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APP��ICATION FOR - <br />verett C` � P RMITTION <br />, EPT. OF COMMUNITV DEVELOPMENT SERVICES <br />�ITY HALL 259�8745 <br />EVEP.ETT, Wq 98201 ��OMBINATION ❑ BUILDING <br />/�.�.In��, �`/� � <br />aNIL AUUR65 <br />❑MECHANICAL ❑P�UMBING <br />�„� ���� <br />S�i�ut,iliisf� 9g �S'> <br />PERMIT NO. <br />rnoNi <br />�4-8 -7�I C- <br />zir ru0u <br />everett <br />e <br />G(N(RAL COti1NAC10R MAII ApOR65 ❑iV )IP PHON[ UCI�S[ 1 <br />Y <br />J �L r <br />AIL:HAuIUI CONLNACION AIAII A0URL55 U1Y ilP p110nL lIC[N;I ! <br />PlUA1pINC COti1RACiOH AIAII A�ONl55 CIIY ZIP PMON[ UC[NSf ♦ <br />CUSS Of \1'ORK <br />L�NEW ❑ADDITIG:� ❑ARERAT�ON �REPAIR ❑DEMOLITION ❑FENCE ❑SICN ❑GARAGE ❑OUILDING RELOCATION <br />�\'�IWTIOu O( N'ONK <br />s �co <br />.J�C <br />�AJISCRI01 \YONA <br />/� <br />(_ELtL Nc`USL �i.UrL�'CE rJr/�G'Jr17/C2J �S ,U�'�)L-`D ,<<�JEZJ ccL�iE f�cciz/y,�,vf. <br />rRorosi o use oi nunni�c <br />iccu ncscpirnon or raoriar�uowr+ nuow oa nitnu� wve <br />/7—yy-1 A _ <br />�lOi _T_ OLOCA _ Of <br />/Sr�+ �T P/-'oD To iur c= �N <br />1,�cJ TP(� TH S 37.5 FT <br />i,�,/ q��2y TN To S G /STN S <br />IONAD�NI55 � <br />� /.S O S' �il /�/C-',l� Ac�. <br />PLUMBING <br />NO. TYPE OF FI%TURE <br />N'ATER CLOSET (TOLIET� <br />HATHTl117 <br />UVATORY (WASH fIA51N� <br />K11CH[N SInK A DISP. <br />LAU�'�RVTRAY <br />CLOTHES N'ASHCR <br />URINAL <br />DRINKING FOl1NTAIN <br />VACUU�1fIR1:AKFHS <br />ROOF DHAINS—RAINLkAUERS <br />SINI:ISfRVICf—flAR LTCI <br />SUBTOTAL <br />TOTALFEE <br />OnCK SIN[LT SE7f7nCK <br />USE LON! <br />i1 PI: OF CON57 <br />SIZf Of I1LDG <br />rier zou[ <br />lOT AREA <br />OCNI'ANC1' GROUP <br />NO OF STORICS <br />APPNOVALS <br />1 1 N\'IHONAtLN7Al CIILCK LISi <br />: IIUII UINC PLAN$ <br />1 IIHI H1�UHAN7 <br />J fIRF PBOIfC110N51'STt��t <br />5 GNAUIRG 1 ACAA'A71UA A CLI ARING GRUHHINC <br />G DHAINACf <br />7 !N\'IHONAILN7Al IMPAC151A1ln1LNi <br />P IIIAI lll UI57HI( i <br />c i�si <br />prN� <br />71-f .C- <br />T PYo <br />I FiERE6Y CERTIFI TH�T i HAVE READ AND EXAMINFD THIS AP- <br />PLICATION �ND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />�� OF WORK �YILL 6E COMPLIED WITH WHETHER SPECIFIED HEREIN <br />o OR NOT. THE GR�NTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHgR1T1' TO VIOLATE OR CANCEL THE PROVISIONS OF <br />e W ANY OTF�Eif STATf. OR LOCAL LAW REGULATING CONSTRUCTION <br />7N � OR THY PERFORI.�NCE OF CONSTRUCTION. <br />SIGNA'�URP Of C(�Cunc�fOR OR�Ujh10N12[D AG[NT OATE <br />/(t.win��ion'r �"� <br />FEE <br />�S <br />RFAR YABU SITIIACI: <br />\'ACANT $ITf <br />i711S i;NO <br />NO OF DlY(LLING UKIi$ <br />IIHL SPRINKLIRti <br />ei Quiei o <br />I'�]95 :'.�O <br />BY DAT[ <br />nl'I`II<,AIIIt,uAtC IIY FIAv1U{ICNfUIIY I�I'VH IUV' IAtil�4htl 111 <br />MECHANICAL ( <br />NO. TYPE OF .QUIPMENT <br />AIR C0Y2 UNIT$—H P 1� <br />NHHIGf.RAIIONUNITS—N� EA <br />1{OIlLNS—HP (A <br />6AS IIRLD AC. UN:TS—TONKAGC [A <br />fONCLDAIH51'A[A4—IIi.0 M <br />\1'ALL HLV LNS-11S U A1 <br />U�IT Hf AlI:RS—H i U .V <br />F\'nPOHnTIVI� COOIlHS <br />VI.NIILATION fAN <br />RANGCIIOOD <br />NH HAhDLING UNIT�- C F�V. <br />SiOVI <br />A1CiAL FlHEPUCE 6 CNiJ1NEY <br />PI.AN CHECK NU.�111ER <br />FL[5 <br />L�''� i <br />FEE <br />SUBTOTAL S <br />PLRAIIT f <br />TOTAIfEE S <br />PLAN CMCCK FLC <br />HE NCCEIPT NO. <br />VAIUAiION FEE <br />IIUILDING 1 �O v <br />PLUMII W G <br />V I ( HA41CAl. <br />0111 E R <br />PI \N.T\. U It C. <br />51 C 3Nf.0 <br />TOTAI <br />PIRMIT VAIIDATlOY <br />VA H! A I'NUPt HI1 A�nl 10471 P Ilu i 11IS �I'ACI I 711Iti 15 1UUH PE N�NIi <br />�. <br />