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,�►PPLICATION FO..' <br />,.`".'°"." CONSTRUCTION <br />IIY 01 <br />�verett PERMIT <br />3UILDING DEPARTMENT <br />?59•8810 TO 8E COMPLETED IN INK • PLEASE PRINT <br />i DEMOLITION ❑ COMBINATION ifOUILDING ❑ MECHANICAL ❑ PLUMBING <br />...............� ntr rm m�oNr <br />��v�n <br />e <br />❑ SIGN <br />]ru�EC�On19 VU�i1P M�il �f�pnlSS CitV l�i' P�TNI. <br />��urE MrE+. Co� P�. eox C9o90 E�eR� ��98xoc 356_5s b oN 4r.� <br />afnqtornnnaon M�n�nun[st Urv tm ru�.rn uCnrs1 <br />-.�Vwu.ny�'� • �i� 146��d Ne __ rKw,n,��o52—a�iL-4sx5 Suov�.c+::�o <br />buwcucnqnucvm � uuienonrss ❑�r r rni�Nf ucrqst. <br />IMP�IIri(�O4��I�GID� IA1111 �DDAf55 CIIY 111' RIDN! IICENS! • <br />•5401 Wt�n� ,�,/ <br />� NEW ❑ AU[11fION LO �LiCf1ATION ❑ RFPPifI ❑ bGMOI.I110N ❑ WOODSTOVE/fRPl,IN5Ef1T ❑ BUIL�INC 9f.LOCAIION_ <br />�u�no� ��rwr��u�ms�orusniuytiri.usi�wmi <br />�i ODA <br />9CRiPE WUnn <br />.z.._ .__._ �...__...._ .w�..� : QFl�fCTsu�'1` ll�..t o'1sLLS . <br />pr <br />pRUw D� �� ��6� f Oun C, V r�F S <br />� PI OCR_� Oi <br />M14 <br />PLUMBINO <br />TYPE OF <br />W�IE� CLOSEi �T( <br />B�iHTUO <br />UVATORYIW�SNI <br />_ � NITCNEN SINK 8 OISP <br />� O�SI/WASNEII <br />— ^/1^Np1iY TRAY <br />CC W1CI�Ct1 <br />D�INKINO fOUN1AIN <br />FLOO� O�A�N <br />nn sein:r: <br />' nR�INS — RA�NLEAO[ <br />ISE�VICE — B4R. ETC 1 <br />SUR TOT�L ! <br />P[fIM1T f <br />TOf11lIEE f <br />:,,«,���. z,� <br />� lONF ��0� MU <br />L O� _—__ � <br />��� ; - <br />rn�mnr <br />?1.lo�tZ <br />ocCuv��n:r rnnU� <br />P•z <br />NO ili [Inqif 5 <br />� <br />c Ov pl�ry9lnt<:kFU <br />� �� <br />Wf.111 R <br />II�FG ry�1 <br />110 Of DWf LI �NO <br />�- <br />u+e nr.c io�o <br />/2v <br />rn ron issue�rtt nr <br />L•�. <br />dd� ?��.�,fis ��` A �'e <br />'..�r.j ��• � �'- <br />I IIFRE[�Y GflRTIFV THAT I IIAVE READ AND EXAMINED THIS AP• <br />PLICA710N AND KNOW THC SAME i0 BE TFiUE ANOCORRECT. ALL <br />PROVISIONS OF IAWSANDOfiDINANCESGOVERNINGTHISTVP[ <br />OF WORK WILL BE COMPLETED WITH WNETHERSPECIFIEDHERE• <br />IN OR NOT. T11F GRANTING OF A PEfiMIT DOES NOT PR[SUME 70 <br />GIVE AUtI10RITV TO VIOIATE OR CANCEL THE PROVISIONS OF <br />ANVOTIiLR STA7E OR LOCAL LAW REGULATINdCONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. . <br />siaN�runeoreuran+aonon�mnonizm�cu+r pefE <br />u <br />L <br />MECNANICAL <br />AiC — AMNOLC UM�S — H P <br />f1EFRIGEP4710N UNITS — N P EA <br />AOILERS — A t U i�� P <br />GAS �IRED p C UNIT$ — 0 T U <br />FOnCE� nIR SYSTEMS — B 1 U M EA <br />WALLHE�iE�S—ATU M <br />UNITHEATFfiS-07U M <br />CVnPORATIVE COOLEtIS <br />e�otHer; onvens <br />VENfIL� fION fAN <br />nnN6E��0oD <br />WAl[� HEATEII <br />WUOU SrpyE <br />METAL fIREPUCE 6 CMIMNEY <br />�iner�nc� ir+sent <br />r�enr ruur <br />cns ririNa <br />EXIUIIST FAN <br />PLAN CIIE H t/UMBER <br />8� � 13�� <br />SUBTOTAL � <br />PCRMIT <br />TOT�LfEE i <br />IFE���� RE��N�� <br />nui�oiNo r!�/f�i�� • <br />� <br />MUMBING <br />MECNANICAL <br />otnen <br />ST�TE BUILDING SURC11Af1GF. <br />STATEENE�GVSURCMARGE <br />runuc wonks <br />TOTAL <br />Pf10PLf1�V OWNFRS�RE f1E5PONFIPIF fOR DFTEf1MININ� ALL <br />PROPfR1Y LINE LOCAlIONSAND RELAtED E�SEMENTS. <br />