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APPLICATION F(�R <br />�`�'"" CONSTRUCTIO,� `�"`" <br />everett PE RM IT e <br />DFPT OF COMMUNITY DEVFLOPMENi SERVICES <br />CITY HAIL 259-0715 <br />EVER[Ti,w�9emt ��OMBINATION ❑BUILDING ❑MECHANICAL ❑PLUMBING PERMITNO <br />OWNtR M�II�fIDMffS CIIY ZIP YHON[ <br />E2 it/ 5 T /3�S" S,E F/�r�.svrfl,4cc�u 9��/ <br />w,n noox[SS <br />MAII <br />21P <br />nv <br />UCFNSF I <br />,t�<dT,N .r./�i%�,vc ��a E �rl��"'�2�i,4u�'L��73�/ l�.3 3�a,/1EA1,v,►1a4�3n, <br />MICH�NIUICONIMOON MeII�DDM[55 CI1Y LIP PHON[ �IC[NS[/ <br />PWMEmG CONTReCi00. M�It �000.65 CIIY ZIY PNONE LICENSE 1 <br />CU53Of WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />VMWTIONCS\V00.R � <br />' � 1�71 <br />o�scaiec woeK <br />%IOPOSlD USF OI BUIIOI�+G <br />lEGnl O[SCRIYLIOM Of PROVf R1Y ISMOWN B[IOw OR �TLACH fOUN COPIf 51 <br />(OI � BIOCc _ Of <br />109e00Rl55 <br />/LUMliNG <br />NO. TYPE OF FI%TURE <br />W1TER ClOSfI lTOliF71 <br />6ATHTUB <br />iAVATORY�WASH BASIN� <br />SHOWER <br />NITCHEN SINK 8 �ISP <br />DISWASHEN <br />LAUN�RV TRAY <br />:LOTMES WASMER <br />'NAiER NFATFN <br />UN�NAL <br />DRINKING FOUNTAIN <br />FIOOR DRAIN <br />V�CUUM BRFAkFRS <br />NOOF DRAINS—RAINLEADERS <br />SINK 6ER\^.CF- BAR, ETC � <br />USE ZONf <br />TYPF Of CON! <br />SIZ[ OF BLDf, <br />su� 7oru <br />rE�Mrt <br />TOTAL iEE <br />STRE[T SFT9ACk <br />lOT ANfA <br />OCCUPhNCY CRi <br />NO OF SfORIES <br />t <br />❑DEMOLITION ❑FENCE iqSIGN ❑GARAGE ❑BUILDING RELOCATION <br />i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />Pi.OVI510N5 OF LAWS AND ORDINANCES GOVERNING THIS T`: PE <br />OF WORK WILL BE COMPLIFn WITH WHETHfR SPEfIFIED HEREIN <br />OR NOT. THE GRANTING OF .1 PERMIT DO[5 NOT {'RESUME TO <br />GIVE AUTHORITY TO VIOLATt OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LA�Y REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. . <br />SICNATURf JF CONTRACTOR OR AUiMORIZED AGFNT DATE <br />MfCHANICAI <br />FEE NO. TYPE OF EQ�JIPMENT <br />AIR COND UNITS—H P EA <br />REF0.1GERn710NUNITS—HP FA <br />OOILENS—HP EA <br />W$ fIRFD A C. UNITS—TONN,\LE EA <br />FORCED AIR SYSTfMS—B 1.U. N <br />WALIHEATfRS—BTb. M <br />UNITHEA7ER5—BTU. M <br />EVAVORATIVE C�10LER5 <br />RANGEMOOD <br />AIR HANDLING UNIT— C.F <br />STOVE <br />METAL LIRFPUCE 6 CHIMNEV <br />YARD SETBACK � PtAN �HECK <br />VACANT SITE <br />❑YF$ ❑NO <br />40 OF OWELLING UNITS <br />�l� � <br />A��IIOVALS OY DA7F <br />1. ENVIRONMFNTAL CMECK LIST <br />7 BWW�NGPLAN$ <br />7 fIRF MYDRANT <br />1 iIRF PROfECTION SYSTEM <br />5 GRA�INC/k%CAVATIONbCIEAFING)GRUONING <br />6 DNA'NAGE � <br />7 �?NVIftONM[NiAIIMPAfi�.TATEMkHT <br />: HEAITM O�STRICT <br />nPPlIL�110N ACC BY PIAN$ CHfCKED BY APPR. GOM ISSU,�1 <br />� <br />�1 <br />g.7J9 , � <br />sue ro <br />�ERMIT <br />FF'. <br />FFES <br />c ee <br />—� <br />s <br />s <br />PLAN CMECK iEE <br />I RECEIPT NO. <br />OUILDING s <br />PIUM�INC <br />MFiHANIUL <br />OTHFR <br />PENAITY UBC. <br />SEC 3071a� <br />70TA1 <br />►EIIMIT VAIIDATION <br />WMFN VROFERLY VAIIDATFD IIN TMIS SPACf) TMIS IS YOUV PFRMIT <br />Sl28�Qs <br />