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�1 <br /> APP�vSTRU�CTION � , everetl <br /> everet <br /> t C� PERMIT e <br /> DEPT OF COMAIUNITI' DEVELOPMENT SENVKES <br /> CITY HALL 259-87-05 <br /> EVER[TT.VJA98201 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMB�NG PERMITN <br /> cir� zir <br /> �„,�a ,�����0���55 25 8—zv b t <br /> 113� �vCe(�lT Q�� LT(� 1 Al-'i1�1C12SNll� z�ZC� C � `�aT�V�PE� Z1r rrw E <br /> AFCIIIIlCT 00.OlSIG�IN MAII AUDRI55 <br /> . 3 �si soc� � �oE•�='++lo �lc 1�a�lo�c ��c� nsq-os�H <br /> ,\InIIADDR65 Qt�' ]IP <br /> P110 E llC[ SE M <br /> GINIRAI CO�iPAC10R I O(� <br /> S � c�S c .� �c+°Rs C�� �12� l 36� ..L a�70 C `H3L-- iicEHse� <br /> M[OUMUI CONiRACIOR <br /> nunnooaiss cnr tir <br /> ZIP PMONI LICLYSf� <br /> PWn101h�G COti1RACtOR <br /> M1IAII ApORf 51 ���� <br /> C1A55 O���'ONA <br /> ❑NE\y ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENC[ ❑SIGN ❑GARAGE UUILDING RELOCATION <br /> VnlUAiIUN OF\YORA <br /> + 25p <br /> ui scai n��•:oax <br /> ��.� � x� -r h � <br /> raorosro use or nunnine I HERE6Y CERTIPY THl.T I HAVE R[AD AND EXAMINED THIS AP- <br /> I S nact PLICnTION AND KNOW THE $AME TO 3E TRUE AND CORRECT ALL <br /> �IPOiCaI �' PROVISIONS OF LAWS AND ORDINANCES GOVGRNING THIS TYP[ <br /> i[wio[sceirnovorrxor[airis�+owuotto�eounttna�rouacorrtsi OF�NORKN'ILL6ECOMPLI&DN'ITHWHETHERSPECIFIEDHEREIN <br /> '71U II (e1' I� � �r Vuluwm 4i' OR NOL �HE GRANTING OF A PERMIT DOES NOT PRESUAIE TO <br /> RR�cFef � <br /> ioi _f_J.__riioc�_�-or <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS O <br /> ANY OTHER STATE OR LOCAL LAW R[GULATING CONSTRUCTION <br /> OR//77{{H[ PERFORMANCG OF CONSTRUCTION. <br /> $IG�T Rk OF CONi A TOR O AUTI.OR�ZCD AGINT DATE <br /> 100�U00.155 1I /� V ! � �y v 1 'I �� � <br /> �9� �W (Tl /'� f ^ i <br /> MECHANICAI <br /> PIUMBING TYPE OF EQUIPMENT FEE <br /> NJ. TYPE OF FIXTURE <br /> FEE NO. <br /> nIR COND VNI7S-N P CA <br /> \VATER CIOS[T(TGJBT) RIFNICLHATIOY UNIi�-N P.EA <br /> flAiHTUli I401L(RS-�I P.FA <br /> I.q\'NORY(\\'ASH f1ASIN) GAS i1RFf)A C.UNITS-TOtiNAGE EA <br /> SHO\tlFR IORCI D nIR)1'S7U15-It T U b1 EA <br /> KIICHCN514K8DISP. N'Af.LI11A71R5--IlSU �t <br /> DIS\\'ASHI.R UNI7 HlA7lN5-It T U. M <br /> UU�URY THnY 1\'nPORA71Vt. CWLLRS <br /> CLOTIIkS��'�SHLH ��pi��kti URPlRS <br /> \1'ATFR HEATCR \'LN11LntlOu(AN <br /> URINAL µqtiGl HOOI7 <br /> URIM1R��'G fOUNTAIY ��g Hqhp�ING UNIT- C F•�1 <br /> IIOON DR�M ti�n��� <br /> � IMCUU,�t IfRCAKERS ,UI TAL HRFPLACF ft Ch11AWt1' <br /> Hpp(DRAINS-RAINLf AnLRS <br /> SINK�SF N\9Cf-RAR,t fC 1 <br /> SUBTOTAI f <br /> SUB TOTAL PENAIIT s <br /> PERMIT f f <br /> TOTALIEE <br /> TOTAI FCE s �7JTLAN C!Hff��J���•� � <br /> fk��( �� "A'�fil'1N0. <br /> SIUC IAHU 5)ifiACK STRf FT S1714ACN RUH YAHU Sf 711ACK I'LAN CHLCK NUMIffN •r(� i � � <br /> N//� nll� Nl4 �i �4�P. •�ic7 y'S3�02 <br /> USC ZONF LOT ANCA �� NAG�T SI7F FFES <br /> VALUATION fEE <br /> � 3 7«% G1L5 �� <br /> TtPC Of COYST. OCNPANCY GNOUP M1U OI UN'LILING UNII$ �/� O <br /> � ^ 1 I-1�lz. �-r Z � uuuuir+c '25D�� <br /> NO.OF S10RI[5 AtA% OCC IOAI] <br /> SVt OI 11LUG�OD � Ci /)�� PLU.'�11tING <br /> AQe v '!. <br /> ��.0 /` <br /> IIRLZOYf OASEAENI IIIU`-OD\1ti IINftiIBINKLIRI ,VFUiAtCIUI. <br /> O lif QUIRLn <br /> I'.�tq i'.�O _ <br /> APPROVA�S BY DATE OTNfR <br /> unc <br /> 7. [N\'IRONNENTALCHCCKl�ST PIti�lT1' SEC 301fa) <br /> 2 OUILDING PL�NS TOTAL <br /> 7 FlNC H1'DHAN1 <br /> P[RMIT�A��DATION <br /> .t FlHE PNOTCC710N SYSTEh1 q'Mf N PHOPf NU �'AL�U�tED IIN 11115 SPACFI THIS IS 1'QUR PEAMIT <br /> q [:NAUINCI%Cn\'AIIONACLInXI�f.:CNUPItINC �Q�I�µG� ����y`.�-y� �jµ�.L�+$��oj'1�j <br /> �, oenir+nc,t 'Co Plzt�.iic�E �—u�MTl,B� oFs�-b'iz�'�q <br /> 7 LNVIRON,VENTAL IAtI'ACT S1NfMlNT p�Cl�1 F}p�.a THG <br /> P 4 sPtac.� R1aiHaz. T - . <br /> n nrN.7�t u�slR�cr V lx <br /> nrrnr,��iurv ,�c�� nv ri�sc��ini�inin nrrk iuuiysunnn ui C4to� RC-�1ui2��►rr +� F F ¢r`.Z-S <br /> _ y <br />