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�Ak°°�� -APPLICATI(,�t� FOR. <br />f�e Eve/grMn everetf <br />"TM°° CONSTRUCTIOi. e <br />ev�rett PERIlAiT <br />DEP7. OF COMMUNI7Y DEVELOPMENT SERVICEl <br />CITY HALL 259�8745 <br />EVERE7T, Wq9n;Ot ��OMBINATION � BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />owNea , Mnii�ouxEss cnr zir v��on[ <br />M=1 Griffith 5727 Lowell Rd coeratt 982�71 355-9858 <br />ANCNIT[QOeU[SICNkP MdILA00Rt35 ❑TY ZIP P�IOM( <br />G[NFNAICOMN�CIOR MAILADURE55 CIiY ZIP PHONF UCFNSFI <br />Perma-Bilt Industries Inc 341G Everett Ave :�verett 98201 258-a171 PERM49I179 <br />n4CMe�:1UlCONIRACiON MM1IIApORf55 UIY llP PHON[ tICENSE/ �R <br />fIP+�NmG CONIRhCiOR MAII. �OORfSS ❑iY 21F pNONE IICLN'.: / <br />�NEW ❑ADD�TION ❑ALTERA7�ON ❑REPAIR ❑DEMOL`710N ❑FENCE ❑SIGN ❑GARAGE ❑BUIIDING FELOCATION <br />Vn�Ue �ONOf W NK <br />s � �d�. U � <br />UI [ WOMN <br />o�c= C�oNS��c,��N Gqc�� <br />rxovosmusE or n�nm�c I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL 6E COMPI.IED WITH WHETHEft SPECIFIEC� NEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVi510N5 OF <br />ANY OTHER $TATE OR LOCAL LA1N REGULATING COKiTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE Of NTRACTOft R AUTHORIZED AGENT DI.TE <br />x/�� S� /o-//- �� <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT � FEE <br />l! Wl Of SCXIFIIOv O{ PROPf RIY �SNONN 9ElON' OM A1i�CM iOUR COP�f 5� <br />ioi _ nioca _ ov <br />[}�SP-010-001-0000 <br />ion .00xess <br />5727 Loviell Rd Everett <br />PLUMBING <br />NO. TYPE OF FIXTURE FEE <br />WATER CLOSEi ITOLIfT� <br />BATMTU9 <br />UVATORY �WASM PASIN� <br />$HOWER <br />KIiCHEY SINN d DISP <br />DIS\4ASMFN - <br />UUfJDHY TRAY <br />CL01MEi WASHFR <br />WATER MEATER <br />URINAL <br />DRINKING fOUNTAIN <br />FIOOF UNAIN <br />VACUUM ONFAKEH$ <br />ROOV DftAINS—RAINIEADERS <br />SINK (SEHVICF—BAR, ETCI <br />SUBTOTAI <br />PERMIT s <br />iOTAIfEf s <br />anF vwan [vTne�r (TRF[T 5[TAACK NUN YANU SETOACK <br />T <br />flRf <br />LONE LOT AREA <br />�� <br />Of CONST OCNPANCY GftOUP <br />�T-N %v\ <br />Of I t: ^��Q NO Of STORIFS <br />t4-iH(�i � : . F�. � <br />ZONC OASEMENT I1kOflOOMS <br />APPROVALS <br />1 fNVIHONMLNTAL CHECK LI57 <br />z wnoir+cruNs <br />] FIHE MYOkANT <br />.1 fIHFPROTECTION5V5TEM <br />; GRADINGE%CAV�TIONbCLEA0.ING/GNUNNING <br />6 ONAINAGE <br />I LrvVIRONMENiAL IMPACT SIATEMENT <br />Y MfALTH DISTRICT <br />nPPIIC�TION ACC BY PlANS CHECKED BY <br />�e�j �� ]>�I <br />VAUNi $RL <br />❑YES GNtl' <br />NO.Of DWELUNG UNI75 <br />MA% OCl' IOAD <br />fIRE SPRINKLkNl <br />BY I OATE <br />FOR ISSUANCE BY <br />C�. �� <br />AIR COND UNITS-Y. P kA <br />RCFRIGEFATIONUNITS-HP EA <br />BOIlEHS-HP EA <br />GAS FlHFD AC UNITS-TONNAGE EA <br />FONCCnAIRSI'S1EMS-0TU h <br />N'AILMkATERS-�TU M <br />UNIi HEATER$-OT U M <br />EVAPORATIVF COOLER$ <br />VI NTILATION FAN <br />RANGfM000 <br />AIN HqN�LING UNIT- C F A1 <br />STOVF <br />AtET�L iIH[PUCE 8 CMIMNCV <br />SU9TOTAL S <br />PERMIT 3 <br />PUN CHCCK NUMt1EF PUN CHLIX FEE <br />�2// n C�� FFE_S,�� I RfC�PT �J <br />' f.l ✓ I <br />OWLDING <br />PlUMF11NG <br />MfCHANIUL <br />OTIIER <br />PENALTY <br />TOTAL <br />5 <br />U9C <br />SfC lUl�a) <br />P�:RMIT VALIDATION <br />'NNEN PkOPERLY V�LIDATED pN THIS SPACEI TNI515 VOUR PERMIT <br />i_, <br />J <br />� <br />H <br />n <br />b7 <br />