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A�O f�T i�U�C�i I O N � eVLC" <br /> everett PE �t11NIT �y�-��- �� �=, _,., ,h .:,., e <br /> DEPL OF COMMl�n9TY' DPV[LOPMENT SERVICES <br /> CITY H�LL 25')�6745 <br /> eveaerr, �a�n�ezni �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMfT NO. <br /> O'6�hntu n1nII.nOIlu1SS CI11 ]tl� P110vt <br /> �LJ1���G �{'-'��I�s\ 1,�� �7 „�G�J+ i ill^��� �>.��.R.�/ Fl���'i'f� a. J�� f - .�i .�..���(J <br /> neou�eC�oxu�sr,�uru a�u�nooai<s art zu� r�ion�� <br /> 'L�.'>'��_���/�f�'.f �. - <br /> GMIHALCUNiRAQON ,AIAtIAI)UNL55 CI1V LP �'��ONF LICCNStp <br /> h-�£(� r; '1 7� 1��✓ t- ` JJ�. �(�_ -���N_�E;=_,� .ay - -,'� ��' �.�_7/L�1 �c � f�+l <br /> �; �� <br /> .MLCH,\�IUI CU\iNACiOH M1IAII.ADOHL55 CI�V JII' PIIUFL LICFNSf p <br /> PlltV1111NGCONIHAQOH A1�ILAOOHI55 Clll J.IP 1'IIOK! LICENSEq <br /> CUSS UF N'ONA <br /> ❑NE�4' ❑ADDIfION �A�LIERATION �E[EPAIR ❑DEMOLITION r_llFNCE ❑SIGN ❑GARhGE ❑[3UILDINGRELOCATION <br /> vnwnmm���voeK <br /> C.l.) <br /> ' �� � <br /> ❑ISCHI.� OORA p q . <br /> p�,���� �_� , . � , � � � �> . � r�- �_ �� , w-v,_�_,., ;�:,, ,.. , . - �, <br /> reorovouse or nunoi�e �I H�RE��" CERIIFY THA��W VE RC�AD AND EXAMI ED THIS �P- <br /> �� C (-� PLICATION�ND KN01N THE SAME TO [3E TRU[ AND CORR[CT ALL <br /> iicninis�uirriouorPaortkrviv� w �nuowoenrucu�uecnrn�s� 1 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> i�� �i��� ��p, / o� � r� , n _ � l?i �� i .t` . Of WORK WILL 8E COhiPLI[D WITH IVHETHFR SPEQFIED HEREIN <br /> T�y - OR NOT. TH[ GRANTING OF A PERMIT DOES NOT PRESU.`+1f. TO <br /> ��1 ��IV[ AUTHORITY TO VIOLATE OR UNCEL THE PROVISIOVS OF <br /> ,�(q- �2 'J-N �I� � ��?I_ l� -.NY qTHER STATE OR LOCAL L�W REGULATING CONSTRUCTION <br /> UR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATUNf OP fONTNACTOR OR AUTIIORI7.LD AGENT DATI: <br /> IOU/A�DUHkSS / y ' , <br /> X �j,� /-C-�l/[� �{"�lJ — �,.)G r = 4 � A ��..�_ � I C.. . � Z �_ � _ !� � _ <br /> PLUMBING �MECHANICAL <br /> NO. TYPE OF FI%TUR£ FEE NO. TYPE OF EQUIPMENT FEE _ <br /> WATER CLOSET(TOLIFTI AIR COND URRS-H.p. L� _ <br /> OATHTUfI RkINIGI.RATIOV UNITS-H P FA <br /> I.AVATORY pVASH I7T9N) POILEBS-H P F� <br /> Sk10WCft Gn51IRCU nl' UR115-TONNAGF I� <br /> KITCHEN SINK F DISP. fORCf D Alk S1'Si6M5-17 i U. M 61 <br /> DISN'hSHCR \1'iV.I. I1lATI.RS-(3TL �1 <br /> LAUNDRVTRAI' l.'NIiIIIniIRS-BtU hl <br /> CLOiHES\VASHIR LA'AI'ORAIIA'f COOLI - <br /> \YAiER IIFAiLft C:U f IIIS UR1'f HS <br /> URINAL VFhiILAiIOh F,.' <br /> DRINKINC FOUNTAIN RANG! II00 <br /> FLOOR DRAIN AIR HARI'. NG U\IT- C I nf . <br /> VACUUl.111RFA" 5 S�OA'L <br /> ROOF URA �-RnINLfnfl{RS M1t❑ I FINIPLArF R c:HI��Itit:Y <br /> SINK� . VICI�-I3AR. f�C� <br /> SUB TOTAL SU9 TOTAL 5 <br /> PERM1IIi 5 PERMIT S <br /> TOTAI FEE S TOiAL FFf S <br /> SIUf 1ARI7 SI.TIIACK SiRI I.1 SF11L1C1: HFAH 1'ARU SkT11AIX PI.AN CHLCK 4UAl11EH PLAN CI1CIX ffF. <br /> vct k[ctirr no <br /> t:st zo�uf �oi nsen ��ncn�ut Siir <br /> �-.�f5 �-.Nn fEES VAWATION FEE <br /> 11P1 OF CON51 OCCUISINCV GRUUI' 1D OF UAVELLING UNllti <br /> ItUIIUING $� C1'' �. <br /> tilll OI Ip.DG NO OF STORIlS A1A% OCC. LOA[) G���,• " <br /> PWMI{ING <br /> Illtl /_ONE O�SEMENT It1UHOOAtti FBk SPNINKLLNS <br /> NLQUIRf.0 MKHnMC��L <br /> rIYFS .�INO <br /> APP0.0�.4LS BY DATE OTFlLR <br /> I I VA'INO�`�NI K�AL CHkCK LIST pCNALi1' Ul1.0 <br /> $fC. 30Jf�1 <br /> : ��UIIUINGPLANS <br /> f IIRI H51]kAYI TOTAL �'8 <br /> i IIHI I'ROiLC71045V57LV PfItAIITCALIDATION <br /> .i-�'. Pl:��il'I KI1 A�V Iltqlf U ii'. IIII��P.il l lill� 141p1'H YlHVII <br /> ; LNAUItiGt%CA\'.\IIt1V R(.-I I AHING:GNUItI11NG <br /> e UHAI4AGt <br /> ' I\\'IftON�111N1AI Ih1PACISIAT(�VCNi <br /> n IIInLTHf)ISIHIC7 <br /> TI'PLIUiIUhnCC 111' PIANSCIIICKlU01' APPH IOHISSUnNU Itl <br /> ._.._ _"— _—_._-_'__J___—___'___—� <br /> i � <br />