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T <br /> � � <br /> APPLJCATlOIN FOR _ �verett <br /> everett �JNP RM Tr��� � <br /> DEPT. OS COMMUNITY DEVELOPMENT SERVICB$ <br /> CITY :iALL 259-8745 <br /> [ve2e77, wnvn2oi �COMBINATION ❑ BUILDING �MECHANICAL LJPLUMBING PERMIT NO. <br /> ON'N[H �M1tAIL�UJHk55 ❑iY ?II' PHOUE <br /> �'Q. / � �itr.e�i✓v� �ANf� <br /> ABCHIIECTON[l[SILNFH M1IAILAODNL55 CITY 211' PHON[ <br /> G[NlNALCONiHA[IOR AIAILA�ONE55 CI1Y LIP 1'110NE LICENSEp <br /> AffC11ANIGlCONiNhTON AIAILApDXE55 CIIY LII' PMON[ IICEN5E�7 <br /> _�/'�L-,9naV f�,�7R/rs �6'• /iYc. ljo/ �S bl�cR.f.-< Sc�rzr- 9F2�o,4 '763-�Soo <br /> rwnmwe mNran iort n�nit nouaas cnv zie ruoNe uaNse p <br /> :�2.?-a/ //o-Lf?-n:�_Fi:/Nc <br /> ClASS Oi1VONK ,,_,� <br /> ❑NEW ❑ADDITION lQALT[RATION C�REf'AIR ❑�FMOLITION ❑F[NCE ❑SIGN ❑GARAGE ❑DUILDIII(: RELOCATION <br /> VALl1ATI0N O(N'ORK x� <br /> OESCR111�'ORK �p � <br /> {7�U.A. C:. /O Mord/Z RAN/nwf. f-.���irl ' . <br /> reoroseous[or ouuoine � I HERE6Y CERTIFY THAT I HAVE READ ANn EXAMINED THIS AP� ', <br /> �QqNfj- PLICATION �JD KNOW THE SAME TO 6E TRUE AND CORRECT ALL '� <br /> lfGAl[.:.SCRIPTIOYOFI'ROPERIYISHf�WNOELOIVORATTACH10t1RCOPl[51 PROVISIONSUFLAWSANDORD�NAVCESCOI�F.RNINGTH15T1'PE �� <br /> O�WORK WILL 13E COMPLIED WITH WHETHER SPECIFIED HEREIN '� <br /> ior oiocK_oF OR NOT. TNE GRANTINC Of A PERMIT DOES NOT PRESUME TO �'�, <br /> GIVE AUTHORITY TO VIC�:A�'E OR CANCEL THE PROVISIONS OF � <br /> APIY qTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION � <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SICNATURE OF CONTRACTON OR AUTNORIZED AGENT DATE <br /> 100 AOOP65 <br /> f' _5'0/9 �vE�2�s�. W%�, _v- - x a ��i-8o <br /> �� PLUMBING ME � NICA � <br /> ' NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE <br /> \YATER CLOSET�TOLIET) AIN COND.UNITS—H.II[A ' <br /> f1ATHTU� REFRIGERATION UNITS—H.P.EA �Y� � <br /> LA\'ATORY(WASH OASIN) BOILERS—H.P. EA � <br /> SHOI\'ER GAS FlRED A.C.UNRS—TONNAGE EA � <br /> KITCHEN SINK d DISP. ' FORCED AIR SYSTEAIS—Fl.T.U. h1 EA <br /> DISWASHER WALL HEATERS--07.U. M <br /> UUNDRY TRAY UNIT HCATERS—It.T.U. .V �, <br /> CLOTHE$\YASHER EVAPORA7IVE COOLER$ <br /> � WATER NEATfR CLOTIiES DRYEI25 <br /> UHINAL V[NTILATION FAN " <br /> DRINKING FOUNTAIN RANGf HOOD <br /> FLOOR DRAIN AIH HANOLINC UNIT— CF.M. � <br /> V.'.CUUAIUREAKERS STOVE �. <br /> ' ROOF DRAINS—RAINIEADERS MI!TAL FINEPLACE d CHIMNEY ' <br /> SINK(SERVICE—flAG 2TC.1 ' <br /> SUB TOTAL NB TOiAL S � <br /> PERMIT f PERMIT f .� <br /> TOTAL FEE 5 TOTAL FEE S "�'(� <br /> : SIDE YARD SETBAIK STREET SETBACK RfAH YARD SETOACK PLAN CHECK YUA717ER PLAN CHECK fEE � , <br /> - FEE RKEIPTNO. � <br /> � USE ZOyE LOT Aft[A VACANT SITE <br /> OYES ❑NO FEES \'ALUATION FEF . <br /> 7YP[Of CONST. OCCUPANCY CROUP NO.OF DWELLING UNITS <br /> . f1UILDING S <br /> :12E OF OIDC. NO.Of STORIES M17A%,OCC LOAD <br /> PLUMIIING <br /> FIRE ZONE RASEMENT ISkDftOOh15 FIRE 51'NINKLEHS <br /> NEQUIRED MECHANICAL �/ U <br /> ❑YCS ❑NO � <br /> APPROVALS BY DATE OTIIER <br /> t ENVIRONMENT�L CHCIX LIST U.d.C. I <br /> PCNALTY SEC.703�a) <br /> I. OUILDING PLANS <br /> ). FIRE HYDRANT T�TA� � � DU <br /> 4, FlRE PROTKTION SYAEM ' � PERMIT VALIDATION <br /> NHEN PROPERLV VALIDATED pN THIS SPACE)THIS IS YOUR PIiRMIT <br /> 5.GHAUINGIIXCAVATION 8 QIANINGIGNU11111NG <br /> 6. �RAINAGE <br /> 7. ENVIRONMENTALIMPACTSTATEMENf ' <br /> 0. HE/.LTH DISTRICT - � <br /> APPIIUTION ACC. I1V PI.ANS CIIECKED 6Y APPR. FON ISSUANCE I1Y <br /> �. � . <br /> 7�iJ9 <br />