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APP�ATfON FOR ` et,�„ <br /> ev�erett ��' � P TRU�TION �I <br /> ERM T � <br /> DFPI'. O'r COMn1UYITY DEVf.LOPMENT SERVICES <br /> ❑TY HALL 259�8745 <br /> eveaeir, �vnvazot �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> ON'<FR 7 AfAll.nl)I)HI55 flh� lIP PIIO\I <br /> ��J G-E'�C�c_ I7/. o�;. �L:�c�—: �' =�.��-r- vJ.:, 'a',iu i � t-=�- ��1 :f <br /> �HLIIIIF(i OR OLSIGNCH AIAII�OOP[SS fllY ' lIP PIION[ <br /> ) } > _( / <br /> GItiIH1L(.-04iRA(ION A111L�OONI55 i/ 'J / . � ❑11' /II PIIONE LICLYS[p <br /> q - .1 i- <br /> +L� //.�a r,•-.%..;:' ��� ?_,/�;:< : �i� �r °J_> Z.a4•.�� .�.i,;-.: :i _:;-v<i �Ori�la�.i,�,;cL,l <br /> nfICHnNICnIIONiRAQON � �AIARnOUNISS ❑iY lIP YNONL IICEnS[+ <br /> 19V�iIILA'GCO�ti�NACIOH �141L411pRlSS fJ11 !IP PHOVF LICLNSEtl <br /> ll ASS OI\YOHA <br /> ❑NE\Y ❑ADDITIO`1 ❑ALTF.RA71J`1 C��NEPAIR ❑DE�VOLITION ❑ffNCE ❑SIGN ❑GANACE ❑�UILDING RROCATION <br /> YAlUniION Of IVON� � . <br /> s LO ^ i �_ <br /> u�.�uim�couK :. . � � // _ _.. -� <br /> _ � _ �i,i �i< , r � l, ��� /.//.!_ �i�: „�. <br /> '"i'�2L^_�'r,i- �a' i .h_C. t..._h_. - /.-� � . . ` r �C-�i � ' ' '` � <br /> reoPosmus�oi�nunui�c V ,� �� I HERE6Y CERTIIY THAT I HAVE READ AND EXAMWED THIS �P- <br /> �;'_ ` � PLICATION AND KNO'✓J THE SAME TO 6E TRUE AND CORRECT ALL <br /> C J= f s._ -�. � <br /> itcni ntscau�iiouov reorturrisuo�rN niio�cou niuoi rouumri[si PHOVISION�OF LA�h'S AND ORDINANCES GOVERNING THIS TYPE <br /> OP WORK WILL HE COh1PLIEU WITH WHETHER SPECIFIEU HERFIN <br /> 1O1 p1�O�"—Of --- OR NOL THE GRANTING OF A PERMIT DOES NOT PRESUPSE TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STAT[ OR LOCAL LAW RI:GULATING CONSTRUCTION <br /> OR THE PERfORMANCE OF CONSTRUCTION. <br /> $IGNAiURF OI'CONiRACTOH OR AUTHOftI"l.LD AG[NT fJATE <br /> / .- - �� <br /> IUII AUUNYlS ti � / � - - <br /> � `_� :1 �,_` 1 <br /> „ti' _z ._r—•_ X �. ✓,jy �'_ c �,_ • _�; <br /> PLUMBING MECHANICAL � <br /> NO. TYPE OF FI%TURE FEE NO. TYPE OF EQUIPMENT FEE <br /> 11'ATI:R CLOSfT(TOIIEI) AIN COND UNI75—H.p.E� <br /> 14ATIITUIS RCI HIGF:R,V 10�\UNI75—HJ'. EA <br /> I.AA'T70RY ptiASH �ASIN) 1101LI NS—II P. LA <br /> SHOWCft GAS�INIDAC UNITS—TONNACPYA <br /> KITCHFN SINA S �6P FORfI f1 AB SYS7fA7S—II.!U M CA <br /> DISVA'n5H!R \vnLl. 111 Al l RS—H T U �N <br /> LAUNDRY iR�1Y UNII IIIAl1.H5-111 U nt <br /> CLOTHfS\VASIIfR F\'APOHA7IVF COOLI.BS <br /> VA'nICN HEnTER U.OIIIES UHYERS <br /> URINAL V[NIIL4TION FAN <br /> DBINKING FOUN7AIN NAhGL IIOOf) <br /> FLOOR DRAIN AB HANOLINC UNIT— C3 M. <br /> VANU�'�t ONf AKf HS S�OVI. <br /> ROOF DRAINS—RAINLFAOf RS �VFTAL flRf PLACI. A CIIII.INFY <br /> iINA 6[RVKE—IMR. 6TCJ <br /> SI18 TOTAI SUB TOTAL 5 <br /> PERMIT PERMIT S <br /> TOTALFfE TOTALfEE s <br /> SIUI 1'AdD Sf 711ACK STNFM17 SE70�0: RI nN YARI)}!IIL�U; PLAN CHf[K NUMI3LN PIAN CHCG: fFL <br /> n t utcnrr vo <br /> ust zon�e iot ne�n ��r.nNrnrr <br /> I]`'FS `iN0 FEB VAWATION FEE <br /> i1Pt OPCONST OCCUP.ANCV GHOUP N� OF UIVfILING Uf.'1!5 <br /> BUIII]MC Fi1.....�� � � <br /> til/L OF f7LDG NO.OF STORIFS NA% OCC I.OAU ��� <br /> I'I.UMIiING <br /> IIHL :_U�W. 11ASCM(N7 111UNOU��i1 � RfSPRIN1;lIH5 <br /> RtQUIhID MfCHAMCAI. <br /> f'11"Iti ! �,NO <br /> APP0.0VA15 IIY DATE p7HLR <br /> � {NVIRONA1LNlAlCfI1CKl15T ���{� <br /> PfNAL7V SfC 101(nl <br /> :. flUIID!NG fI.AN$ <br /> 1 IIRI H1'ONA^'T TOTAL �.Q <br /> VC I <br /> .1 :IRI 1'µOTFC710N SYSTI M PFRMIT NILIOATION <br /> -- AAHI'd 1'H�iPI HI1 A'41IIbAlf I�O,v llllt tiP1Cf I :IIIS I� 1'OUF i LRJ11T <br /> ';2Af]IK(JI x(-AA'A71UN R fll ARIVOf,HUI1HiNf, <br /> e �RAINACE <br /> i (KVIRON.V[NTAI. IMPAC7 $147f�NLNi <br /> !f HCAISH �ISIHICI <br /> APPLICAIIONACC I7V PLANSCHf(KICIBY A"PH IORItiSVAUCI I11 <br /> J <br /> �1 i <br />