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��, ������ ' ` �� � evcrett <br /> C NS��CI�CTION e <br /> evere�t PERMIT <br /> Df'Pt. OF CO,�fA1U�1T1' D6VELOP�VENT SERV'ICES <br /> ❑T1' HAIL ?i9-pidi <br /> [veserT. �vn�in�m �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUM6ING PERMIT NO. <br /> o�j��✓J !�/F�.�'� /.,.lC',�,.uo� � ui� �u• r�io•a — <br /> ����� <br /> nuauurroauuicsiu mnnnonxtu arr t�r ruo.i <br /> /'ifr�f'J?_ <br /> G!`.INnll<��/ � J .11AI�llUNfSS / �k UI1' � II' � 1'`IIfU�/ Iltl\5! n <br /> //.�����%, � D 2 3 d ��!�. �i <br /> ..�i��uni�n�mrrFnnou mnn nu�arss i nr tir m�or.i u��+si . <br /> r�utinunqrnttunclou vnilnooNt>s an z�r P��oNt ��n'.s� s <br /> QAS$O�AAOhY <br /> ❑:�f.\V ❑,4D�ITION ❑ALTERATION �R[PAIR ❑DFUOLITION ❑FhNCL ❑SIGN ❑GARAGE ❑f3UIlDING RFLOCATION <br /> \4t:AllO\pi WOHA ., _ <br /> � �� QQ � <br /> uitcunii v:{�uy � <br /> �^f-cl�� .� Il� <br /> r�iovo:iucsi cr uvuui�u�: � I HERE6Y CERTIFY THAT I HAVE ftEAD AND FXAMWEO THIS AP� <br /> �fl PLICATION�ND KNO`.:' THE SAMC TO BE TRUE AND CORRECT ALL <br /> A�2rirr���Z:.-�� <br /> icu� n�scwrno�orruor�antvou�i! a,voanttnunnuucoritsi PKOVISIONSOFLAWSnNDOKDIN�NCESGOVERNINGThIISTYPE <br /> y' OF WORK WILL f3[ COMPLIED WITH�VHETHf:R SPf:CIPIED kIEREIN <br /> ioi �cLu�ocn_or OR NOT. THE GRANTING OF A PERMIT UOES NOT PRESUME TO <br /> GIVE AUThIORITY TO VIOLATE OR CANCEL THE PROVISIONS OP <br /> ANY OTH[R STATE OP. LOCAL LAW REGULATING CONSTRUCTION <br /> OK THE I'ERfORM�NCE OF CONSTRUCTION. <br /> SIGNATUNE OP CONTRACIOH OR AUiHORI%fD AGkNT D:V I <br /> IOUnUOxF55 � � � � �` � � � � ���_ �� <br /> �� � <br /> P.UMBING MECHANICAL <br /> NO. T1�PE OF FI%TURC FEE NO. TVPE OF EQUIPMENT FEE <br /> \VATLR CLOSLT ITOLIO) AIB COPIU UKITS—H P. EA <br /> ❑AiHTU6 REfHICLNATION UNRS—H P. EA <br /> LAVATORY(lYASH 6A9N) BOILLRS—fl P EA <br /> SIIOWfR (:AS 19NED AC UNI75—TONNACE L\ <br /> KIICHLN SIhA&UISP I OHCR)AI3 SYSiL115—II T U. �V t.�\ <br /> DISN'ASH[H 11'AI.I. IIf:iU1BS-11TV M <br /> InIWUR1'TRAI' U\I111kATIRS-11.TU ht <br /> CLOiHkS 71'ASHER FV'iAPOH4TIA't COOlCRS <br /> \YA7LR HIATEH CLU711I5 DHPINS <br /> ueinnt w.Ninnno�u rnv <br /> DNINKING IOUNTAIN RARGF �IOOU <br /> FLOOH UNNN AIN II,V�f11JNG IJNIT— C.F At <br /> \'ANUht pR[AKCR$ 5I0`..I.' <br /> ROOF fJRTINS—BAIM EADLHS ��FTAI.I IRI PIhCC&CIIIh1NkV <br /> 51`:Y.�5[NVICF—f7AN.!TC I <br /> SUBTOTAL SUBiOTAL S <br /> PENMIT S PENMIT S <br /> TOTAL F[E S TOTAL FEE S <br /> $IUE YANU SE7flACK STRFCi 56iI4AQ: NEAIt VAHf]SE711.1CK PLAA UiLCK NUA11iEH PLAY G��CC I LC <br /> fkE NlClll'7 NO <br /> US[' lOVk LOT ARFA yq[pNT SIT(. <br /> C;Y[5 ❑VO FfFS VALU4TION FEE <br /> 71'P! OF CONSL OCNPANCY GROUP NO 0! UWI ILWG UNI15 <br /> IIUII.UINC 5 �l �� <br /> $IZf OF 11LDG. NO.OP STORIES AI,\S OCC LOAII 0 <br /> 19.UMIIINC <br /> fIHC ZONC f1ASEMENT 11f UHnOnlb IIRk 51'RINKf i It5 <br /> Hf�QUINED MtCHnNlCnl <br /> fIYIS i]NO <br /> APPROYALS BY DATE O7HfB <br /> 1 [NVIRONh1lNTALCHFCKLI<T �J�{(' <br /> P[NALTY SFC JalWl <br /> 3 IIUILDING PLANS <br /> ) I Ifti_ 111'UNANT iOiAl <br /> 4 I IRI- I'ROi[C710N SYS71A1 PLRMIi\'AIIDATION <br /> 0.111^: Phc1i I HI SV'AI ID171 D II�A' 11115 SPACII iH15 151111Jk PI ILVI� <br /> 5 f,ft,AUIN(llk('.AA',VIUNRCI.IAItINGGHL111111NG <br /> 4 L)RAI�AGI <br /> 7 �N\'IRON.VLKTAI.I�\1PACT$TA7Ll1ENT <br /> 0 11l.nLiH OISiRICT <br /> API'l IIAiION nf'C 111' I'LAnS CHI.G:CD ItV �PI'li 1012 ISSUAtiCI 111' � <br /> I <br /> __ ___—'__I <br /> q1 >� <br />