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, , <br /> ,--. ,-- <br /> ,�,E�„o,„� AP. LICATION F�R ���,�„ <br /> °��°F COf� STRUCTIOy e <br /> �Verett PER11Al�' <br /> 6EPT OF COMMUNITY DEVELOPMENi SERVICES <br /> CITY HAII 259�87<5 <br /> EVERETI'.\4A987C7 ��OMBINATION ❑ BUILUI��G ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> ON'f:(q NAII�UIJNI55 UiY ZIP PHONF <br /> �/J nOFi�� L�faif.0 S,O,Q ,S,3,Z/'�v i !�N I.e/��/ �A.?03 <br /> AROIIfIfIORU1SIGnIR MAILe0UN155 CI ZIP PHONE <br /> GInINAI CJNIXA('lOn M1IAII AODR65 CIiY ZIP PHONE LIC[NSE/ <br /> f�E.4Tl,�.f/G/i.v[. i/,Fes .r/.F_. //�� .L�iie.ee�,,os� 5'�e�a L33-3ioo !/6a�,vw/ 3io.2.T <br /> ��IC����iCAI COulpe[IOR AUIL eDORF55 [I1Y LIP PHON[ LI[[NSE� <br /> fl l��UliaG CUNiR4tOR AUII ADORl55 GI1Y ZIP PMONF UC[NSE I <br /> l I�S�OI NON[ <br /> ❑N[\Y ❑ADDRION ❑ALTERAT�ON ❑REFAIR ❑DEMOLITION ❑FENCE �SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> \V V 1110\p{N'ORK <br /> ' �DDa -". <br /> Ill�l NIUI \50RA <br /> .S/G,r/ <br /> rx�wot�nosi n� nmiuwc I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• � <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> Ilf,�l OISCNIPiION Of PNOPlRi\(SIIOWN NIOW OR AILACH fOUN W1'1151 PROVYSIONS OF LAWS AND ORDINANCES COVERNING THI$ TYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> io� _nioc._or OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTIIORITY TO VIOLATE OR CANCEL THE PROVISIONS Of <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATURE Of CONTNACiOft OR AUTHORIZED AGENT OATE <br /> IUN 4)ORf SS <br /> F - ' <br /> PLUMBING MECHANIGI <br /> NO. TYPE OF FI%TURE FEE NO. TYPE OF FQUIPMENT FEE <br /> N'ATfR CLOS[i ITOLIET) AIR COND UNITS-HP EA <br /> flATMTUB REFRIGFRATIONUNITS-HP EA <br /> lA\'ATOHY�WASM AASIN� �ORtRS-H N EA <br /> SMO��'PR GAS FBED AC UNITS-TONNAGE EA <br /> KI7CHEN SINK A DISP FORCCD AIR SYSTEMS-B.T U M EA <br /> DISWASHER \YALLHEATERS-BTU M <br /> UUNDRI' TNAY UNITMFATERS-[ITU M <br /> CLOTH[5 WASMER E\'APOftATIVE COO.ERS <br /> WAi[H MfATER CLOTNkS ORVER$ <br /> URINAI VFNTIUTION fAN <br /> DRINKING FOUNTAIN RANG[ NOOd <br /> FLOOR ORAIN Alk HANDLINC UNIT- C FM. <br /> VANUM BRFAKFRS S70VI <br /> ROOF ORAINS-RAINLUDERS M[TAL FIRFPUCE 6 CHIMNEY <br /> SINK�SFNVICI-IlAN, [TC� <br /> � SU!TOU� SU!TOTAI f <br /> tF11MIT f ►FRMIT f . <br /> TOTAL iEE f 70TAt FEE f <br /> SIDF YARD S[TOACK STRFEi SCTBACK N(AR YAFD 5[TBACK � PLAN CM[CR NUMOEH PUN CHCCK FEE <br /> FEE I BECEIPT NO. � <br /> USF ZO4[ LOT ARE/� y��ANT$Ilf � <br /> ❑YFS CNO fEFS �AWATION fEf <br /> iYPE Of CONST OCCUPANCY GROUP NO OF OWELLINC UNITS � <br /> uuuoiNc '300C) •tle� ' Od <br /> SIZE OF I1LOC NO Of STORIES A1A% OCC LOAD � <br /> PLUMIIING � <br /> FIRE ZONE OASEM[NT HtUHOOAti fIN! SPRINKLL0.S . <br /> RFQUIRED . M[CHANIUL , <br /> C7Y[5 f7N0 <br /> AP��OVALS !Y DATE pTHER <br /> , . . �- � - � ENVIRO'�MENTAL CNECK LIST ^ <br /> - � PENALTY U B.0 <br /> — � SEC. 70J(al <br /> 1 OUILDING PlANS . \ <br /> � 7 fIRE HY�RANT 7OTAL � �Z BI,J <br /> 1 FIRE PROTFCTION SYSTEM PENMIT VALIDA710N <br /> WIIEN PftOPEItLY VAIIDATED(IN THIS SPACEI TNI515 YOUR PfRMIT <br /> 5 GRADINLIIXGVATIONACIURINGIGAUNflING /� . <br /> 6 [+RAINAGE y/ uS y-��l//,/ ,A � <br /> � �.I "'�.�_r.�.�l.{...I�!' <br /> 7 ENV�ftONMENTALIMPACTSTATfMFNT � <br /> ' 8 HEALTH DISTftICT � <br /> APPLIUTION ACC BY VUN$CHECKED BY APPR.FOR ISSUA E B <br /> �,c��.�� �-!!-fiPv I� <br /> ��...�'�_.___ l4-eo <br /> 94 79 <br /> . . , ' � . , i , . . _ _ . <br />