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,�.E»,p�,� I 'PLICATIOIV FOR <br />��TM�F CONSTRUCTION <br />everet� PERM�T <br />DEPT OF COMAIUNITY DEVELOPMENT $ERVICES <br />CITY HALL 259�8745 <br />eveRETi.wnvazoi �OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWIVFN MN� eDDXISS OP ZIP PNONI <br />f/r���✓ .CA4Sa.J 3y17 6�eq.vc/ E��vrerji 15�)r�/ �5�' -(�3yL <br />ARCNIilCTOROISIGNIR MAll�00RIS5 ❑11 ZIP VNONE <br />qti[RAlCOY1R1['IOR M1IAIIAODRE55 Clh ZIP PNOME LR:'::�� <br />>anrc �qKrs S.'�1:,�� s� . sr <br />�.-.�:r co. ' c�s,73 /7i .,✓c�c's�� S.c•o„�c..us� 9F�iv Sa8-rL•/L rr,cE•-ls�]vdPy <br />f11fIQtilUI(Dh1VAC10R M�IL �DOR[SS C115 11V PoCv! lIC[NSi I <br />�9Vti�Pi�vf.fONlq�[tOq MniteO0NfS5 j��l�� , � ZIP PNOt�[ IICFNSE� <br />!9%N�(Crc nlw..,b.✓r� %j�/G-Yd'�D.CS�E ��-� �� %Fi'.�9D .3i1-1/l�l .7v�LL2.;7e'/('S. <br />(USS OI \YCPK <br />❑NE\V ❑ADDITION <br />l4lkVtOhOt\\OFR n <br />, <br />yvon ` <br />U!S(RINI NLX[ <br />('N//� ,�? E h', <br />ruovos�uusi or nunomr, <br />❑AITERATl01�' KyREPAIR ❑DCMOLIiION ❑FENCF ❑SIGN ❑GARAGE ❑6UILDING RELOCATION <br />„^� ����+ - <br />�r..��ai.,� <br />� ,� e n,•.,Z � <br />uc�i oiscuirnov or vaoviarr ivwNv nuu� oe nn�u� roue covnsi <br />ior /3_=�y PIOCA 7 JC a� r'�LN % u 7 G�✓t�4•Pl1 <br />.�/ �i.,/un�E ay Pnn� Su <br />SNor/c+.+a:Sl i�..u.ati•.. (jP<c.o/r <br />ioxnunuus G. <br />�i�l.)7' CrCAOJ�I `JPCN1"f . uJA.`ISJCI <br />PIUMBING <br />NO. TYPE OF F <br />/ N'ATINCLOSLTITOLIIiI <br />Z U\'AiOR\ P�'ASH BASIM1� <br />/ SNONTN <br />/ KITOIEN S�M1R 8 DISP <br />/ UISwASNtR <br />IAUNDHY iNAI <br />C1O711f5 N'nSMFN <br />/ N'A7FHHUTfR <br />U0.1NFIUG FOU4TAIN <br />fLOOIt DRAIti <br />VACUU�1 11RUAf RS <br />ROOF DRAINS-R�INIUU[ <br />SIM1k ISf RYI[ t- IIAR. f TC 1 <br />USE ZOvf <br />rvrt oi coNn <br />512[ O( 111UG <br />lIRF ZO"+[ <br />FEE <br />SU! iOTAL _ <br />�lRMIT f _ <br />TOTAI FEf f <br />S7H[fi$[iMO: RURYAR�SFTB <br />lOt AqkA VAUNT SIIE <br />C:YfS CNO <br />OCCUPANCY GROUP ti0 Of OWk1UNi <br />NO OF $TO0.1E$ MA% OCC IUGD <br />I1�SEMfNT 1111)NUUVti fBF SPNIti1:lIR5 <br />��PROVALS <br />7 ENVIRONMFNTAI CM[CK L157 <br />7 OUILDING PIANS <br />] IIRC HVDN,A4i �� <br />� fIXfPNO7FC710N5V5ifM <br />5 GRAUIh(71%UVA710NbCLURINCGRUNflING <br />6 DRAINAGE <br />7 [NV�RONMFNUI IMPAQ STAIEMENT <br />E HFAIdH DISIRICT <br />APPLICATION ACC PY PUNS CHFCKlD BY <br />9 1 -9 <br />I HERE[fY CER7IFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE A4D CORRECT ALL <br />"ROVISIONS GF LAWS AND ORD.NANCES GOVERNING THIS TYPE <br />GF WORK WILL BE COMPLIED N'ITH WHETHER SPECIFIED HEREIN <br />OR NOT THE GRANTING OF A PERMII' UOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PkOVI510N5 OF <br />ANY OTHER STATE OR LOCAL LA1Y REGULATING CONSTRUCTION <br />OR THf PERfORhtANCE OF CONSTRUCTION. <br />SICMTUX! Of CON7HA(iORORAUTHORIZ[DAG[NT DATE <br />/^� �I <br />�E L.)=-� G �'l<,�— �- z y- s � <br />M[CHANIGI <br />NO. TYPE OF EQUIPMENT FEE <br />MRCOND UNITS-HV EA <br />RL{PIGERA7IONUNItS-HP EA <br />HOIlERS-NP EA <br />CAS IIRfD nC UhIIS-IONNAGE EA <br />fORCf 0 AIR SYS7FAIS-H T U M <br />N'ALI MU1FH5-li 7 U M <br />U411 MUIIFS-O 1 U M <br />t\'nPONAtI\'f COOLCRS <br />CIOTM:$ DFt(RS <br />V1471lAilON fAY <br />NANGF NOOU <br />�IR M4NUU�G U.�IT- C F N <br />570�'l <br />�� .:..-.-� <br />rinNUn �.n�_,atN <br />IE[5 <br />nunuwc <br />rw.+�oinc <br />1[QUIHfD MfCM�Nil1l <br />"YIS CNO <br />�T OAT' `1TIIlP <br />_ '� �NeUY <br />AVPH fON ISSW�NCF H1 <br />A C11Ih1NFY <br />SU! T0T41 s <br />�EIIMIT • <br />C:..l.« } <br />PI �N CM[CK FFf <br />��ff RKFIPTNO <br />1 V�LUAf10N i <br />s <br />l�fiC <br />�E� lOAa� <br />TOTAI -- I I I <br />l ! <br />►FLLMI1 VAIID�TIOH <br />1YMfN PROPEPL\ VAI.IO�iln n:' HIS SPACF) TMIS IS �OUR P[RMIT <br />