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pPPLICATI�DN FOR <br />'°°EVef9feB0 iONSTRUC.TION <br />cm oF <br />e�e�ett PERMIT <br />DEI'T JF COMMUNITY DEVELOPMENT SERVICES� <br />CITY HALL 259-8745 <br />EVERETT,�VA98201 ��aMBINATION SUlLDING ❑MECHANICAL ❑PLUM8ING PERMIT NO. <br />everett <br />� <br />o�rNte nun�,oux�ss enr zir r��or+e <br />Gi�� � 4230 ►�16TH hT S.r,��. LYNNI�Y.7 wa ��� 774� <br />nRCllli[CiC�O[SILNfN hull/DDRf55 ❑T1 2iP YIIOHF <br />G JD �1230 l�' ST Sw 1-�1NNWcr� rj Wp �l£�3� 77l?.�� <br />GF��tRnICOMX�CfOP MAll�G00.E55 ❑tY ZiP PMONC IICENSFt <br />CvN6T�'1a�1 P�� • P �. 1� lX�l �1�-C- Wp �(�v1 I 223- o I- 44� <br />n�FOHn�Ut l0`�1pnCi04 M1��R ADOHf55 Cliv 21P fNOVE IICENSF I <br />PW�II11�f.lOtilk�C10P MAILAODHfSS CI�Y ZIP PNONF LICENSEY <br />C1A5501 NOxK <br />❑NEW ❑ADDITION <br />\'nN�llOti Of NONK <br />S <br />I� <br />I)ISlMl11! NONC <br />1r��rA1.L P�w <br />vuorosm usi a i+unowc <br />TERATION ❑REPAIR ❑DEh10LITION ❑FENCE �SIGN ❑GAftACE ❑6UILDING RELOCATION <br />IIL�I OKINIPiiON Of VROI'�RIY ISIIONN N[lON' ON AIUCH f0110. COPI[51 <br />lOi �{1101A�_OI <br />PLUMBWG <br />NO. TYPE OF FIXTURE <br />\YATFR 1105[T IiOLIETI <br />IiATM7U6 <br />IAVAiOHY I�YASH 6ASIN) <br />$MO\tiFR <br />KIiCHEN $INK t. DISP <br />DISWASHEft <br />L.4U'��NY TNAY <br />CLOIHES�WSHEH <br />WATIR H(AT(N <br />UHINnI _ <br />pRINALtiC rOUNTAIN <br />iIOOR DRAIN <br />VACIIUM IIRCAKCRS <br />ROOf pRAWS—NAWLUD <br />SINK �SFRVICf —fiAN. f IC � <br />SUBTOTAL <br />I TOTAI FEE <br />�_l. <br />SIDF YARf] S[i6.�0: STRFCT SETOI <br />I.OT AHEA <br />TY1't OI CONSi OCCUVANCY GROUP <br />g- I krz P 2 <br />SIZC OF I)lDG NO OF STORIES <br />_. � <br />fBf ZO�'dL I7ASEMENT 11LUH00 <br />AFPNOVALS <br />1 ENVIRONMtN7Al CMI CC lIST <br />2 NULLDIhG PI.AP�' ^ <br />3 FIHf H1'UHAN7 <br />J HRE ��OTEC710N SYSTFM _ <br />5 GHA[ilNGlf%UVn710NbQUHING,'GRUBHINC <br />6 Dk:AINACE <br />7. ENVIRONMFNUL IMF'ACT STATEMENT <br />P, HULTH JISTRICT <br />APPLICATION ACC BY PUNS CHECKE� BY <br />�_��..i,,� �� �1 <br />q.1.79 <br />� � <br />H[AF YAR� SLTUACI <br />VAUNT Sllk <br />❑YES ❑NO <br />NO OF �WELIING l <br />Mn% OCC LOA[) <br />FINF SI'RINKlEkS <br />Nt�jUIREO/ <br />IVFS ?NO <br />DY I� DATE <br />A7PR FON �SSUANCE OV <br />I HEREBY CERTIfY THAT I HAVE REl�D AND EXAMINED THIS AI'- <br />PLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GO\'ERNING THIS TYPI: <br />OF WORK WILL ElE COMPLIED WITH WHETHER SP[CIFIED HEREIN <br />OR NOT. THE GRANTING O'r i1 PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER SL�TE OR LOCAL LAW RECULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CQNSTRUCTION. <br />51Ci A BE OF CONTRAC�R AUTMON1cTP�16ENL �1ATE _ <br />� / �'UG <br />MECNANII'AL <br />NO. TYPE OF EQUIPMENT <br />AINCONfJ U`�ITS—H7 EA <br />REfRIGERATIONUNIIS—��P EA <br />ROILFRS—HP U <br />G�5 FlREU AC UN�TS—TONNAGE EA <br />IONCED AIR SYSTEMS—l7S U �� <br />1\'ALLHLA7ER5—fiTU b1 <br />UUIIHEA7ER5—��TU. M <br />fVAPOR�IIVF COOlEftS <br />FEE <br />VFNfILATION FAN <br />RANC[HOOD __ <br />AINHAYpLINLUNIT— CFM1t <br />S70VE <br />MLTAL iIRFPLACE R CHIMNEY <br />SUBTOTAL s <br />PENMIT 5 <br />TOTAI FEF % <br />PLAN OI[C1: NU.ti1f1EH PUN CHKR FE[ <br />�lE a j REC��� <br />� � // � / .� V a, <br />' FfFS VALUATION �_ _ tEE <br />UUILUINC S <br />PLL4.t141NG <br />M[CH�MUI <br />OTHER <br />UfIC <br />PkNALTV SfC JU71a) <br />TOTAL <br />Pf0.M1T VALI�ATION <br />WHCN PROPERII VnLIDATEU (IN THIS SPACF� TMIS IS YOl1R PERMIT <br />