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APP�_ICATI(,N FOI� - e�e,�„ <br />everett �� N�FRMIYTION �, <br />DFPT. Oi COMMUNITY DEVftOPMCNT SER\'ICfi$ <br />CITY H.�LL ?5487a5 <br />Evear'i,wn9azot �MBINATION ❑BUILDING ❑MECHANICAL ❑PLUMBING PERAAITNO. <br />01\N!3 nNR npDNl SS <br />_ CIt� lIY YHO�f <br />ctni <br />(OViHACiOR <br />nuu <br />� <br />rNo+[ <br />cm tir r��onr <br />r_ . _�. /be>-, -- <br />uc[n;t d <br />1'LIHIHItiL CONIRACIOR h111L Af)04155 �IL1 ]if PHO�E lIC[NN i <br />CU15 Of N'ORA ,-,� <br />❑NEW ❑ADDI1lON ❑ALTERnTION IfQREPAIR ❑DE,IICJTION ❑FENCE ❑SIGN ❑GARAGE ❑�UILDING RELOCATION <br />\'Al�iIOA Of NORN � <br />PROJO�Sf��US'f Of IfWLI]1NG <br />' [cr,Jpts �Ririior+ or i'HOI�I Rl1� � <br />LOi/—.7—i BLUC1(�01 <br />x <br />miow ou nn.�ci� roua mrits� <br />�7-/li)/-�n /-nnn <br />IOH ADLXf 55 <br />Ln/d LFxiNcroti <br />PLUMBING <br />NO. TYY: OF FI%TURE <br />\VnTEk CLOSET �70LIETJ <br />fiATHTL'0 <br />UVATUftV I�\'ASH OASIN� <br />SHOWEP <br />KI�CHEN SINK fl DISP <br />OISWASHCft <br />LAUNDNVTRA\' <br />CLOTH[5'.�'ASI�ICR <br />K'AiCR HUiIR <br />URINAL <br />LRINKING FOUNTIIN <br />'LOOB DRAIN <br />VACUUM OREAKPNS <br />ROOF �RAINS—ftAINLkADiNS <br />SINK �SERViCf—OAN, ETCJ <br />$IDL YARD $L <br />SUB TOTAL <br />PERMIT <br />TOTAI fEE <br />LOT ARfA <br />s¢e oF o�oe I No. or sTorsits <br />FlRE ZONC f1A5FA1fNT 11 <br />APPROVAlS <br />1. tNV�RO'JM(NTAL CH[CK LI57 <br />t uo��olnr, purvS <br />1 IIH( MYDRANi <br />r 1'.(<! PµpTCCTION SYSifn1 <br />5 GHAUI':n, I%CnA'ATIO� A(:LI Aft WG�QRUI7BING <br />G DRNNAG[ <br />J. tN\9NONMLNTAI. Ih11'q�T STATCMI NI <br />B HkA�TH p6TRICi <br />AI" <br />� <br />FEE <br />I HFRE6Y CERTIFY THAT 1 HAVE READ AND [XAMINED THIS AF- <br />PLICATION AND KNOW THE SAME TO DE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINnNCE$ GOVEFNING THIS TYFE <br />OF YVORK WILL �E COr.1PLIED WITR K'HETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PFRMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVIilONS OF <br />ANY OTHLR STATE OR LOCAL LAW Rf.GULATING CONSTRUCTION <br />OR THE PERFORMANCE OF �QNSTRUCTION. <br />SIf.Nq/')/�y����C OF CO.uTRAC70R O/Hj/./`�y�{'HORIZCD AG[NT DATC ����(� <br />X / 11 ///iNn.. A l ����-/ <br />AECNANICAL � ' <br />NO. TYPE OF EQUIPh:ENT <br />NRCONp UNITS-HP EA <br />H(�RIq:NATl01 UNIiS-H P EA <br />ItOLLf fi5-H P !A <br />f,/S IINLDAC UNITS-TOYNAGk fA <br />FORCLU AIN SVSikn4-0 T U M CA <br />N'Al1HU7LR5-[77U M <br />UNI7H[A7LB5-IiTU ht <br />R'�PONnTI\'1 COOLERS <br />QUlllli URI�EkS <br />VIITII�IION IAti <br />Rn1G! IIOOU <br />AIH IIAtiDLIRG UNIT- C f nt <br />$fOVf <br />�tl UL FlklPLACI A CHLA1.tikY <br />s 3 <br />S <br />N�AR tiAND 51 711ACK v PLAN CHIfK <br />VAUNI SRf <br />!i1ES I'NO <br />NO Of DWFLiING UNIiS <br />MA% OCC LOAD <br />R! QUIRFU <br />fiY'!5 f':NO <br />BY DATf <br />I llUilON �[C IIY PL�NS CHECK[D IIY � API'N IOft ItiSUANCf 11V <br />H <br />FEEi <br />SUBTOTAI <br />PfPMIT <br />TOTAL FEE <br />fk( <br />FEE <br />S <br />S <br />PI.AN CHfCK FCE <br />Rf CLIPT NO. <br />� FEF <br />nuitnin�: KU J <br />I'I.U.VBING <br />MI CIIANIUL <br />OiHCN <br />ri r,nur u n c. <br />SCf 301�a� <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPf YLV \'AI IDATI D(IN i1115 51'ACq 71115 I$ YOUR PFR�11T <br />