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A�LIC.ATION FOR,� evere1 <br />'- -�' l, f�1Sl�RUCTION ,.� <br />�verett PERMI� <br />DEPT.Of IOMMUNITY DEVELOPMCNT $ERVICES <br />CITY HALL 259�8'45 / <br />eveReii,wn9e1o7 �COMfiINATION ❑$UILDING ❑MECHANIGAL ❑PLUMBING PERMIT NO. <br />ow�iu �uu nonx�ss art ' nr ri�orv� <br />D1.31V Brus Twe PG 6esr xi7t- l�v 9S�o3 � 3S3-µ�s3 <br />..erinnc�onmswvte nuu�onuisti urr nr r��one <br />� <br />P .,,,... .,.. � �, ;,.. n. .. �, �.. � . � ✓ . <br />LI�AIPAIC�tNACIDH MyIAUUH115 CItY ��p PIIUNf LICEN:[;Y <br />5�- � '��5-� O un/ ivs�i- <br />nuuumui mvrxnc,au euii enoness un� iir ruorve uc[Hst � <br />rwnuii.cco�ur mu�nooutss ��iir rir r��oni uc[rvsee <br />anss or �voa� <br />�NE\h' ❑ADDITION <br />��nwnno� or wona � <br />S ���� <br />IIISCP�Bf \\' (6 <br />❑A�ERATION ❑REPAIR ❑OEMOLITION ❑FEI:CE ❑S:GN ❑GARAG[ ❑UUILDING RELOCATION <br />PPOPO5111 u5[ OI XUIl01KG / <br />�, e N T <br />1 LGAI OIS(C�F_f}pN Of PNOP[N1V �SIIOWN BElO\Y OR AtUCH fOUR COPI[51 <br />�c <br />io,) +�'��o���o�.fl.�T oF Oi'w.ci�urs T <br />���. �j _��j��— <br />ioo nunw�s <br />/ ��d P <br />PLUMBING <br />NO. TYPE OF FIXTURE <br />�ani�{ruo <br />IAVATOftY�WASH FlAS <br />$HOWfH <br />KI7CHCh SINK A DISP <br />Ci51\,45HER <br />V.UP�RYTFAY <br />Cl OfHES ���SHfR <br />\YATCR N(AiER <br />DRINLING FOUNTAIN <br />i I OOR �NAIN <br />VANUh111NLAKCRS <br />kOOF nRAINS—NAINLfADERS <br />SINK6ERVICf—IIAR E7C1 <br />PFRMIT <br />TOTnI FfE <br />SIOF 1'ANU SEiI{ACK $7RlFT SE1l1ACK <br />5 �-r Zo�•r <br />USF l.ONf IOi AR[A <br />e-2 <br />11'PI. OF CONST. OCCUPANCY CHOUP <br />'[7"—/-I TL —3 <br />FEE <br />S <br />HI.4F YANU SI11fACK <br />_ ZmF-r <br />VAC�NI $IiE <br />i11'ES i'NO <br />NO Of DIYtUINGUYliS <br />za'� r�' 2- <br />flHf ZONL (345LV1N7 HIDROUM\ IIRI <br />3 .�..00 H`�� <br />APYNOVALS BV <br />1 I.tiViRONA1LNUL UIFC6 LISi <br />i flUILDL4G PtANS <br />7 (IRC HYpHANI <br />J HNf PROiCf.TION $\F(M <br />5 GHAUING'1%U\'A710NAUTAHING!GRUI1111NG <br />b UNAINA';,[ <br />' (NVINONb1INTALIh1PACiSIAt[MENi <br />.�. I(! `I1�� I�KIF.u-1 <br />I HERE6Y CERTIFY iHAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE S�ME TO 6[ TRUE AkD CORRECT ALL <br />PROVISION$ OF LAN'S,4ND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL UE COMPLIFD WITH WHETHER SPECIFIED HERFIN <br />OR NOT. TH[ GRANTING OF A PERMIT DOES NOT PRf.SUME TO <br />GIVE AUTHORITY TO VIOLATE OR C�NCEL THE PROVISIONS Of <br />ANY OTHER STATE OR LOCAL LAV: REGULATING CONSTRUCTION <br />OR THE PERFORM�YCE OP CONSTRUCTION. <br />SIGV.1TURf: O( COti:R.4CTOR OR AUiI501tIZfD ACENT DATE <br />.. A � _ . . i <br />MF.CHANIC0.L <br />NO. TYPE Of E(,"11PMENT <br />AIH CO':D UN175—H P [A <br />NI.FHIGLRAIIONUNIIS—IIP EA <br />ItOlLlftl—flf CA <br />GAS I IRfA A C U�IiS—TON�SAGt EA <br />�ONQU AIH 515TLN5-11 7 l� M kA <br />R'nL1111Ai1R5—Ii.iU M <br />UYIi IltMfftS—O I U M <br />�� I.A'�PORn11V! COOLCRS <br />�� C1O711ESUB1iR5 <br />VI ul II.AI lO�v ! TN <br />unNct Hdop <br />AIN HAhUI LUG UNR— �� f M <br />i7:1\'1 <br />n;�1AL RNFI'LAC6 A CMIAiNEY <br />PIAV (:H'CK NU,\qlLh <br />�i y.� <br />_ F[ES <br />n�unwc <br />ri im�inrvc <br />.vro,n.iui <br />Dr1TE � O111fN <br />PI N�.L7Y <br />TOTAL <br />sue rorni s <br />PLRMIT S <br />TOTAL F[E 1 � <br />PI.AN CM[IX fEL <br />rtE tckir. no <br />(i o <br />YALUATION FfE <br />. ror <br />UF1C <br />SIC 30)Ial <br />C9 <br />� - Dz� <br />� �� <br />PFRMIT VAlIDA710N <br />V:111 i� i'hfiPl HI1 'c41II�AII IJ �,I'� t IIIS SPA[ [1 i1115 IS VOUH PENMII <br />��It�U <br />U <br />