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AP�LICATION FOR e,�,�n <br /> everett �oNSTRUCTION � <br /> PERMIT e <br /> OfPT OF COn1MUMTY DEVELOPMENT SER\'ICFS <br /> CI1V HALL 259�8i45 <br /> tv[H[tr,wn 3sam ��OMBINA710N ❑ BUILDING ❑MECHANiCAL ❑PLUMBING PERMIT NO. <br /> ON11R nqll ADDRISS Clh� !IP PNO'.I <br /> 2ays It�-e,�c?o4r� /9/7 T�ro'�rc�'u�nY <br /> ARCHtI OqOISIGnIR bNIi�ODRISS ❑iP lIP PNOSt <br /> Gf':f R�l COniNACiOR n �,M_�II ADD0.155 }�Ii1/ qp pMOti! IICI'.51 1 <br /> _. ��lJ.�//XO �i�.0 �.��f ("�(!// o�.��`� o�� � .�1�/r� <br /> 10 C (O X QOR MAII ADORI55 �1Y ZIP PIIO'�I IIC[�.1 f <br /> i'IUAIflItif.COti1R�CiOq M�IlADp0.I5S <br /> ❑1Y ZIP YHO�L IICINSi X <br /> I <br /> CI�51 Of\5'ONA <br /> ❑�EN' ❑ADDITION ❑ALTERA710Y ❑REPAIN ❑OfMOLITION ❑FENCE }.�SIGN ❑GARACE ❑UUILDINC RELOCATION <br /> rn�wnovor�+ n/ � <br /> t �CJ �Q '� <br /> oiccemi woa� — <br /> reorosinusi a nunnwc <br /> I HEREI3Y CERTIFY THAi I HAV[ READ AND EXAMWEJ THIS AP- <br /> PUCHTION AND KNOW THE SAME TO B[ i Hl,t i.ND CURRCCT ALL <br /> uui o�seairnovor raoreatrisr+o�vu niio�¢oa�irnoi iouaeornsi PROVISIONS OF LAWS AND ORDINANCES GOVERNii�; THIS TYPE <br /> OF\NORK WILL 13E COAIPLIED WITH\VHETHER SP[CII�IED H[REIN <br /> ioi _yroc�_oi OR NOL TH[ GRANTING OF A PERMIT DOES VOT PRESU�btl TO <br /> GIVf: AUTHORITY TO VInLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHFR STAIE OR LOCAL LAW REGULATING CONSTRUCTION <br /> �A OR THE PENPORMANC[ OF CONSTRUCTION. <br /> I / •�Y`��.%�C�� SIf.YA7UHl O(CONiHACiOR OR AUTIIORIZLU AGfNT DAIf /�JG'�U <br /> 1011 npl>RI55 <br /> 1 � <br /> x °�K� �� �-��� � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE fEE NO. TYPE OF EQUIPMENT FEE <br /> N'ATIRC.OSLi170L1t71 ABCONI) U\Ilti–HP fA � <br /> P47H7UIi RLI HIGI RA1104 UNI7S–H p. !A <br /> UV'AIORV[lVASH flA5IN1 I10111.R5–H Y CA <br /> SHO\\f R GAS IINED AC.U\IIS–IOtiNAGF fA <br /> RIICHINSI�KAOISP IONCIDAIHS15iEA15–IITU. A7fA <br /> DIS\YASHLH 11'ALLHlA71NS-11TU A7 <br /> UUtiDHYTHAY URI7HfA1IH5–IITV A1 <br /> CLO7 H(5\1'ASH!R I.VAPONTI ll'f COOLI RS <br /> 11'AIIR Hf.MLR CIO7HI5 UN1�fR$ <br /> U81�AAL V'1 N11LA710�A'i AN <br /> DftINKINQ IOUtiTAIN NAFf,I IIOOD <br /> f LOON URAIN <br /> AIN HA1UI ING UNIT– C f A1 <br /> VACUU,V pHlAKlRS q������ <br /> ROOI DRAINS–H�IM[AUINS A1F7AI IIHIPtFCf BCHIn1NC1� <br /> 51\K ISLR\9CF–IIAk.I7C I <br /> I <br /> SUB TOTAI SUB TOTAL f <br /> PERMIT f P[0.MIT y <br /> TOTALF[E S TOTALfEE S � <br /> SIDk1'�NDStTOACN 57RIf1S11114(R ft1AN1'AHI1�l11LA(K PIANOII(ANUn114IN PLAN('HLIXFLC <br /> ��� RECLIF'iNO. <br /> U51 7_O�AC LOi AR(A V'A(�ANI Slll <br /> ...�YS ' �.n0 fEFS VAIUATION ifE <br /> 71P! OF CO45T OCCl1PAN0 GHOUI' NO OI Il�A9fUNG t'NI1S <br /> IIVIIDING � <br /> S17.L OI 6LOC NO OF SiOFlES AtA% O(�( �pAp <br /> PLUntltl�(; <br /> llXf CU�( OASLMtNT HIUNOu4n Iluf SI'NI�r,IfNl <br /> I RIQUIk1U M!(HANI('AI <br /> ...115 :'�NO <br /> APPROVALS BY DATf p1MfR <br /> 1. LNVINONA1C4Ul CHICA LIST <br /> PI NA171' U Il C <br /> Z 11UIIUINCPLAtiS Sf(' 703fa� <br /> 7 I IHI: IIYI)HAN7 iOTAI <br /> 4 IIN[ PNOTCC710N 5151L'.1 PERMIT VAIIDATION <br /> 5 GµqUL�'G 1 X(Al'A710N n CLI ARII.G r;kUNNING lA'lll n'PNOI'1 HI PA'Al IUAII U Iln' iH15 SIb�Cf 1 7 HIS IS VDUR PLR V I7 <br /> G OHAINACf <br /> 7 I N\'BONNE NTAL IAIPACT SiATI AI(NT <br /> 9 IILAI lll DISINICT <br /> APPII(A710NACC IIY 1'.A��(IIICf'lUOY API'N IOk IyA!� IN� <br /> /}� :,fr. �—fQ'C`�o <br /> � ,/2� � <br /> �' JZt;�.-�� 7 <br />