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tMEr�rpr»n /�PPLICATION FOR. <br />����F �ONSTRUCTION <br />everett PERMIT <br />DEPT. OF CO,NMUNITY DEVELOPMENT SERVICES . <br />❑TY HALL i59�B7l5 <br />FVFRFTT w�eemi 11�.,..ew..�nu I-1 nu11tNNG ❑MECHANIUL ❑PLUMBING PERMIT NO. <br />everen <br />e <br />GENFMICOYiIl�CiOR MMlAD011R5 ���Y 21P PNONF LIC[NSL� <br />n11CNAH1Ul CONLpAC100. Melt A0011F55 ���Y LIF YNONf IICENS[ � <br />PlV"PWG[OHfR�CIOII M�Il�00RE55 ���� Z�P PMaNE UCEHSF� <br />CUSS Oi NOAK <br />❑NEW ❑ADDITION ❑ALTERATION �REPAIR ❑DEMOLIiION ❑fENCE ❑SIGN ❑GARAGE ❑BUIIDING RELOCATION <br />f <br />WORI( <br />rxovouo usF or <br />llGM DfSCRIVTION O{ Y�RQOP�LMIY ISNO�W+N PIIOW OR �II�CM 1OIIR <br />l01 �PIOCK ��v O� N///Q//INFI/S <br />IOP nDDRf 55 OD n /J ^�� <br />0 y ( sY � <br />►LUM�ING <br />NO. TY/E OF FIXTU�E <br />W�iFR ClOSET (TOLIET) <br />BATHTUB <br />IAVAlORY1WA5H 9ASIN) <br />SHOWER <br />KITCMFN $INK 8 DISP <br />OISwASHER <br />LAUNORYTR�V <br />[LOiHES W�SNFR <br />URINAL <br />DNINKING FOUNTAIN <br />FIOOR DRAIN <br />VACUUM BkEAKFRS <br />NOOF DNAIN$—RAINIEAD <br />SINK �SFRVICE—B�R. FTC I <br />YAND <br />CONST <br />FIRE <br />iOTAL1EF <br />STRFFT $LTPACK <br />LOT ARF� <br />OCCUPANCYGROUP <br />NO OF STORIFS <br />BASEMEN7 OIONOOMS <br />A►►�OVAIS <br />1 ENVIRONMENTAL CMEGK LIST <br />2 BUIIDING PLANS <br />J LIRF NYDRANT <br />1 FIRf PROTFCTION SYSTEM <br />S GRAO�NC�f%UVATIONbCltA0.1NCIGRUBflINC <br />6 DRAINACF <br />s� <br />� <br />RUR YAR� Si <br />VAf.ANT SITE <br />❑YFS ❑NO <br />NO O� DWFI <br />MAX OR l( <br />FIR[ SP0.1NKt <br />REQUIRE� <br />❑YFS ❑N� <br />�r <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED 7HI5 AP- <br />PLICATION AND KNOW THE SAME TO BE 7RUE AND CORRECT ALL <br />PROVISIONS Of LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONT0.AC70R OR AUiHORIZED AGENT DATE <br />MECHANICAI � " <br />NO. TY►E OFEQUI�MENT <br />AIR COND UNITS—H P EA <br />BEiR�GERATION UNITS—HP. EA <br />BOIIERS—H P EA <br />LAS FIRFD AC UNITS—tONNAGE EA <br />FONCED AIR $YSTEM$—B T U M <br />WALLHF�TfRS—BT.0 M <br />UNIT HFATERS—B T U M <br />F\'�PORATIVE COOL[RS <br />CLOIHES DRYERS <br />VENTILATION FAN <br />0.ANCFHOOD <br />AIR HANOLING UNIi— C F M. <br />SIOVE <br />M[TAL Fl0.EPlACF 6 CHIMNEY <br />SU�iOTAI s <br />►[tMIT s <br />TOiAIIFE � <br />:K PLAN CN[CK NUMB[R PLAN CMFCK FEE <br />FEF RECEIPTNO. <br />IFlS V�WAiION �� <br />UNITS <br />D�TE <br />BUILDINL s <br />PLUMHING <br />MECMANIUL <br />OTHER <br />UBC <br />PENAl1Y SfC NIH+1 <br />10T�1 <br />HIIMIT VALIDATION <br />WHEN PROPE0.LY VAIIDATED IIN TNIS SPAC[I TMIS IS YOU0. PFRMIT <br />