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everet� <br />DEPT OF COMMUNITY DEVELOPMENT SER\'IC[S <br />❑TY HALL 259�8745 <br />eV�RE7T,1vq98:o1 ��OMBINATION <br />�..(. �+IST�UCTI(Jfd <br />PERMI�' <br />i�BUILDiNG ❑MECHANICAL ❑PLUMBINC PERMIT NO. <br />M1�1 n1)tJxiSS <br />nlnll nC,0R155 <br />nl�ll �OORI55 <br />/ ❑r� rm rr�ovi <br />/ /�C' ✓:� �il G �_Ti .'>� �_ '%'%G. � <br />a„ <br />�ir r��o�t <br />.J� PnOnt I�CEnSE I <br />%Si�C � hi J—%/� / / <br />Jiv puO�f L�CEn'SE � <br />%-> =Z' /=,� L/�� �C'i /�f- <br />/IY PIIO�t IICF.RSt � <br />C1A55 Of N'OXk <br />❑NEW ❑ADDITION ❑ALTERATION ,�REPAIR ❑D6+10LITION ❑FEhTE ❑SIGN ❑GARAGE ❑I3UILDING RELOCATION <br />VAW�iION Of ItiO�jRK � <br />s 'c//J � <br />Df5CPl9E �1'OFA <br />�'�G.GG� F`c'7cC-L�t ��-C! •� <br />��aoros�u us r nm�oinc <br />�l.c?%:��� <br />! I G11 ULSCRIViIOV Of PROP[PTY �SHOIiN pf lO1V OR :1� iAC111pUR C019f 5� <br />� <br />ioi _ o�oa�__a <br />— ��/(�/�✓ � � � /-�.�o/ % G %—i.-r /<�` T <br />�'� � � oF Lc�T / % � .¢cG c� <br />/_oY 7G>' <br />ion nooa�ss /�� /� <br />_ �ZJ J ,� �G /7�0 � - CUfDF'r-J. <br />PLUMBING <br />NO. TYPE OF FIXTURE FEE <br />N'ATER ClOSEi �TOLIET) <br />IUTH7UI3 <br />UVATON.Y IK'ASH OASIN) <br />SIIOIYEH <br />KITCIIFN SINK 8 OISP <br />�J �!Sl1'ASH[R <br />I.AUIJpRY TR1Y <br />CLOTII[ 5 N'AtiH! N <br />N'AitN HfATkN <br />URINAL <br />[)HINR WG f OUNTAIN <br />fLOOR DRAI4 <br />\'ANUnt pRfAKLftS <br />NOOF DRAINS-RAINLfADfNS <br />SINK(SCRVICC-OAR, CICI <br />PFRMII S <br />TOTAL IFf S <br />SIUf1'ARUSFTf3ACK SiRlI.1541BAIX HI.nHINRUSIIIIA(�li <br />ust zo:�i ior necn �.���,`� si�� <br />f:YfS �':O <br />TYP( O�S� UCCUPA� CROUI' NO Of UR'Fll ING U.AI11 <br />3 � <br />siu or einc No oF sroans n,nx occ iunu ` <br />_ L <br />IINCZON[ ❑ASIn1FM IIII>PUu�I� flNl}I'RINKIIItS <br />�� _ _ �__ NI[JUlell <br />� Ill V(t <br />APPRO\'Al5 BY DATE <br />• INI9HONn11\Inl CIII(.I:II�I <br />2 OUILDING PLANS <br />1 lIRI 111'DNANI <br />4 FIHI PNO7fC110N51�5ILh1 <br />S(.gAl]IM1G�1114\'NIONg(11�1RIV(IGNUHI�Nf, - <br />�� UNAIYACk <br />' INV'INONAILNIAI IMI'ACISUTlAqNi <br />n ul nUu D�SrR�[t <br />,APPI It,V ION ACC UI' PLANS RIICKIU 111 AI'PH IOk ISSU�N(I 111' <br />�/, c. <br />I HEREf31' CEKTIFY THAT I HAVE READ AND EXAMINED TH15 AP- <br />PLICATION AND KNOV! THE SAME TO 6E TRUE AND CORRECT ALI. <br />PROVISfONS OF LAN'S AND OKDINANCf:S COVERNING THIS TYPE <br />OF WORK WIf.L UE COMPLIED N'ITH WHEI�HER SPECIFIED HEREIN <br />OR NOT. TH[ GRANTING Of A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATC OR CANCE� THE PROVISIONS Of <br />ANY OThIER $TATE OR LOCAL LAW R[GULATING CONSTRUCTION <br />OF. THE PERFORh1ANCE OF CONSTRUCTION. <br />SICNATUHC F' CONiNnCTOR OH AUIHORIZ[D AGEiJT DATE <br />.� Q.cf � _ ��L-mL /—� S'�-d � <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />AIH COND V��'ITS-11 P CA <br />NIfNIGLRAliOAUNIiS-HP IA <br />ISOILLNS-HP fA <br />G\SIIRIIJAC UNI75-iONNAGf IA <br />I OHCfD AB S1'Si6�15-1i i U A1 CA <br />IYAIA. HLAttRS-il i U ,V � <br />Utill III ATLNS-11 i U M <br />E:AI'ONAIIVL COOLFRS <br />CIOIHES UR1'IRS <br />VI Nlll.\iION (�\N <br />HAti(:E HUOU <br />niH IinNUi.l\G UNIT- C F M <br />SLOVL <br />s111nL I INf PLAQ A �HIMNLY <br />Pl AN <br />�� <br />FEES <br />suo ior.�i s <br />PERMIT S <br />TOTAL FFE 3 <br />PLAN fNECK fiF <br />I11 ✓T� R(CLIP7 NO <br />7?� �"� �" % � <br />VALUAiiON fFE <br />�������N� � � « <br />.=(rj. � <br />PL VMOING <br />,VECHANICAI. <br />O7Hf R <br />PI NAl 11. U B C <br />51(' 1R11,U <br />TOTAI <br />PlRMii \'AIIDATlOY <br />'.� nl n i9ti iPl I(11 \�H:11111 U',I: I IIR tiPA� I I I IIIS IS 10UIt I'1 H1117 <br />� <br />