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. , <br /> S <br /> AP,��LICATI�3N FOR r everetl <br /> everett ``�NPE RM ITTIO N e <br /> D[Pi. OF COMb1UNITY DEVELOPMEM� SERVICCS <br /> CITY HALL 259�fl745 <br /> eveaetr,wniazot �COMBINATIOM � BUILDING ❑MECHANICAL ❑PLUMBING PERMITNO. <br /> rnv�v�q nuunonKiss arv rir rrwnt <br /> Frinco of =eace Lutiieran ChurcY�, 9j20 l:�ado�:r ?ia,y, �verett, °i7_O�t 3�7-Soo3 1 Vy' �4$��' <br /> ♦NQIqfCipRO[SIGNIR MMLnOpR(55 UTY T.IP PH0.9f <br /> i:on I:ahlu�, =7_1-£3rd Pl. 1;.=:. , `r:isville, �C?7� �:r-5457 <br /> Glnl0..lLtOrvIF\CIOR MMLnUORISS Cli1' ZIP PMONI LICENS[1 <br /> L/t�. <br /> M(OIANIC4LCOViNAC10R �UIIADDRf55 CIl\ Llf PIION[ lIC[NSCY <br /> ��/:l <br /> 1'IU\IpINC CONTpAQON M!11L�DOXE55 UiY lIP PIIONL IICINSC 1 <br /> `i/il <br /> (U'. OI N[�RK p� <br /> ❑NEW ❑ADDITION qiALTER�TION ❑REPAIR ❑DEMOL�TION ❑FENCE ❑SIGN ❑GARAG[ ❑OUILDING RELOCATION <br /> \'nlUAilOY Of N'ORK <br /> +1�Cw� / 5 8� ` <br /> rnscRixi woRK <br /> ::nclocing an �;:i�tin� cove.^ed r:e.lkr..�.,-�. <br /> reorosto ust or n�uowc 1 HERE6Y CERTIFY THAT I HAV[ READ AND EXAMINEO THIS AP- <br /> �hitrch PUCATION AND KNOW THE SAME TO 6E TRUE AND CORRECT ALL <br /> imn�_o�scxirrioNorreuriaTr�sr�owNn�w�.voan�T�u�rovacornsi PROVISIONSOfL�WSANDORDINANCESGOVERNINGTHISTYPE <br /> OI�WORK WILL 6E COh1PLIED WITH WHETHER SPECIFIED HEREIN <br /> ior_oioca_or OR NOT. THE GRANTING OP A PERMf� DOES NUT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR C�NCEL THE PROVISIONS OF <br /> �NY OTHfR STATE Oli LOC�L LAW REGULATING l'ONSTRUCTION ' <br /> OR THE PERFORM,ANCE Of CONSTRUCTION. <br /> 9CNAlUft!Of CONiRAC70R OR AUTHORI7.LD AGLNT OAT[ <br /> / <br /> �OB eDDNES'. � <br /> 93ZD MeAOiw tJRr E�e�eear Ld� 9�20y X ,�� -!�-�c�J <br /> PIUMlING MECMAN�CAL 7 3SS•OL�y �+ "'1�(J�E��4S$�LW� <br /> NO. TYPE OF FI%TURE FEE NO. 7YPE OF EQUIPME`1T FEE <br /> WA7FR CIOSfT f1011Fl� AIN CO��D.UNI75—H P.LA <br /> BA7HTUA HLfFICIHA710N UNIT$—HP. LA <br /> UVATONY(WASH flA51N) 1701Lf RS—H P CA <br /> SHOWLR GAS I IHI I)�C UNITS—TO4NAGL U <br /> KITCHEN SINK 6 DISP. IONCID i1H SY51(MS—Ii i l.� M f A <br /> DISWASNFR N'ALI.!ILA7IRS—fii.0 M <br /> UUN'JRV TRAV UNII I1LA71 NS—Il T L. M <br /> CLOTHES WASNER I VAPOHATI�'t COOLLRS <br /> WATEk NfATEN ClOfI11S DRYLNS <br /> URINAL VLN711 Al lOti fAN <br /> ORINKING FOUNUIN RANGL HOOU <br /> FLOOR DRAIN AIN HANDLING UNIT— C f M <br /> VANUM flREAK1.R5 S�n���� <br /> ROOF DRAINS—RAINLtADfftS MLUL IIftfPUCI R OIIMNCY <br /> SIYK�SfRVICC—RAN.[7CJ <br /> SUL70TAl SUB 70TAL 3 <br /> PFRMIT S P[RMIT S <br /> TOTAL FEE S TOTAL FEE 3 <br /> SIOfYARDSfTAACK 57RLt7SL717ACK NLARYARDSLif1ACK PUNCIIICKYUMBIH PUNCIILCKICC <br /> 7 Z � c� I l l�. Z � RIGCIPT NO <br /> ✓ J <br /> CS[ ZONC LOT AfIU �'AGNT 5171 <br /> fiYlS []NO ff[5 VAWATION FEE <br /> TYPF Gf CONST. OCCUPANCY GROUP NO Of DWtIUNG UNITS <br /> �- fJ A 2.1 uuiiuir+c 3 1—H-�-a-� Qt7 <br /> SII.0 OF fiLDG. NO.Of STOHICS MA%.OCC LOAD � S <br /> ( �_ PLUh1111NG � <br /> HRf7.ONC 17�Sf.MfN1 It1UXt)Unn lINI1PRINKIIRS <br /> � RIQUINI 7 _ MLCIIAMCAL <br /> f;1'I 5 .'O <br /> APPROV�LS BV O�TC O7HkR <br /> 1 LNVIRONh11.h1ALCMfCKLISi UOC. <br /> r�nnitv sic. io�ial <br /> i ou�iniNcrinNs — <br /> 3 fIRC HYDRANT TOTAI <br /> � 1 IIftL PROTlCTInN SVSTfM P[NMIT VAIIDATION <br /> \YHIN I'ROPLRLV VALIOMLD�1N TNIS SPACC)7HI5 IS YOUR PFRMIT <br /> 5 GNAf)WOIKUVAIIONFCIIANINOLHU1181Nf, <br /> 6 RHAINAGI <br /> 7 LN\'IkONMINTALIMPACT57MfM(NT <br /> 9 HInITM DISTRIC7 <br /> � �„ � i . . � . ,. . � .�il'. .� . IiAH � . <br />