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e <br />P PPLICATION FO,R <br />�TM°'°"°� �ONSTRUCTION <br />everett PE RN11T <br />DfPT OF CnMAtUNIT1'DIVCLOPMENTSERVICES <br />�IIY H�LL 259�0745 �. <br />Evt.aett,wqva2o��i'�•OMBINATION ❑ BUILD�NG ❑MECHANICAL ❑PLUMBIMG PERMIT NO. <br />o��Niu ��,/ .�nn.nnuititi cu� ,,� nf f.�,, �r.�,rou� � <br />�,/�j 1"''��'%� `l %�D c.. �.e�� �G� /yiY ���w/ ��%`1�� <br />naounci o� 6�Ci�/l���i nuou�s� �� w„�/�' f!�� /�!/ �ia.��. �� �%� / � ..' / / � � <br />/ � <br />GfNfNnLCOniR t1uF ni �OPNI�t Ui� 11P MU' LICFnS[� <br />�ler�G�/ G�• �r` 4IDf �'� G��. '�i '�¢/ <br />,neeuni�ni�o.ix.e�ox mnu.uuu�t� �m tu� rnoN[ ua�+st. <br />---' � �l� �C-' c� �'3.� �v <br />rir.un�c�n.�e�noa ��" V� .�.��7 / ���✓1�� zir vuo�[ uc[nsti <br />!�' <br />ev� <br />� <br />Uf u AAORK • <br />JNF��' ❑nDDITION ❑ALTFRATION ❑RER41N ❑Dfh1011ilON ❑FCNCE ❑SICN ❑GARAGE ❑I3UIlUING RELOG�TION <br />rniwnn� <br />i <br />i <br />u�.�-xint� <br />rxnruuu�:ti oi <br />ucvui ixi�noauiveor�xn�sr�o��axuo���/n�uei�r��u�rouxiarn� <br />io� �� mn� r. / or � /.�f'f�L� � <br />�� 3G %l� '1� _ <*�✓�lG <br />� _ ?��—f — 7 �._`1 <br />iun v�oui,e <br />, ,c j� •e <br />PIUMBIKG <br />NO. TYPE OF FIXTURE <br />�, \VAIfHUOSf'�.1011fll <br />IlAllllUli <br />�y lnA'n1pH1 IWA51111�i1Y) <br />� SHONIN <br />j AIIIlIf�11tiA8U151' <br />/ UISIA'n5111H <br />J l \I:M1DRi 7NA1 <br />� ( I�)iHlS N��SMlH <br />Kn11H MI�itN <br />VNInnL <br />DNIrvAIN(; (p�1N1AIN <br />� fI00HDNAlti <br />\V(UI�.N I1HiAA1RS <br />NpOF f)NAIrvS—R�INIf ADLRS <br />$INA ItiI N\9( f-11AR. ! iC I <br />SUB 10TA1 <br />F[[ <br />�vpn VILL�� K <br />US! ZO.'L 107 ANU � <br />��� ����v <br />TVP( OI COhtil OCWPANCI' GROUP <br />1' N r� � <br />5R[ Of HIDG NO Of STORIfS <br />��.` .- . . ti- '�d��-� <br />fIR( ZtIM PASfAtCNi IqUHOUA6 <br />- Y:'� � <br />APf110VA15 <br />1 lNVIftONntlNULCMICAl157 <br />7 nu�lU�n(: rl �nc <br />7 f1H( NIDNArv1 <br />� fIRF PHOILQION SYSTEM <br />5 GN�UI\GIA(AVA710N8ClIAHINC'GHUIININC <br />6 ONAINAG[ <br />7 tNVIRONMfN1AL IMPAC7 $�A7LMlNT <br />E MUITII D1510.1C7 <br />APPVCAiIONACC Ol PUNSCNECNl011Y <br />i� . l�/ ' I��: � �� <br />9.1 79 <br />FEC <br />3 <br />\1t vi SRI <br />.:LS -�.h(� <br />NU Uf D��f I I INI; l <br />i <br />n�na na uuu <br />FIR! ?�'NINKLINS <br />BV � DAT[ <br />APP0. iOR 6SW'.'CI flY <br />�.v' <br />I HtKFU1' CF.ftTIPY THAi I HnVE READ ANU EXAMINED THIS AP- <br />PLICA'. IUN .4ND kN0�4' T H( SAMk TO UE TRU[ AND CORRECT AI-L <br />PROVISIONS OF LAK'S A�D ORDINANCES GOVERNING THIS TYPE <br />OF \VORK WILI. BE COMPLIED \YITH WH[THER SPECIHED HEREIId <br />OR NOT THf �RANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE nUTHORITY TO VIOLAii OR CANCEL THE PROVISIONS OF <br />nhY OTHEK 511TE OR LOC�L I/� W REGULATING CONSTRU TIOJJ <br />OR THL PI�.RFOFbiANCE O.` C(GNSTRUCTION. <br />vGn�iUHf �111-0`i1H�CiOH OII nY�R10R17�)'1GdM1T � D11E / // �� <br />NU. TYPF OF EQUIPMEN7 <br />�I4COtiD UMiS-HI' IA <br />NIINh,INn11pNCh�1C-11P EA _ <br />11UIIfRS-I�P In <br />GASIIA�UAC UrvI7S-IU•.NAGtCA <br />IORCIOAIR$1Af�1S-lilV MEA <br />\\'All11lA1fR5-IIiU bf <br />lin�rl�tnrles-:llU n� <br />lAAPO:iAilA1 fUI�I:HS <br />� l1011lf}IlN1tR� <br />/ �'t.timnno^:inv <br />� H1NCfHOUD <br />nie runDur.G �:.r: - c r n� <br />tilOtf <br />�If I \I (INI PIAI( h OIIM1I4FY <br />SUBTOIAt <br />P[RMIT <br />TOTAI 1[[ <br />i'In� � iill� �:U411E8 <br />! FEf <br />h a � �%3� � <br />F[[5 <br />V�IUATION <br />FEE <br />S <br />S / `,� �%i� <br />CMCCK HE <br />RIC[IPT n0 <br />�G ss �_ <br />uuiioinr, �q Cr- CXJ =3E <br />Pi l' V II I'. C. <br />111 CIIANIl4l � <br />OIHfN <br />rrvntr�' unc <br />5(C 10J1,�1 _ <br />TOTAL (1� % <br />PCNMIT YALIDAiION <br />WHLN PROVf RLV VALI[)AiFODN THI$ SPACl� iHI51i tOUR PkRMIT <br />V <br />