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' ~S <br /> 1 <br /> fN/EMIflMII APPLICATION FOI� ����„ <br /> "TM°° LONSTRUCTIC�N <br /> e�verett PE RM I T e <br /> DEPT.OF COMMUNITY DEVELOPMENT SERVICES <br /> ❑TY HALL 259�8715 <br /> EVERETT,lVA9Bi01 ��OMBINATION ❑ BUILDINC ❑MECHANICAL ❑PLUMBtNG PERMITNO. <br /> ' ON'NIN M�II�O�NtS$ CIIY ZIP pNOUI <br /> �FL-GG-c7"`..LzvvS /�.�73R OG-��t77✓ S"?/7 G'fE57LC-L-�n/ (�iT`( ' [�/rT wY1. <br /> ANCMII[Ci00.0E31Lt+fF iuqleD0Rl55 OiY =Ip PNOt�E <br /> Gf C M_I➢ACION MAII AOpPl55 CITY ZIY PH�NE IICFNSI/ <br /> T <br /> Ncon/ C'a S�Vc Z�oa7 C�l�c-�. L��✓N w,� �Jao' ��_ �83'' �auirYA�' 2y7td, <br /> nRCN�n1UlCOHIReC1pR MqIADORE55 CIiY LIP pHON( �IC[NSEI <br /> : %U��qItiL COMq�[tON MAII�OpNI55 CIIY ZIP VMOt�[ IICENS[/ , <br /> r❑NEW,OpK❑A�DI710N ❑ALTEftATION ❑REPAIR ❑DEMOLITION ❑FENLE L751GN ❑GARACE ❑BUILDINGRELOCATION <br /> V�WAIION Of N'ORR <br /> ' /$,5'O. �= <br /> O(SCRIOk WOXK � <br /> E/Vz�CC 3 // � S' �a,�/ .Z�Lcn..� . .S�s'N. ' <br /> veovaseousr or nmioiye I HEREOY CER'i IFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> CCJyJq q C Ni PLICATION AND KNOW THE$AME TO BE TRUE AND CORRECT ALL <br /> llL�l01SCNIPt1DUOf VROVl0.1Y�P�ONN BlION'OR A1iACNfpURCOPI[51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WI'fH WHETHER SPECIFIED HEREIN <br /> ior_eiocK_or OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVIS!,7N5 OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CON:'fRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. � <br /> SIGNA7URC OF CONiBACTOR OR AUTHORIZED AGENT D�TF <br /> �Ofle00N65 � �� <br /> .5-3 7 �Yex6n�eiv r�,� x <br /> PWMBING MECHANICAL <br /> NO. 7YPE OF FI%TURE FEE NO. TYPE OF EQUIPMENT FEE <br /> WATFR��OSfT�IOLIETI AINCOND UNIT$—HP EA <br /> BATHTU� Rf(81G[RATION UNITS—HP.fA <br /> � UVATORY�WASHflA51Nl BOIL[RS—HPfA <br /> SNOWER GAS f10.ED A C UNITS—TONNACE fA <br /> � KITCMLN SINK 6 DISP FORCFD Alk SVSTEMS—B T U M EA ' <br /> pI5WA5HfN N'AlL11IAiE12$—pTU M <br /> UUNONY7RAY UNILMUTERS—NTU. M <br /> CIOiH[S WASNFR EVAPONAiIVE COOLFRS <br /> WATER HEAT[R ClOTM6 DXY[B$ <br /> UNiNAI V[N11lATION FAN � <br /> OHINKING iOUNTAIN pANGF MOOD <br /> fLOOR OXAIN Alk HANDIING UNIT— C(M <br /> VANUM1I�FFACf F5 STOV[ <br /> NOOf OR�IN$—HAINLE:.D[H$ MCUL flN[PUC[8 CHIMN[Y <br /> $INK�SfRVICt—O�R ETC 1 <br /> SU!TOTAI SU�TOTAI f <br /> �FIIMIT 3 �EIIMIT i <br /> TOTAIFEE E TOTAIfEE f <br /> SIDF YAqO$R0,1CK STNCCT SCTpACK qUN YAND$Fi11ACK PUN[II[[A NUM9[N PUN CMFCK FEE <br /> fEE RECEIPTNO. <br /> USk ZONE LOT ARU y�UNi SR[ <br /> �Y6 ❑NO iFES VALUAiION iEE <br /> TYPf Oi CONST OCCUPANCY GROUP NO.Of�wfLLING UNITS <br /> 512F Of tlIOL NO OF$TORIES MA% OCC.IOAD BUIIDING S <br /> PWMBINC <br /> fIRE ZON[ ltAS[61LNi IILUHOOMS ��Rf SPRINKLLRS <br /> NEQUINEO MfCMANIUL <br /> ❑VES ❑NO � <br /> A!��OVAlS �T D�iE OTHFR <br /> 1. ENVIRONMENTAL CHFCK 115T <br /> PfNAITY U.BG. <br /> 7. 6UILpING PlANS $EC.N17�i) . <br /> J flNf HY�RANT TOiAI <br /> � FlRf PROT[CTION SYSTEM �[RMIT VAUDATION <br /> 5 LNADINGf%UVATION d QEARINCILNUBflINC W HEN PqOPE RLY VALI�ATf D pN TIIIS SPACE)TMIS IS YOUR PERMIT <br /> � <br /> 6 DkAINAGE <br /> 7. (VVIRONM[NTALIMP�CTSTATEMFNT <br /> E NEAITH DISTHIC7 <br /> APPLICATION ACC.BY pLANi CHECKED 0Y APPN.fOR 155 CF Y <br /> f�^ <br /> 94J9 <br /> r <br />