf11V1NfY f:R(llll� 111) itl I�WELllllli UN115 _ . __ _ _ � .. � "1 <br />.,i� n <br />5 IMR� �•lC LU�O <br />L tl� <br />J�1 <br />nuiioina <br />PI UMBiH6 <br />�dCG14NICA1. <br />OInER - <br />fC•IAIfY <br />io�ni <br />: <br />_._ _ . -_._-" _�_ . _ _ __� .. <br />f <br />( <br />C: <br />