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A.PPLICATION FOR, ����, <br /> fMEwryrMn �pNSTRUCTION e <br /> Cltt OF <br /> ev�rett PERMIT <br /> DEPT OF COMMUNITY DE\'ELOPMENT SERVICE� <br /> CITY HALL 259A745 <br /> . EVEREii.wn5aiot ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMITNO. <br /> ONNIR i M�IL�UDNI55 Cih ZIP VIIONI . <br /> I��r, )�)�CGI`� �-'���r ��[ ��� �C'n.Ct t'Inr�U�A �'i>I(� �'1Yl��Ck`3� _ <br /> �RCIII�ICIORDIS�GNtq Mut�DUX�55 �1� <br /> CININeICON�R�00R MAII��URI55 Ci1Y ZIP PMON[ UCENSf� <br /> �r . �1j�1k �rc�.�^c' `�,�l���F� �r�-t Fvf �e,��:_( �.t� Q��o� a�3-1���/Tt�r����r� <br /> � M1IIONniI U COrviR�C10N MAII�DDRl55 CITY LIP PMONf IICF $f/ <br /> � 1`I O'NPI�G CONI0.M.ION M11sll�D00.155 ❑lY ZIP PHON[ IICFNSE� <br /> C1�55 Uf NUN[ <br /> ❑NfN' ❑ADDITION ❑ALTERAiION ❑REPAIR ❑DCMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDINGRELOCATION <br /> \'AlWll M1OI WOMR <br /> �' � � i�-173,:a1 <br /> DISCEIN[ OX� <br /> C OJyI�t t e�C! <br /> rea�osio usi or nunoiNc {� I 1 � �( I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP- <br /> ��-� kYIC)� X IC�� I�'COl� .rl )1�O� PLlGTION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> V.LM DfSCPIP110N Of FRO�fN1Y�SNONN flllOW UR AIL�CH fOU0.COPII5) PROVISIONS OF LAWS AND ORDINANCES COVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> io�_niocr��bi `=' '�" � � OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORfTY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> � ANY OTHER STATE OR LOCAL LAW RECULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATURE Of GONiRAQOR OR AUTHOAIZED AGENT DATE <br /> y IOflnD NISS OQ �u�'�� �� � � ` � � � . <br /> �LUM�ING MECMANICAI <br /> NO. TYrE OF FI%TUIIF FEF NO. TY�E OF EQUI�MENT FFE <br /> WATIRCLOSFT�TOLIET) ABCOND UVITS—HP EA <br /> BATMTUB NEFRIGENA710NUNITS—HP E� <br /> LAVATORY�WASHBASIN� BOIt[RS—HP E4 <br /> SHOW[R GAS FINED�C UNITS-70NN�LE E� <br /> KITCMEN SINK 6 DISP fORCED AIR SVSTFMS—B.T U M EA <br /> DISWASHkR \vALIMUTfRS—BTU M <br /> IAUNORYIR�Y UNITHEATfRS—BTU M <br /> CLO1N6 WASNER f V�PONAi�Vk COOlERS <br /> W,U(R HF�TFR CLOTNES DRYFRS <br /> URIN�L VI NTIlAT10N FAN <br /> ORINKINC fOUN7AIN kANGF HOOD <br /> fIOOR ORAIN AIR N�hDLING UNIT— C F M. <br /> VANUM pRFAKERS i70Vf <br /> ppOf ORAINS—RAINIFADERS At[lIl IBfPUCE 8 CHIMNFY <br /> SINN ISFRVICI—BAR.FIC 1 <br /> fU�TOTAI SU�70TA1 f , <br /> ►FRMIT f ►FRMIT f <br /> iOiAl iEF f TOUI FEE f <br /> 510lY�RUS[TBACN STREETS[THACK RUXYAROSETBACK PL�C11[/A���A�� FEE� ��� RfCfIPTE�O� S�, <br /> y <br /> USF ZONt lOT ARU VACANT 9TE FE6 VAWATION iFF <br /> /� � '7 ���5 ❑N� <br /> L.. 6+ <br /> TYPE Of CONST OCCUPANCY CROUP NO OI UWILIING UNIIS <br /> SC— N �z — euuoi�c s <br /> LZE OF HLDG NO OF$TORIR nlnN OCC IOAD <br /> 252o s.F. i 9 ����M����� <br /> - FIRE ZON[ BASFMENT NLDNtY��IS HNf SPNINKLERS <br /> RfQUIBFD MICHANIGL <br /> � �� f1YtS f?1�U <br /> �H�OVA�S �Y D�it OTNFR <br /> 1 ENVIRONMIYIALCMECKl15T PlNAl7Y U.BC. <br /> SEC loNal <br /> i BUILOING PlANS <br /> TOTAI <br /> ) FIR[ MYDRANT <br /> 1 FlRE PNO7fCT10N SYST[M ►ERMIT WLIDAl10N <br /> W MEN PROPfRO b'1LIDATED pN TNIS SPACE)TH�S IS YOUR PfRMIT <br /> 5 LNAOINGIIxCA\'ATION6Clf�RINGIGRUflPINC <br /> 6 DRAINACF <br /> 7. ENVIRONMENT�LIMPACTSTATEMENT <br /> e HEAUM DI5T0.1CT <br /> AppLICATION ACC BY PUNS CNFCKED BY APPR.�OR ISSU�NCf BY <br /> S� !�n <br /> g4 ;9 <br /> ' <br /> ! __ <br />