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' ' . <br /> '. .PPLICATION f0► <br /> ""`"'°""" CONSTRUCTION "e <br /> tm cr <br /> everett PE R,M IT <br /> BUILDING DEPARTMENT <br /> 269•8745 TO BE COMPLETED IN INK• PLEASE PRINT <br /> ❑ DEMOLITION ❑COMBINATION ��UILDINCi O MECHANICAL ❑ PLUMBINO ❑ SIaN <br /> �(OWNE11 M�II��p�E9J 1 �IfY )i� PIIONE <br /> /`�ksc � .xt�. 38z2 S7T Av Sw SKi'll�i' 9�/�( �353 -y95T� <br /> • CNilECt000E9iONE11 Meil�A0HF99 Li�v in pqONC <br /> OENEMLGONIP�CIOf1 MMI �I)pRC59 Qrv !u• P��ONf tiCFN9E• <br /> X..YJc��.l �NG. .Sa...c a� �)�nve CCUI"}�(5�J/Y/� <br /> MfC1UNlf,�l CONfR�CiOq MMl�OO11F49 CItY l�I� PIIOHf IICFN9F• <br /> PWMflINpCON11ULT00 M�IL�DDOE95 Clrv ll� �IIONF IICEilSf• <br /> CL�6!Oi w011K <br /> ❑ NEW ❑ ADDI710N � ALTERRfION ❑ REVelll ❑ DEMOUTION ❑ WOODStOV[/fRPL.INSERT ❑ BUILDINO RELOCAl10N <br /> V�L IIONOfVIM1NICP9I0iM�tER11L5P1UlUAO�i <br /> X ��� foozl <br /> DElCO�BE WORN <br /> X s -��e,., Fla�- �� H,� <br /> uee or euiioiea <br /> �/ I HEREBY CERiIFV TNAT I HAVE READ AND EXAMINED iHIS AP� <br /> n ��' 1� PLICATIONANDKNOWTHESAMETOBETRUEANOCORRECT.ALL <br /> �[ v pCPIP110NO�PROPERIY�9NOWNBEICWOR�if�GNfOU11COP1E91 PROVISIONSOFLAWSANDORDINANCESOOVERNINaTHISTYPE <br /> OF WORK WILL BE COMPLET�D WITH WHETHEH SPECIFIED HERE� <br /> �or—eioc�—or — INORNOi.THE6RANTIN00FAPERMITDOESNOTPRESUMETO ' <br /> � , pIVE AUTHORITY TO VIOLATE OR CANCEI THE PqOVIS10N5 O� i <br /> ANV OiHER STATE OR LOCAI LAW REGULATIN�3 CONSTRUC710N <br /> OH THE PERFOR ANCE OF CONSTRUCTION. <br /> smNe�um m�. non�un�omzrnnccrui ns�e <br /> X � .� „ <br /> VROJECT�DORE!! �rr . �rsc�h SME59UCC9EH0 <br /> �(/['$ S �1� <br /> M.UM/INO MECHANICAL <br /> NO. TYPE OF FINTUNE _ FEE NO. TYPE OF EOUIPMENT FE[ <br /> WATERCLOSETITO�LE7) _ AIRCONO UNITS–N:P_EA. __ <br /> B�THTUB RF.lRIO[R4IION UNIfS–H P. E�. <br /> IAVATORY�W�9N B�SIN� BOILERS–M.P.EA. <br /> R710WEH OASfIREDAC UNIf9–TONN�OEEA <br /> NItCHEN SINK 6 DI9P. FORCED AIR SYSfCMS–B.T.U. M EA. <br /> DISMWA9HER W�LLHE�TEIiS–B.LU. M <br /> IAUNURV iRAV UNIT NEATERS–B7.U. M <br /> CLOTNES WASHER EVIIPORATIVE COOLER9 <br /> W�TER HEATER CLOTNESDRYER9 <br /> UIiIN�L VENTIL�l10N F�N <br /> URINNINO FOUNtl11N RANQE HOOD <br /> FLOON ORAIN AIR HAN�LINO UNit– C F.M. <br /> V�CIIUM BRE�KEH9 SIOVE <br /> ROOF DRAINS–RAINLEIIUERS METAL FIREPLACfi 6 CHIAINCY <br /> SINN SERVICE–tl�q,ETCJ WOOOSTUVE/FIR[PUCE INSERt <br /> EUlTOTAL SUB TO7�L � <br /> PENMIT { PERMIT 1 <br /> T0T111.F[E t TOTAL FEE � <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> iRONt9E1B�LM RE�R9E1BeCR SIpE5E1B�Ck PUNCNf.NMOMpF.B �p'L�HG�ELnflE <br /> � .7.0 S �I� I�� f[F��71L�– fIFCE�P�NOH�C� <br /> USEiONE IOf�RE� f ' W <br /> V�C�NI ❑C fEA Y1ILWTION i[[ <br /> R• 3 — �.E9 0 _ ^` <br /> IYPEOf�(yl�l OCLIIP.INGYG�OUP HOOfpWRUNOUNit9 __J �J <br /> �I � � � ( � BUILDINO f��� � O <br /> BRE OI B10� NO Of 310111E9 MAr OGC 10�0 -- — <br /> �-- �-• �-- PWMBINO <br /> MECIUNIC�L <br /> FIRE SPRINKLERS PEQUIFED O VES �NO - '- ------ '---- --- <br /> � onien <br /> reNeuv---- --- -- <br /> �vrucenor�ecc n. ruHscuccrco er errn ron issuer�cr nr —_— --- - <br /> _ _ .— — ._— _ .. . <br /> � � ror�i . . . - --- � —J S� (�(� <br /> r�, �. .� --- ___ __ <br />