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� <br />,„aE�aro1Be� APPLICATION FO� <br />°�^°F �ONSTRUCTION <br />�verett PE RM IT <br />i' DEPT OF COMMUNITY DEVELOPMENT $ERVICES <br />CITY HALL 259-87a5 <br />eveReTr,�vn9azot �COMBINATION ❑ BUILDING �MECHANICAL ❑PLUMBING PERMIT NO. <br />ON'NIX AIALLAUUkf6 ❑tP �/�p'%— lll' VIIONE <br />everetl <br />� <br />A0.CNIi1(iOq[)f51CM1IX AI�Il�U00.I5S CIfY � ZIP PlIpHE <br />CtNfXAI CONINnCW0. Alnll �OpR65 lI1V ]IP PIIOME IICENSF � <br />r�u.mnr. mniuncron <br />❑NPti' ❑AODITION <br />�_��--�-r-C�,i�. 91��a3 : s3�-c��� D�,�,ws ir�-�&I <br />a�r zir r��oNe IICErvSF 1 <br />TERATION ❑HEFAIR ❑DEMOLITION ❑fENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />\'AIUA(ION OI NUNK <br />1 <br />s���°�„���� c�.{6H P�U.mB�nlCo cxiSr�.U6 <br />��.� �,� i l�s i�A�L.L �Icr' � k 3 JC � s n/ c f Si.� <br />*�t�o�rounuv oi xwiuitic I HEREf3Y CERTIFY THAT I FIAVE R AD AND EXAMINED THIS AP- <br />-1�� � SE{GP PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />l[1:11 UISCNIVllOY O{ PXOPI0.IY�SNON'N NFION' OR AII�CH VOUR COPIl51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL �E COMPLIED 1NITH WHETHER SPECIFIED HEREIN <br />ioi _xiocr.Aor OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTIIER STATE OR LOCAL LAW RE:.ULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />�1(:NATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />10 � eUON( SS <br />�Zc>� L��e��2c� <br />PLUMBING <br />NO. TYPE OF FI%TU <br />lvqitR CLOSkT �tOLIETI <br />FlA7M7Ufl <br />LAYATORY �W�SN BASIN� <br />SHOR'IN <br />AIiCHEN SINK 8 DISP <br />DISN'ASH[N <br />UUNDXY THAY <br />CLO7Hf5lY�5MfR <br />\1'AIFN MUT(N <br />UNIKAI <br />DflINRIM1G FOUN7AIN <br />f LOOR DNAIY <br />\'ACUUS111RUKf k$ <br />ROOi [)HAIN$—RAINLfAOlH <br />SINK 6Ikl9CL—Fl�R I1C 1 <br />Slp! ��RDS[TIIACK <br />JSF ZO"+E <br />71'P( OI CONff <br />92l Of f1lDC <br />fINE <br />PfRMIT <br />TOTALfEE <br />STREIT 5[70ACK <br />LOT AREA <br />OCCUPANCYGBOUP <br />APPMOVAt3 <br />1 LNVINONn1LNUl CM[CK lIST <br />2 f1l1ILOIrvG NUrvS <br />7 FIR[ MYDNANi <br />J HNk PRO7ECTION SYSTFM <br />5 GHA�ING:f%CAb'AlION6CLkAHINGIGRUli111NG <br />h DNAIN�G[ <br />7 EN\'IRONMENTAL Ih1PACT $iATFMFNT <br />8 HFALTM OISTNICT <br />�S <br />N[nR YAHD S(itlnCK <br />VnCANT SIIE <br />L'YES ❑NO <br />NO Of DWfILING UNIi$ <br />MAX OCC LOAD <br />flRf SPNINKlERS <br />REQUINE 0 <br />BY � DATF <br />APNLIUiION ACC OV PUNS CMECKED IIY � APPN FOft ISSUANCE IiY <br />91 79 <br />TYPE OF EQUIPMENT <br />AIN COND U�v1T5-11 P EA <br />REFRIGERATIODUNITS—MP fA <br />LiOILFHS—NP fA <br />GAS f IRE D A C UNITS—lO4NAGE EA <br />FORCfDAIH5Y5TEM5—UTU M <br />\YALLMfATERS-11TU M <br />UNIi11EAikNS—I3TU M <br />FVnI'ONATIVk COOlFRS <br />CLOTHkS �NYERS <br />VfNiILATIpN MN <br />RANCE HOOD <br />AIR IIANp�ItiL UNI7— C F M <br />STOVE <br />AIFTAL FIREPLACE 8 CHIMNEY <br />PIAN CIICIX NUMIIFR <br />FEES <br />SUBTOTAI S <br />PERMIT 3 <br />PLAN CMKA FEE <br />FkE REC[IPT NO. <br />VAIUAiION fEF <br />NUItDINC S <br />N�un�uir,c <br />MFCHANIUL <br />OTHCR <br />PfNALTV U�C <br />SEC JO7(a� <br />iOTAI <br />PFRMIT VALIDATION <br />WHEN PROPERLV VALIDATEDIIN THIS SPACE)TNI515 YOUR PFRMIT <br />J <br />