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1 <br />� <br />APPLICATIQN FOR <br />everett rONP RMIT I�N ^ <br />oerr. oF conmwNirr oeve�or,�+eNr seavices <br />UTY HALL 259-0745 ,p.�, <br />EVEREiT,�vn7a:ot ��OMBINATION IZ49UILDING ❑MECHANICAL �LUMBING PERMIT NO. <br />everetl <br />e <br />p\\'NI4 M4lAOUN1\f CII\ /n �nvn� <br />A0.L�C�OR�II:\I� �Z��.\I�Il�00R���� O��% ��IIY�C/F�c�ZI('���C,� PIIO�� 3-t��Y/ <br />GIFIReI (ONBACIOR AIAII A�p4IS5 ❑1\ lIP PllOul IICIN51 � <br />Fv���'rr �i�D,Qs z�cJc SZ..cv Fv,eQ6��F.c. �vl�Y ,E��uv. y��vs 3s3-7�6 �/ <br />nan�nn�ireicontanaox nuneunw�ss at� t�r r�wn[ �'S�� <br />�.�3-oJ -,Eu-E,P-Ea -.3n� P�-! <br />rmmmncco+;tanaox muinuuaiss cnv zir r�w�t uc[vsF� <br />❑NF.W �ADDITION ❑ALTERATION ❑R[PAIR ❑DEMOUTION CFENC[ ❑$ICN ❑GARAGE ❑OUILDING �[LOGTION <br />rnwnn Qor woar: <br />� / �� � � <br />❑ISCNIIII�ONK,� � . <br />y• 5' Xa0 /�/��/T/O,c� To Kr�r�NE.c� ,� �i�v/N6 ,Poo.cf- �(irrlff�J %EsN>oOfL <br />raoms�,ous� oi nunniur. �� I HERBIIY CERTIFY THAT � HAVE READ AND EXAMINED THIS AP- <br />ucu otscxiruorv oi raor�xn isi�ox'rv ni�ow oa nnno� roua coritsi <br />im_xioc�...[�o� L/�-�f�QFL l�/(eM <br />SO. �� G� Lo� /G RI7 <br />Inn npt>e� 5s <br />.�7 �,2� Ci�/«� /�U� <br />PWMBING <br />NO. TYPE Of FIXTURE <br />1vA1FN CLOSIT IIOIILII <br />❑Al1��V0 <br />LA\'AIORY (N'ASII OASINI <br />SHOW! H <br />/ KI7U1I�� SINK R DISP. <br />DIS\VASHFH <br />I 1Ji.UHY THM' <br />CLOIHLS \1'A5111 R <br />N'AIFft IIIA7fH <br />UNIN�I <br />DNINKIYG IOU�'1A14 <br />fLOOR DHAIN <br />\'TCUUN NNI�KINS <br />ROOI 1]NAINS—XAINU AULRS <br />9NK �S[RVICI —IIAR. f iC 1 <br />LSL ZONL <br />1VPL Of CONST <br />avvir�6N "]� N <br />pco'YU Bb.L�s.f <br />{IRI ZUNI <br />IMIT f <br />TAL fEf S <br />ISL7UAIX HIAH <br />PLICATION AND KNOW THE SAME TO BE TftUE AND CORRECT ALL <br />PROV�SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL llC COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. TNE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIV[ AUTHORITY TO VIOLATE OR CANCEL THf PROVISIONS OF <br />ANY OTHGR STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURI: Of p})N7RACTOR OR AUTIIONIZEO AG[NT DAIE <br />X 4 o Ct�ru� Co �/ r-u <br />MECMANIUL <br />F[E NO. TYPE OF EQUIPMENT FFE <br />�IN CO\D UNI15—HP. PA <br />HII HIGLXh71pN UNI7S-11 P. U <br />HOII.LRS-111' Ln <br />WSIIHIDAC UNRS—IOYNAGLCA <br />V(� ION(�DNRSi5T1.A15—�Il/ MU <br />(� 1YALLHLAIIHS—H7U M <br />U�I1111411N5—OTU M <br />I\'APONAlIC1 COOLIRS <br />C101111 S UHYI NS <br />\9.N11UI IJ� I �N <br />NANGI I IOOD <br />AIR HANOLING UM7— C.F M <br />S70Pf <br />MI IAI. I IR[I'! ACI h CHLN4LV <br />/YJ SUB TOT�L s <br />LOT AHIA VAUN7 SIII <br />C;YfS f:+�O <br />OCNP�Np GHOUP '"O OI U\1'IILING UM1I15 <br />R3 — <br />No OI� SroH115 .tUx.O[C Ion1) <br />r — <br />pASLMINI 1111)ROOAIti IINI SPHINKIIHS <br />NI QUIHI U _ <br />�PPPOVALS <br />1. f NVBONhtI N1AL ( III CK LI51 <br />2 IIURDING Pl�"15 <br />] f IH[ IIYURANi <br />< IIRi PROiIC110NSY5�iM <br />5 f.NAI)In�t�.��vr.�:q;'i��nhlllnNlhL'GRUIIIIING <br />6 nHAINAQ <br />I. (l:\'IROhMIN1AI IMP�ii S�A7IMINT <br />8 ilUli:lOI51PIC7 <br />APPLIU710NA(C BY PIANSCHICKIDIiI' <br />'t�t-li))1 <br />� <br />BY � OAT[ <br />AI'I'N IOR 65UAN(l IIY <br />L � G� <br />'UNfHLCN UMflIR <br />gr%9y�-� ��� <br />iF[5 <br />o�uoinc t c <br />PWMIIING <br />MICHAKIUI <br />OiHIN <br />YIY.\\\1 <br />PLAN CNLCK FkE <br />RLC(IPT N <br />� I rLI <br />U11C <br />SIC J011al <br />TOTAL I I <br />P[RMIT VAUD�TION <br />WIII N i'XOI'1 NI.V �ULIOAT(p (IN 7M15 51'ACq THIS IS YOUR PLHMR <br />