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- A�PLI�,��ION F�1� everen <br />�n�F"�`° 6�ORISTRUCTlO►. � <br />everett PE Rn� F �' <br />DEPT. OF COMMUNI7Y OEVtLOPMENT SERVICES <br />CITY HALL 259�8745 . <br />EVERE77.wave2ot �COMBINATION ❑ BUILDING �MECHAIVICAL ❑PLUMBING PERMIT NO. <br />OWNf M�ILAODkE55 ��1Y ZIP PMONE <br />/�/,'.tia,F/ �/'2,9io95 7�� ��'�ouic2 �c�yc � ,E�/c�� 983�� 353- i6/� <br />M�II <br />J' <br />ZIP <br />GfNEN�ICONIR�[LO0. mnILA��RE55 ���� ur r..v�. u�o�o.. <br />n1FC�lULC�O TM CTOR MAIl�DU0.f55 ��TV LIP PHONf LICENSEk <br />PWMBI�GCONiR�CiOR �MIL�OUXf55 CITY ZIP VHONE UCENSEI <br />�NEW OADDITION . ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILGING RELOCATION <br />VAIUAIIDNO� WOPK � <br />S ;ZUD <br />USF Of Hu�IDIrvG <br />\ <br />IEGAI C[SCRIPiION Oi� VROPExIT i <br />lOi ��� BIOCN.� Oi <br />iou nooa[ss <br />PLUMBING <br />NO. TYPE <br />\YATER CIOiET IT( <br />�ATMTUB <br />LAVATGRY�WASM <br />SMOWER <br />DRY TRAY <br />HES 41'ASNfN <br />NASIN� <br />�RINY.INC FOUN7AIN <br />fLOOH DRAiN <br />VACUUb1 PR:FY.ERS <br />ROOF ORAINS—RAIN <br />avr KfRVICF—IiAR. <br />Y/� /s'��� l/��i� — u��v�to � �— <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT P,LL <br />BELOW ON AiTACN iOURCOCIE51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />�F WORK WILL 6E COMPtIED WITH WHETIIER SPECIFIED HEREIN <br />JR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />— OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONT�RfA TOk OR THORILED AGENT DATE <br />�, -_o _ � o Y :li/��.-,//� ,� 9=�� -83 <br />SU9 TOTAL <br />PERMIT <br />TOTAIfEF <br />iIDE YARD SETUACK STREET SCT�ACK <br />USE ZO"1F LOT AREA <br />TYPE OFCONST OCCUPANCY GROUP <br />SIZE Of tlIDG NO. OF STOBIES <br />siur �nNf BASEMENT IIf[)NOOb'.S <br />APPNOVALS <br />i. ENVIRONnIENTAL CMECK LIST <br />7 UUILDING PL�NS <br />] FIRF HYORANT <br />< FlRE PROTFCTION SYSIEM <br />5 GRADINGIE%CA\'ATION6QEARING(CRUBHINC <br />6 ORAINAGE <br />A ENVIRONMFNTALIMPACTSTATEMFNT <br />B. MFAITH DISTRICT <br />�S <br />RCAR YANO SEiOACK <br />VACANTSRE <br />❑YES ❑NO <br />NO.Of DWELIING VNITS <br />MA% OCC.LOAD <br />BY I DATE <br />APPLICAIION ACC. BY PLANS CHECKED BY � APPR FOR <br />9-1-; 9 <br />BY <br />AECHANiCAL <br />NO. TYPE OF EQUIPMENT <br />AIR COND UNITS—M P. EA <br />REFRIGFAATION UNITS—HP. EA <br />BOIlERS—HP EA <br />CAS FIRED A.0 UNITS—TONNALE EA <br />IONCEDAIft5Y51EM5—OTL. �' <br />\YALL HEATERS-0 TL. M <br />UNIT HEATERS—OS U. M <br />EVAPORATIVF COOlERS <br />GIOTHES DHYERS <br />VENTILATION FAN � <br />RANGEHOOD <br />AIR MANOLING UNIT— C.F M <br />STOVE <br />MEUI fIREPUCE 8 CHIMNEY <br />SUB TOTAL <br />FEE <br />3 <br />CHFCK FEE <br />RECEIPT NO. <br />FEF <br />DUIIDINC S <br />PLUMBINC <br />MECHANIUL <br />OTIIER <br />PENAITY U.B C. <br />SEC. 307(a) <br />TOTAI <br />PERMIT VALIDATION <br />WMEN PROPERLY VAIIDATED IIN THIS SPACE) THI$ IS YOUR PERMIT <br />