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� <br />PPPLICATION FOR ��e <br />��n�F°`°°" �;ONSTRUCTION <br />everett PERMIT <br />DfPT OF COnb�1UNlT1' DEVELOPMENT SER\'ICE$ <br />CIi1' HALL ?59�87J5 <br />EvtaeTr,wnesmi �COM8INATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />arr r��o�t / <br />o�smta .�,n nuoKi+s. ._ _ ...,_ r- i.�.s•.�r r%i/1 in/ i( t� �0-4-/i� <br />OR <br />GININAI <br />ApDN155 <br />n�u� nu <br />o��GL� ,�77�% rNOHt � 2�-�%J <br />Tf 2-Z3 •G/ ' S/� UCl •�' Z�' %vG� <br />f���l AOONf55 Ol1 11P PHOu[ IICENS[ I <br />\11 C111RI1.�l lOV N�CION <br />,��I, !�p PMONt lIC[NSF I <br />1'IV��III��tlUti1P�C100. �41lAODPlSS <br />( l ��f UI 1iONK <br />❑NE\v ❑A�DITION ❑ALTERATION ❑REPAIR L7DE,VOLITION ❑FENCE ❑GARAGE ❑�UILDING RELOCATION <br />cur�nmo� ��o� � �i <br />f '-� <br />Ulll lltll NON�. <br />i.i �n nrn <br />111.11 lll )l NII'l lll\ Ill ��Nllf 1 N11 I <br />l01 � Ol��� � � �UI <br />PLUMBING <br />NO. TYPE OF FI%TURE <br />1A'M f H(1 OSL i IIOI I( 11 <br />11�IMIUI) <br />1 AA'A1UR1 11A'ASN IU$Ivl <br />SHONIN <br />Al1CHl�' SIM1A 6 U151' <br />pISN'ASIII R <br />UVnUM� INn1 <br />CIp11115 N'ASHfN <br />�VnifR IIIAIIR <br />UNIhAI <br />pRl':IJtiG fOUtiUlv <br />I IOUH URAIN <br />l'nCUC�111R1 �K(N1 <br />HO01 UXAItiS-NnlhlkAUlNS <br />SIhF 6fN\9U -"�-�M. � I� I <br />OH e11AO110U0.COYlfb <br />.�_ l � r, i 1 <br />TOUI fEE <br />tiiUl �1ND5[IINCI: S1REfi5filUCA <br />Ulf LUM lOT ARIA <br />7\PI OI (Oh51 OCCUCANCY LNOl1P <br />SRl Of OIUL NO 01 STORItS <br />FIRI ZOW 0\iIMENI 111UNUUnU <br />APPIIOVAlS <br />1 ENVINOM1VLNUI CMICK 11ST <br />: BURDING PUN} <br />) flBl Ilil]NAN7 <br />� IINf PN01IC110NSYS7fM <br />:NADINGI %CAA'Al l0Y b CIUf: WQGRUBBINL <br />4 DRAIN/G[ <br />7 [NVINOM1�IfNUL IMVACT 57ATLMENT <br />E MIAUIIUISIHICi <br />�pp��CATION ACC 9Y PlANS CH[CKLD 6Y <br />��� ���.�^ <br />9.1 79 <br />FEE <br />�s <br />RI AN 1'AqU SI111A( A <br />\'AUN7 5111 <br />�11fS CNO <br />NV O� OWFIUNG U <br />AIA% OCC LOAD <br />f IRI 5�'RINKII Rl <br />Rf QU�RI U <br />f1Y15 I'.NO <br />OY D�7E <br />APPR fON <br />��"/6/f���-rrcw� i <br />I HER[Ul' CERTIFY THAT I HAVE R[AD AND EXAMINED THIS AP- <br />PLIUTION AND KNOW THE SAME TO �E TRUE AND CORRECT ALL <br />PROVISIONS OF LA�YS AND ORDINANCES GOVERNING THIS TYPE <br />OF N'ORK WILL 6E COh1PLIEU WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THF GRANTING OP A PERMIT DOES NOT PRFSUME TO <br />GIVC AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />ON THk PERPORh1ANCE,O CONSTRUCTION. <br />SIGUAIUHf Uf CO'�ieAC EYH O AU7HORIZED �L[nT DATE <br />v ���L%6 -�i�� 2� /�i� <br />NO. 7YPE Ot EQUIPMENT <br />AIH COND UNITS-�� �' � � <br />RffRIGEHAiIONUNIi$-MP [A <br />It011(R$-NP IA <br />GAS I IR[U A C UNI1S-IONNAG[ U <br />IOHClU AIR 51'$i1A15-117 U �'�1 <br />\\'A11111�11N1-IIiU M <br />UtiI111FA71H)-B111 AI <br />1\'nPUH4I1\'[ COOlLRS <br />Cl07Hli DeYtHS <br />VLNiqAllOti IA4 <br />NAN(;( IIOOD <br />AIN HAhDL14G UNI7- C f M <br />SIOYf <br />MIIAIlIRfPUCI ACHIMNf1 <br />FFE <br />SUB TOTAL s <br />PERMIT s <br />TOUI fEE s <br />1'UN UILCK M1UMfILN PIAN CMECI FI E <br />�t� R[CFIPT NO <br />FFES V�IUATION � <br />OUILUINL S <br />Pl V MI711G <br />h1l OUMUI <br />O7HLR <br />UHC <br />rir,nnr stc �m�a� <br />TOTAL <br />PERMIT V�l10ATION <br />WHEN VROPtRLV VAIID�T�U IIN 11115 SPACCI TM1515 YOUN PFNMIi <br />� <br />'1 <br />� <br />