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A.�PLICATIUN FOR /� everetl <br />everett ��NPERMITT�ON ' e <br />DEPi. OF f,OMMUNITY DEVELOPMENT SFRVICES <br />CI7Y HALL 259�8745 <br />eve2en,�vn�eaoi [�COMBINATION ❑BUILDING ❑htECHANICAL ❑PLUMBING PERMITNO. <br />O\YrvER MnIInODMtSi fliY t��' ����n�"�� <br />-,Q,q n, K h'rl i n�e �./n rrr � 3�,�� /til,i4a 2n.v q -Y= v�2r--7i' CV i✓ 9J'zt� 3 2S9 - 3 b'6 / <br />�AR-U7IIIfClOX0E51GNfX AIAILADOR65 CIT1' ZIP PIWN! <br />�`in � n � ic-T /fi// i11%1)urn/ �i! .t�✓='.l'c-tf �!.'i./ C.Y7.n 3 `L3Y—J 3 72� <br />Vi�i��a. � . .. _ <br />GEii�LCON �CiOR MAIl�D�0.6S UiY ZIP PIION[ 3A_R�ICIN9K+�C <br />/� r/i K <br />A RS2 l DnrsT l a// C2t�l<itii �2 ��-r2�Tl- �Un! �i�YZo 3 2 S% -� 3)8 <br />MLCII^AN�IULCOcN AC1�R AINLAnOR[55 CIIT LIP PHON[ IICENSEN <br />/v��/vL <br />PlUM01N� �ONLPAQOR MAII A[JD0.[5$ U1Y 21P 1'110Hf UCENS[ p <br />/��C/f � <br />CL�550V\vORA p�,..r <br />❑NEW �ADDITION ❑ALTERATION ❑REPAIR ❑D[MOLITION ❑F[NCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />V�LUATION Of N'ONK <br />f <br />�l abl5 n <br />o[5caio[ woaK GCw �7X�1CI .y F7 �ciG O.✓ r-/'..s..vi Or piJ:F NG7 � rcK O �C�UrH ,:�c <br />�F Flo�rs'c <br />raoruscouse or nunowc I HERE�Y CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />CAIZ �p� �- �UC PLICATION AND KNO\N TfIE SAME TO BE TRUE AND CORRECT ALL <br />iceniocscairnovovrxorcatrisNowNneiowoanrt�o�rouacoriesl PROVi510N50FLAWSANDORDINANCESGOVERNINGTHISTYPE <br />0�59— Cno— O'7-o — OioG OF WORK 1NILL BE COMPLIED WITH WHEI'HER SPECIFIED HEREIN <br />ior _eiocK_or OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />MA�t-c NE/!>rlls !3/-K B0�' �"'��" � GNE AUTHORITY TO VIOLATE OR CANCEL THE PROViSIONS OF <br />FJc':r Stul / CoA /.oi 20 -TN ScLy AL � G G.✓ ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />SD �o i /�Z �T i N N 3�J,r o0 on� r�iE.�q Fr T}/ OR TH�PERFORMANCE OF CONSTRUCTION. / <br />�v.uty ra�_ oN �vwcy <A✓ -3� to� �s� �v: !-� ivEzY SIGNP'�RE OF CONiRACTOR OR-htN�fORIZED AC[NT onrr /i�/7y <br />Ioo nooaESs <br />�'. 30 /�'/ A fl iZ�Nfl <br />PLUMBING <br />�O. TYPE OF FIXTURE <br />WATER CLOSET (TOLIET) <br />BATMTUB <br />LAVATORY�WASM BASIN) <br />]HOWER <br />— � KITCHEN SINK b DISV. <br />OISWASHER <br />LAUNDRYTRAV <br />CLOTMES NASMER <br />WATER HEATER <br />URINAL <br />DRINKIYG FOUNTAIN <br />FLOOR DRAIN <br />VANUM BkEAKEkS <br />ftOOF �F.AINS-RAINLEADFRS <br />USE ZUNE <br />l2- � <br />TYVE OF CONST <br />U�no���N <br />��� <br />3 <br />FEE <br />PERMIT 3 <br />TOTAL FEE S <br />STREET Sf1tlACK RFAR YARD SITI3ACK <br />10T AREA i�F%CE1C vAUNT 9TE <br />��eV �YES �(�JO <br />._ <br />Of.NPANCY GROUIL-. � NO. OF DW[LLING Vt <br />S/NbL.t� r"qry� � <br />NC. OF SiORICS MA%. OCC LOAD <br />UASEM NT ���.��H� <br />E'r �� <br />APPROVALS <br />t ENVIRONMENTAL CHECK LIST <br />7. NUILDING PLANi <br />l. fIRE HYORANT <br />4. FIHF PftOTEC710N SYSTEM <br />i. GNAUING/L%CAVATION R Q[�HINCIGNUIiI11�G <br />6. DRAINAGC <br />7.ENVIRO4MFNTAIiMPAf.TSTATEMENT <br />8. HEALTH DISTRICT <br />APPIIUTION ACC. BV <br />?-1-; 9 <br />BV <br />MECHANICAL <br />NO. TYPEOFEQUIPMEN7 <br />NH [OND. UNITS-HP. EA <br />REFRIGERATION UNRS-H.N. [A <br />UOILFRS-h1.P. kA <br />CAS FIRED A C. UNITS-TONNACE EA <br />fORCCD AIR SYSTEMS-Ii:i.U. N <br />N'nLL HFATFRS-fI.TL. M <br />UNIT IIEATERS-11.T.U. M <br />EVAPORITIVE COOLFRS <br />RANGEHOOD <br />AIR HANDLING UNIT- CF <br />STO\'E <br />METAL FIN[PUCE R CHIMNEY <br />PERMIT <br />TOTAI <br />1'LAN CHECK NUA16[R <br />j � j� FCE <br />CO <br />FtEs <br />�UILDING <br />PLUMl11NG <br />MLCHANIUI <br />DATE � OTIIfR <br />PUNS CHEIXED 13Y I ���R. FON ISSUANCf IiY <br />✓ I �• <br />rrNn�Tv <br />TOTAL <br />S <br />4L S <br />f <br />F�F. f <br />PLAN CHECK <br />� � RECEII <br />VAlUAT10N <br />uuc <br />sec �o3w� <br />PFRA/IT VALIDATION <br />WHCN PROPFRLV VALIDATED (IN THIS SPACE) THIS IS YOUR PERMR <br />FEE <br />