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APPLICATION FOR <br />C" NSTRUCTION <br />everett PERMIT <br />o[ri. oF con+n+uN�rY o[vEl.o�°�veNt s� ev�cFS <br />CIiY HALL ?59�8745 <br />tvese�r.wn��ami �COMBINATION <br />BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />evcretl <br />e <br />l)\\f�IM \1�111111)N�11 (I11 /��� �����`� <br />�if3 J�LV� � ��2 �P, Vi ��t1� Eu�Q6TT— `?b?o � J5u2� 7— <br />.\N1111I1( � Ok 1)ltILM1IN N�II n01)xl5t t 111 /II• ���M1I <br />GININU IONiNAI IUN \IIII AUUNIII I1�1 /IP I'110V1 U(IN51 � <br />F�tieErr g�oes �nr_ .s�� EVF�,DEFitJ L�S� �pz�� <br />M1II('11�41CUC041X1C10N MAILAUUNISl 1111 /II` 1'llOnl IIfINSfY <br />��� cv -�'v EL>-EB - �i PN <br />rwnnaucrnrvixnciou nunnuuxiss �iii un runsi uar+a� <br />CU55O! 1A'OPS <br />❑NE\V ❑AUDRION ❑ALTERATION �RCPAIR ❑D6titOLR10N ❑fkNCt ❑SIGN ❑GANAGE ❑E1111LDING RELOCATION <br />Y�WAIION Of \GOFA � <br />) S�� <br />! � <br />OISCXIIIF KOP1. <br />�' i'0�77iYJU0(Li Cod7%f�3 <br />ruoros�ousi �n nwiui.r. I HFREf1Y CFKTIFY TH�T I HAVE RfAD AND EXAMINED TNIS AP- <br />3940 ocn � -pol -��a� <br />i�c�i ucscxir�iou or ruor�xr� isr�rnvn in io�r ox nneo� roua carns� <br />io� 1_nioc.—o� I't �i�c`. �r �e�ir����� <br />�� M l� C�� Lr�t l 71��J I�I. I��t 'fo (lYi <br />Co r th 5. � Ft �'J� �, to E Ln �-o� � <br />� <br />PLUMBING <br />TYPE OF FI%TURE <br />N'ATEH CLOSFT OOIIEi� <br />PAiMTUO <br />LAVAlORY1N'ASH UASIN) <br />KITCH[N SINK A DISP <br />DISWASHCR <br />UUNDRY TRAY <br />CLOTHES\YASHCR <br />\4ATFR HEATER <br />ORINKINC FOUN7AIN <br />fIOOR DRAIN <br />VACUUM IINEAKlRS <br />NOO( nRAINS-RAINLUUfRS <br />SINK (SENVICf -It�H. ETC I <br />SIDE YAHII SL <br />USE ZONE <br />TYPE Of CON! <br />SIZI OV OI�G <br />TOiAL FFE <br />SiRFET 5[TBACK <br />LOi ARFA <br />�f <br />NI AB 1'AHD SI711ACK <br />VACANi Slli <br />� ]YI S L:NO <br />UCC IU�U <br />fINEZONf IIIA$(MLVI II111)RU(IVti IINItiI'NINAIINS <br />NI I)UIHI ❑ <br />I'l15 I'NO <br />APPROVAlS BY DATE <br />1 ENVINONMfN1AlCHfCKLIST <br />1 11UIlDING PUNS <br />J flHt HYDNANT <br />A FlRI PRO7ECIIOY SYST[M <br />5 GH�UINGII%(�A\'AIIONh('IIAHI�\G'f,HU0111Nf. <br />L DRAINAGE <br />1 FNVIRONMkNULIMPACi51A71MINI <br />H HFAUH DISiNICt <br />.i. _ �I� . �. . i � ..� �� . - ... <br />PLICATION AND KNOW THE SAME TO [3E TRUE AND CORRE('T ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS IYPE <br />OF WORK WILL IlE COh1PLIED WITH WHETHER SPECIFIEU HEREIN <br />OR NOT. THE GRANTING OF n PERMIT DOES NOT PRESUME TO <br />GIVE �UTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PEHFORMANCE OF CONSTRUCTION. <br />SILNAtUHf}'JACONiRACTONONAUiHOHIZIDAGFNT DATE <br />MECHANICAL <br />TYPE OF EQUIPMENT <br />AIB CO4D UNI75-H P I A <br />NflNIGINAIIONUNI75-IIP EA <br />OOIIIHi-IIP IA <br />c�siie�t�nc ur+irs—iovHnctu <br />IOHUU AIR SYSiEMS-II i U M <br />\1'AILIIIA7fN1-IIiU AI <br />u�ui��iinr�Hs—nTu n� <br />1A'nPORAIIA9 COOLfftS <br />C' O71I I ti ORik RS <br />VI Nl ll A I IUN I AN <br />NANGIIIOpU <br />AIN IUtiDI ING U41T- C f M <br />570\'I <br />MIULfINIP1ACf hC111MNEY <br />SUBiOTAL S <br />PEPMIT S <br />TOTALfFF S <br />PUNCMfCKNUAIIIlR � <br />Iff <br />FEfS VALUATION <br />HUIIUWG <br />1'I UA1111NG <br />MI ( HANICAI. <br />UI111 K <br />i'1 NA1 h <br />TOTAL <br />S <br />UI1C <br />SfC JOS(al <br />3 <br />R[CCIPT NO <br />PfNMIT VAtlDATION <br />N'111N IBOI'1 HI1 Vn11UMl U �1N 7116 SPACI) TH�515 YOUR PERAIIT <br />FEE <br />