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APP CATION�FC)R� <br />c�sr�uc�- �� <br />e�verett PERM�T <br />�,�,., �,��,�„�„������„��,�,;«a,�.,,��rs�k,,��s <br />ci„ ii.,ii _;��.n-,; <br />rctkeii,�v,��u+zut �COMBLNATION ❑BUILDING ❑MECHANICAL LJPLUMBING PERMITNO. <br />„�� : � �� � �� �„�������ku� u„ �,�� ������.� <br />T � � c <br />��( L-�;c,^�t,� .�c. 7 cr�� -v �� I! e� -).':��_%, 7� C:�i<_�.`� � — <br />exnu r�aui rsiu /� �unnnuxtss �. air � rnmi <br />��!�1�! i"� /Y"C � /��I (Z'��� /�� i `/�� j -� �, J <br />�--� � �r �y��• �. . % �! � u r-�!./�= '�J Al7/. .��i'�- . �/c! %'C� ?-i� <br />dn�uA� � o.iun� �� n�ul nnuat55 ' c�n� � nr i ruoVl � I.� �.�� � <br />-� •� �._i� ? —_`��''l —L���� ,�' ? E �'// lt/ <br />vtn��.i<e� �u.�lu>[tau .�nLL nDuatsS CitY � tu� rHU.� w i�.i e <br />�Y V V!IIYG lOV ING( lUH <br />��� i;t rn �eour: <br />❑nFw ❑,�ooinov ❑n�r <br />��iu�� rvov�y. <br />� �� � /t.l��L�'9 <br />U15CHII11 \lUH1, <br />I'H��Pll�llll V UI 11U�1111\G <br />n�Nl AUURL55 <br />i i.. �i i�i scuu�no� or ruor«i � ur�9P v m�u�� r�u ni i�p u � oun <br />,,,, �i� ��«�K__o�;l' �r�, i,,�,�� <br />iuu n�rou�,� <br />PLUMBING <br />NO. TYPE OF FI%TUR <br />V1'A1 I H CI O$1 T � I OI I E I I <br />ItATN7Ul1 <br />i AV4 iONI 1\l'ASII It4SINl <br />SHOAYI N <br />KIl(IILN SINA S UISP <br />UISO'�tiHl H <br />IAUNDNI 7HA1' <br />( t O7 MI ti\1'nll lf N <br />wnri u ntni� e <br />URINnI. <br />URLti1:INL IOUNi,\IN <br />IIUOft URAIu <br />VAUII���t 11RInRlNS <br />NOOF UHAItiS—NAlklfnUlHS <br />SIRK 6IH\9Cf —I1�R, I lf � <br />]IUI IARU SI. <br />USI JO��'f <br />ill°I UI CON' <br />�in ��r iunc <br />IIRI /�>'�I <br />SUB 10TA1 <br />PERMIT <br />TOTAIf[! <br />S1NfFi SI I114CK <br />l01 ANlA <br />OQUPANQ CNOUP <br />❑t� nr <br />❑DEA10LIfION ❑FENCE ❑SIGN ❑ <br />I91n�1 1 r l:.'.. . <br />❑RUILDING RELUC;\TION <br />I HPREUY l'ERTIPY THAT I HAVE READ AfdU LXA�\1Wf.D THIS nP- <br />PI IG�TION AND KNOW TH[ SAh1[ TO 13E TRUE AND CORRECI �LL <br />Pi )\h510N5 OF Li1WS nNU ORDINANCIiS GOVFRNING THIS TYPL <br />.OF WORK 11'ILL 13f COA7PLIED 1VITH N'HETHER SPECIRED HEI`I.IN <br />OR tiOT. TH1: GRANTING OF A PERMIT DOES YOT PRI:SUn1F TO <br />GIVF. AUTHORITY TO VIOLATf. OR CANCEL THE' Ph0\'ISIC)NS OF <br />ANY OTHER STATL OR I.00AL L1AV REGUL�TWG CO�SIK�'� 110N <br />OR THE PERFORAI�NCE OP CONSTRUCTION. <br />5ieuntuk[ ar eontenaoN oH ou��oRino ne�ni nnii <br />/ �� C�� �� <br />AKt1ANICAL ,' C �' <br />NO. L� TYPE OF EQUIPMENT <br />nIN CtluU �'NIiS-II I' I,\ <br />RIIRIGIHAiIONUhIiti-HP LA <br />IlOIIIHS-HP lT <br />C�ASlINIDAC UVI75-7f1�titiACFl4 <br />I OHCI U AIH Si57f.Nti—It 7 U �V 4 A <br />\\N1111L\11HS—I17U A7 <br />V��IIi11A71Rti—IIIU .V <br />n�,�rouniici c�wiies <br />(IOtH15 UR11RS <br />V'I NI II 171Un I nN <br />Rn�AGI HUOU <br />TIN IIANUI I\'G UNIT— (' I.V <br />11�)A'I <br />��11lALIIRIPLACI Rf111bINLY <br />i <br />S <br />RI AR 1'�HU SI III�CK PI:AN ll <br />\'A(:ANi Slil. <br />I�l�l$ :..NU <br />�.co. or o�vtt <br />I11ASi�tftil I IIIURftqVll ki�(iAtilHlfl^�`N} <br />APPROVALS BY DAIE <br />1 I NV'IRUNMI N7AL CNICI: LIST <br />1 OUIIOINC PlnNS <br />1 IIHI H1UH.4NI <br />4 I IHI PNOiI( LON SYSill.1 <br />5 [.H�AUInGI%(AA'AlIUNB(IIANItif.LRU11111RC <br />�, UHKA'AGL <br />� t�,\IHOV�VINIAI iNPA�15iA1CAflN1 <br />1� 111 �I II! UI��¢ i 1 <br />1PI'I It � I I� i'� ��� � 1�� <br />PI�tiSOiItKlDlil 1 �I'PRIUHItiSVn]r!'.. <br />rcc <br />SUO TOTAL s <br />PENMIT S <br />TOTAI f[F S -- <br />Pl4N CIIfCA IIt <br />tiI � HL(lII'i n(t <br />VAWATION f[E <br />PUILDIhG 3 <br />rw.+�oitic <br />A7lCHANIUI. <br />OTI{fR <br />P6NAL71. U 11 C <br />5[C 301�a1 <br />TOUL <br />PI P.�IIT VALIDATION <br />vJ�l] I'V(�I'll:ll A'VIII�A71U!I`: 1111� �P�t:l I111� I� 1i�1 li PII('.11l <br />