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_` <br /> A►PPLIC�TION F(��R ���,�tt <br /> '".E".,°`"° CONSTRUCTIO , � <br /> Cltt OF � <br /> ev�rett PE RM tT <br /> DEPT OF COMMUNITY DEVELOPMENT $ERVICE$ � <br /> CITY H,:LL 259�8745 , <br /> ev[ttert, wneeiot ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. �i <br /> OWhIN Al�ll�UDNISS CIiV ZIP CHONE <br /> �A2ol /�CG /•2�f/y�/T Puzn�� a✓f 9�.i�! �sd'--?/P�P _ <br /> eRC1111i[f(]RUISIL':fR M�RApOR65 ❑iY ZI{' PNOv! <br /> GihlNnl CO�INet lOF �ull A�pR65 CitY lIP PHOtiI lIC[v5F I <br /> �III H.1'.IUI CO'�iH�C1UN M11All4pLtl65 UlA LIP VIIO`rE IILkNSF 1 — <br /> f11�V11i�GlUr+TXGCip0. htnILA00NI5S CIiY Z�V PHO�f lIC(NSFI <br /> t lltl Of KORS <br /> ChEW ❑ADDITION �ALTERATIC� .�RFVAIR ❑DEMOLITION ❑FENCE ❑SI,N ❑GARACE ❑BUILDING RELOUTIGN <br /> �uu�io�u or��nxK <br /> i "Fy�+y - �<� �.$�OUo<.p <br /> Ulff NIIII N/ttRR / �/ /� <br /> G!!ri O�� u 4C�ilv�X-� c�:rf- r Fy/lXo�£� <br /> rxuroetuus� or nwiome I HEFE�Y CERTIFY THAT I HAVE READ AND ERAMINED THIS AP- <br /> jap4x PLICATION AND KNOW THE SAME TO OE TRUE AND CORRECT ALL <br /> ucu msSxmuovoy rxorrairisnowvnaaw�ox nn�c�uouacornsi PRO�'ISIONS OF LAWS AND ORDINANCES GOVERNING THIS 1YPE <br /> .,r.r � -� � � + A�� OF\b'ORK WILL BE COtv1PLIED WYTH WHETHER SPECIFIED HEREIN <br /> "u�i _niorr. �1�y ov �N4t[L '�' ��+-rnC(l�C�- �S - OR NOT THE GRANTING OF A PERMIT �OES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROV�SIONS OF <br /> Tc 1"v:�� � : r% ' �Yc � al.0 n«- .'� T' S_ o'i ANY OTNER Sl'AT[ OR LOCAL LA\V REGULATING CONSTRUC110N <br /> OR THE PERFORMANCt OF COIJSTRUCTION. <br /> n !� / / �// SIGM1ATURE OF C0Y70.AGTCR OR AUTHORIZED AGFNT OATF <br /> �iC.-aI3Y C1/� .)NC�{"1 ne..:/Y I.C('�.�- . <br /> p�li�UUNI55 <br /> �� X C,.�� , : ���,- �� <br /> .a.:% rsG r eo£o,�� v ! <br /> PLUMBING MECHANICAI <br /> NO. TYPE OF fl%TU0.E FEE NO. TYPE OF EQUI'PMENT FEF <br /> 1VMEN ClOSET IiOLIFI� ��R COND U�'�IiS-M P CA <br /> I1AiNiUH BffRIGFRATIONUN175-Mi E� <br /> UWiORYDYA5M0A5w1 I{ORCRS-Hp EA <br /> SIIOWEH G�SFBEOAC UNIiS-TGNNAGEFA , <br /> KIiCMEN SINK aTJtSP fORC[�AIR SVSiEMS-0�f U M FA <br /> UI'.11ASIIIk WALLHF�iEHS-BTU AI <br /> UUnDR11RAY UtiliMfAlfNS-NiU M <br /> QOIHlS�vASMEH [\'APORAIIVk COOlENS <br /> µ`1 LR HFA7 E N CLO7HE 5 OBYl NS <br /> URIrvAL VEM171U110N fAN <br /> ORINKItiG ipUNTAIN R�4�f MOOD <br /> `IOOR DNAIN AIR HAN�UNG UYIT- C f M <br /> V�NUN HRfAKFRS S70VE <br /> NOOf DNAINS-RAINLUOFHS h1ElAL IIkFPUCC 8 CHIMN[Y <br /> SI4K�SERVICE-I)AR.E iC 1 <br /> SCBTOTAI SUDTOTAL s <br /> �FIIMIT f �[RMIT <br /> TOTAI FEE S ��OTAL IfE s <br /> SIp1i�Rp5[t111CK 51NfFTSC10ACK RUHYARDSEiOACK PlAN01[CI:M1UNL'ER PUNCHECKFEE <br /> fkE RECFIPT NO <br /> USf LONk LOi AREA VAUYT SIIE pFFS VAWATIOM iEE <br /> CikS CNO <br /> IYPI O( CONST OCCUPANCY f,NOUP NO OF DWfLLINC'UNIIS <br /> � (iWLD�NG S <br /> SIZ( Of IILUG NO 0(STORIFS �U% OCC LOAD <br /> PWMOING <br /> (INI ZONC BASEMCN7 BIUNUOMS RFQUIR[DKLERS M[CHANIUI. <br /> �^VFS ��'ti0 <br /> AP�lOVALS !7 DATF OiHfR <br /> 1 FNVIROhMENVdCMFCKL67 PFN��TY U�C <br /> SEC 701Ia� <br /> 2 FlUILDING PUuS <br /> � TOTAI <br /> ) fIHE NVORAN7 - <br /> d IIR( PF011CTION SYSiEM tFllMlf VAUDATION <br /> q��[h�PNO�I HI� UI IDhtl��i`. ilUSlP�Cf�iNIS 1510i1R P[HMIi <br /> 5 GHAUING�11(Al'ATIO"18ClURINI;;LXUHNING <br /> G ORAINnGE <br /> ' ENVIRONMfNTAI IMPACT S1AiEMEN' <br /> 9 HFALTH�IiTRICT <br /> AYPlIUT10N ACC BY PUNS CHFCKFD BY APPR FOR ISSUANCI BV <br /> ql :o <br />