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� `�.�PPLICATION FO... ��� <br /> «`«"" CONSTRUCTION O <br /> everett PERMIT <br /> BUILDING DEPARTMEN7 TO BE COMPLETED IN INK• PLEASE PRINT <br /> 259•8745 <br /> ❑ OEMOLITION ❑COMBINATION ❑ BUILDINO ❑ MECHANICAL �PLUMBINO ❑81ON <br /> OWNE� MNL�DDREl� CIfV LIP - �OHE <br /> �;afi�L1'jj' C..cr.l�� ��� Rnl I �rrro�rrF f�dc • �� ✓t:,t�> > -,5',� ,� / <br /> 11RCNITEGtOROElIONER M�IL�ODRE49 CIIY ZIP P CNE <br /> ,- ' ! /�.� FFf.. !��/: /1� . 1.�L1i' I /_< '�\' �T` �� _ _ //��?!) <br /> �.v;� 'I .�� '�. FC . I • _ <br /> pEMEMLCONiR�GfGR M�M1�D�NE39 Clrv 2iP PHONE 4GENSE• <br /> ' �� l�� • i��•�IJF ,i. ,,sr _�F.� ��i� ` c ��,� _;r ; :1c�,�� <br /> i•�• I t" � ' 1 /'/1 I/�!"� 1 �f� �/7 /��F C11Y ZIP PMONE UCEHlE• <br /> MECN�HIG�L GONiP�CTON MAIL�DORE95 <br /> ��� � � ���� �`� < < i »-��3a �3� ,� C��� (Zfl W�� Q �....1��. �`P,ati:�. k�i•�oU4 N��J�Ec. nza, <br /> PLUMBINO CONiR�GiOR MML�OOFES4 �n' Z P OHE IiGE SE <br /> CL�SlOFWORN � <br /> ❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ OEMOLITION t_I WOODSTOVE/FPPL.INSERT ❑ BUILDIN6 PELOC�TION <br /> V�IU�T10N Of WOPN IG09i Oi M�IERULS PlU9 L�BOPo � <br /> UflC1V!!WORK . <br /> � NSr a� i r+2i.J .Sn.�K v c S iN K <br /> � <br /> uae nr avaoiNo I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS AP• <br /> J� �[f}OOV _ PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br /> LE6�L�ESLNiPT�OHOFPPO>ERIY�SMOWNBELOWOAA1111CMFOURCOPIE31 PROVISIONSOFLAWSANDORDINANCESOOVERNINOTHISTYPE <br /> OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br /> �oi—e�oc�–or IN OR NOT.THE tiRANTIN6 OF A PERMIT DOES NOT PRESUME TO <br /> OIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REOULATINO CON3TRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIONATURE OF CONiR�CTOR OR�UiHOH�2ED�OENT OATE <br /> •�� �, �'S� -� <br /> •PVUC�NTS GtY BUS�NE54 4CENSE NO. <br /> PPOJECi�00RE55 <br /> X o r - �e,�oo �,H n � - ��� . ,�� -� � <br /> PLUMSINO MECHANICAL <br /> N0. TYPE OF FIXNPE FEE NO. TYPE OF EOUIPMENT FE[ <br /> WATER CLOSET 101LE AIR COND.UNIiS-H.P.EA. <br /> REFRIOERATION UNITS-H.P.EA. <br /> BATMTUB <br /> ��V�TORY IWA3H BASIN� BOILERS-H.P.EA. <br /> OAS FIPED AC UNIiS-TONN�6E EA _ <br /> SHOWER j <br /> NITCHEN S�NK 6 DISP. UJ FORCED AIR SYSiEMS-B.T.U. M EA <br /> OISNWASHER WALLNEATERS-B.i.U. M <br /> 4�UNDRVTF�Y UNITME�iERS-B.T.U. M � <br /> CLOTHES W�SNER EVRPOR�TIVE COOLER3 ' t� <br /> W�TER HEATER CLOTHES�RYEPS <br /> VENTIlAT10N FAN <br /> UpIN�L <br /> �FINNINO FOUNTRIN RANGE HOOD <br /> AIR H�NDLINQ UNIT- C.F.M. <br /> FLOOR DF�IN <br /> V�CUUM BREIINERS STOVE <br /> ROOF DRAIN9-RAINLEADERS METAI FIREPLACE 6 CHIMNEV <br /> SINN SERVICE-BPR,ESC. �D WOODSTOVE/FIREPLACE INSERT <br /> BUeTOTAL / nn 9UBT0Tl1l �_ <br /> PERMIT i �7 SC PERMIt _ ! <br /> TOTAL FEE � ) OL� TO��L FEE O <br /> THIS PORTION TC BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> FROHf3EfB�CK nE�RSEiB�CK SIOEBETB�CIt <br /> FL�N CHECR NUMBEB VLnN CNEGN iEE <br /> iEf IPECEIPTNO <br /> USE20NE LOi�REl1 y���NT51iE FfE! V�LU�TION ift <br /> pYES ONO <br /> tYFEOFGONST OCCUPANGYGWUV NOAFOWE�LINOUNIT9 —_�— <br /> " BVILGING s <br /> SKE OF BL00 NOAF SfOR1E9 MA%.00C.tO�D <br /> PLUMBINO --� <br /> MEGHANIC�I <br /> FIRE SPRINKIERS REOUIRED O VES O NO OTHER <br /> PENRLTV <br /> �PPLIG1f�ON�CG9Y PUNSGHECNEUBY �GPR.iORt45V�NCEBY <br /> � � TOTIIL <br />