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tMEwrpmn APPLICATION FOR ���,�n <br /> GTVOF CONSTRUCTIOF.. <br /> everett PE RM IT e <br /> D[P7 OP COMMUNITV DEVELOPMENi SERVICES <br /> CITY HALL 259�B745 <br /> EV[RETT,1VA98201 ��OM8INATION ❑ BUILDING ,�/ECHANI�AL ❑PLUM8ING PERMITNO. <br /> ON'ti�R M.n �ooxcss arr zir vnovE <br /> K�'lCI�/�ici� /� �''�'''���Z ///ZGc'c.. 3Y ;�'tll Cdcr�:c-T� <br /> ARCMI1tCfOMDISIf,hIR Mell �OORf55 ❑tY ZIP pNOVE <br /> GtM1IRnlCO`�1RnCtOF M�IIe00R65 CIIV plP PMON[ �IC(NSL/ <br /> MI[M��IUICOhiR�[lOq M�IlA00Rf53 ❑IY [IV PNONf tIClNSFI � <br /> .��'Gv�Z,4Tc 5 v� / •�C /3"L3�9 �VoKTi/��/' t�C�cC��� yjl'cr� 7�L• �400 l�Ccu�zi z�li�y <br /> PIPa01�G(011PKIOR M�Il�00R155 CRV ZIP pHON[ IIClN5l1 <br /> C1r51 Of NOPI. <br /> ❑NCW ❑ADOITION ❑ALTERATION ❑REPAIR ❑DFMOIITION ❑FENCE ❑SIGN ❑LARACE ❑BUIIDING RELOGTION <br /> \�ALV111pN OI KORR <br /> 1 <br /> uiscunn wox. � <br /> jz����c_ c f�v.�,v /-�-�1 w9 .-c.c i�C- -9r� ,c <br /> raoros�urst ar xunm�c I HEREOY CERtIFY THAT I Hr.VE READ AND EXAMINED THIS AP- <br /> �L' S PLIUTION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> ur,�� oisruirnovor PNOPIPhry110NN flilON ON�/1�(M IOt1R COI`IISI PROVISION$OF UWS AND ORDINANCES GOVERNING THIS TYPE <br /> UF WORK WILL BE COMPLIED\YITH WHETHER SPECIRED HEREIN <br /> ioi_x�or�_or OR NOT THE GRANTING OF A PERMIT DOE$ NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLAT[ OR CANCEL THE PROVISIONS OF <br /> ANY OTNEN STATE OR LOCAL LAW REGUUTINC CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATUPf OF CONTftACTOR OR AUTIIORIZLD ACFN7 DATE <br /> IOB�Dpqi 55 <br /> X <br /> PIUMBING MECHANIUL <br /> NO. TY►E OF FII(TURF F[E NO. TYPE OF EQUiPMENi FFE <br /> N'A7fN CIOSIT IIOIIET) AIe fONq �NI75—M P U <br /> NMM1U0 F14RICfRATIUNIIN115—MP U <br /> 1 AVMORi M'A511 flA51Nl IlOILt RS—N P U <br /> SIIONYN GAS ilRl D A C U41T5-10NNAGE kA <br /> 611CHf N SINK h pISP IOMCI�A-�R SISif MS—O7 V �M U <br /> DISN'ASHlN R'ALL HUilRS-0 T U M <br /> UUVDBV TNAY UNR Nf AT!0.5—N T U M <br /> f1O7111SN'ASHIF IVAPORATIVE COOI[BS <br /> NA7[R HEA71N ❑07MfS DR11R5 <br /> UNIN�I VIMILATION fAN <br /> UNINY,INL fOUYIAIN RANGE HOOD <br /> I LOON DRAI4 AIN IlAtipIING UNIT— C P M <br /> 1'ACUUAI flNl AKI XS S70Vt <br /> NOOf DRAIr:S—RAINLUDLRS MLUL IB(PUCE b CNIMN�Y <br /> 5�'.K 61 X\9C[—OAR.E TC� <br /> SU!TOTAI SU�TOTAI S <br /> ►fI1MIT f ►EIIMIT � <br /> 70TA1 FEf � TOTAL iEE � <br /> SIDfVARDS[lOACK STR!(TS[TPACK H[ANYAN�5110ACK PLANCHtfKNU.titULN PUNCHfCKiFF <br /> . ffE R[CEIPT NO. <br /> USf ZOtif LOT ARU y�UNT SI7I <br /> ❑Y[S CNO IFES V�WATION fEE <br /> TYP[ Of CON57 OCNPANCY CNOU� NO Of DWlIIINC UNITS <br /> 17UILDING f <br /> SIZ[ OF flIOG NO Of STORIES MA% OCC IOAD <br /> PIUMNING _, <br /> IIRf ZONL OASEMENT IIlI)NOOMS fINE SPRINAI(HS <br /> NfQUINLO M(UTANICAI. <br /> f7Yf5 ❑NO <br />� AtP�OVALf !Y D�T[ OTMER <br />� 1 LN\'IRONM[N7Al CMCCK 115i U OC. <br /> PINAITY SEC lONal <br /> 7 BVIIDINC PlANS <br />' 7 fip[ MYDRAN7 TOTAL <br /> - � FlRE PRO7fCTl0Y SYSTFM f[IIMIT VAUDATION <br /> 5 GNA�INCI%U�'A110N 8 Clf ARING�LRUBNING N'IIEN PqOPERLV VALIDATED pN TMIS SPACq THIS R YOUR PERMIi <br />� b b0.AtNAGk <br /> 7 [NVIRONMf NUL IMPACT STATFMfNi <br /> E HEAIiHO15TRlC7 <br /> APPt�UTION ACC BY PL�NS CMECKfD BY APPR iON ISSUAN�E 8Y <br /> �i '� <br />