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AP LI�ATION FOR <br /> eVerett NSTRUCTION i eVe <br /> PERMIT <br /> �FPT. OP CO��1n1UNlT1' DEVELOPh1FNT SfHVICFS <br /> CITY NALL 259�A745 <br /> eveaerr, wqeazot ❑COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING P[RMIT NO. <br /> o�/��n�re� ` �/y nuu nooxis� �-y � �/� it� /� ir r�aa� n (� ��r��_ <br /> � 1Q.CIC�l/L�'� 1 � 1 !1 !7�/I �'�� 1�.l��11_� � �� l7p� ��� ��/70�C� 7 d �.3�P f'[n9y <br /> net nuo rnsicnik n��nnooHiss cm� zir i�i�oni <br /> O INAI CONINAII(N � AtAIL A !]0.I55 t 111 ZIP � PIIOW llC[NSI I <br /> ���ta� .r��..�r�.o ��� ��1�� �'�z �.s �a� ��v �.�� ��aD3 3s3�,�� <br /> �viiurvirni cosiunc iox� nun�nuatss -ur rrw�t uc[n�st. <br /> ��._,3— D/—�l/�K5B _30/�y <br /> 1'IC�tOWGCoSIunc10N at4ltwONtsS Clll' ].Ir rllo':t uctNsit <br /> Cl1Ss Of N�ONA <br /> ❑NE\l' ❑ADDITION ❑ALTERATION �REPAIR ❑DEM1tOLITION ❑f[hCF: ❑SIGN ❑GARAGE ❑6UILDING RELOCATION <br /> �-niunnos or aoen <br /> s .5, '7�v <br /> ui scuin[�ao�n, <br /> � � 4ZGtPi <br /> �xoros:o�st ioi. �; <br /> }'�'H I H[RE61' CERTIPY THAT I hIAVE READ AND EXAMINED THIS AP• <br /> E�S/ �/V C E PLIUTION AND KNOW THE SAME TO l3E TRUE AND CORRECT ALL <br /> iir.ni o[scuirnovor vaorieisisnn�av qt ��wau�:in��uocw coritsi �y�.- PROVISIONS OF LAWS i1ND ORDINANCES GOVERNING Tf�IIS TYPE <br /> ' / l�0,� Y*" OF WORK WILL f]E COMPLIED WITH WHETHER SPECIRED HEREIN <br /> "" �p1O`"�O` - j � � -"�"_ OR NOT. THE GRANTING Of A PERMIT DO[5 NOT PR[SUME TO <br /> GIVE AUTIIORITY TO VIOLATE OR CANCfL THE PROVISIONS OF <br /> ANY OTHER STAT[ OR LOCAL L1W REGULATING CONSTRUCTION <br /> OR THE PERPORh1ANCE OP CONSTRUCTION. <br /> 9CNATUHF OF CONTHACTOR OR nUT110RIZED nGENT DATE <br /> �<,�,���,a�s5 / ��- ����9 <br /> D X .(ill!/LiC. , S!" .///LO_d�(/ <br /> � <br /> PLL�MBING / MECHA ICAL <br /> NO. TYPE OF FIXTURE fEE NO. TYPE OF EQUIPMENT FEE <br /> 11'ATFN CLO5C1 �IOUl7� AIH COIv� UN:iS-H P LA <br /> H4T117UI1 KLFHIGfHATIONUNITS-HP LA <br /> lA\'AIOHY 1�1'A511 BASIN) 110I1 I NS-11 P I A <br /> SIIUACf It GAS I IRf U AC 1�N175-IUNNAGI CA <br /> KIICIIkY 9NK C DUP IONCLD AB S�SiLVS-11 T l� A1 kA <br /> DIS\1'nSHLR \\'nl.lHiiVIRS-BTU .V <br /> LAUNONI'THA1' U�'I I 111 A7[RS-11 T U At <br /> CLOTIIkS VA'nSllf H I A'APURnTII'L COOL[RS <br /> \\',V I R III.A i I R U.OiHI S DRYf HS <br /> UHI1A1. \'t N711 Al ION FAN <br /> DRI�A'GING FOUNIAIN µAVGf IIOOU <br /> I LOOft UNAIN iAIH IliANDl INC VNI1- Cf At <br /> \'ncUU.�t I4HfnKfNS S7U\'I. <br /> H0f1f Dftnl,'�'G-RAIn11ADCBS .VI.IALfIitIPLnCtBCHI�AWCI' <br /> SItiK(SFH\9Cf-IinH,L1C� <br /> SUB TOTAL SIIB TOTAL 5 <br /> PfRMIT f PFRMIT S <br /> TOTAL F[E S TOL\L F[E S <br /> 9UL 1'nND SL IOAi'K SIHI f 7 1!71L\CK BI,\41'AND SL7tL\CI: PIAA CHFCK NU�VOf R PlM CHfCK fFf <br /> ILC RKFIPTNO <br /> l$! l.ONf LOT AHfA \'ACANI 517! <br /> ::175 i�:V(1 FEES VAlUAT10N FEE <br /> I1PL Of CON57 OCCUI'AKCI GHDUP �'U.UI U\1'l I IING 1'tillti <br /> IIUILI]'.\f, SG�/„n ^Z� q/� <br /> $RI OF i1LUC RO OF STORICS M1tA% OCC.LUf�U ✓ (3/f/' 7 C./V <br /> I'LUVIIING <br /> fIRCZOnE 11n5in1fNi HlUHOOUti flNf SI'RINKLIKS - <br /> RIQUIRLD NECII/.NIUI <br /> :"�.Vfi �1N0 <br /> APPpOVALS OY DATE 07111 N <br /> 1 FNVIHON��tI'�1,\l CHf CR Jcl <br /> PI\Al TI U 0 C. <br /> : l7UILDING PLAuS SCC.)O7IaI <br /> 7 I IRt. IR�URAN7 TOTAI 2/_ <br /> �JIL <br /> � FIRI PHOTfCTION 515Tk��1 PLRAl1T\'.1�IDAiION <br /> \tHl�`.' I`I;tll'i HI1 A':�I IltAll D IIN IIIIS SP4(I I11115 1510UR Pkft.A11T <br /> S GBnDINf,l A(AYAlIOu A C11 ANINGGHUHI7IVG <br /> i, oHninnc[ <br /> i INVIROVM17LN7AL1�\1PACTS1A7fA1LNf <br /> 8 HEALTH D6iN1(T <br /> APPLIUTION ACC. 14V PLANS CHLIXkU III' APPR ION ItiSUFM1Cf 01 <br /> i _,' _ _ <br />