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r.- <br />0 <br />4PPLICATION FOR ���,�„ <br />M�Ewrymn CONSTRUCTIOf� e <br />CITV OF <br />e��erett PERMIT <br />DEPT OF COMMIINITY DE\'ELOPMENT SERVICES <br />CITY HALL 259-8745 <br />eveaeTi.wnvazoi rjrnuniNennN I-1 sU1LDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />PIU��NIFf. CUNINACION iu�lt �UDRRS UIV Lf PNONE IICENS[ I <br />1,�U4�50f NOPK <br />L�NEW ❑ADDITION ❑ALTERATION ❑RFPAIR ❑DFMOLITION ❑FENCE ❑SICN ❑GARAGE ❑BUILDINCRELOGTION <br />V'�W�Al)I0Y�yO.�1NONN Cu <br />f / !` )�. <br />CNOPOSf 0 U51 01 NUIIDIHG <br />tLGAI Of SCXIP110Y Of PXOPI RlY �SIION�N Pf l0\\' OR �itAOl lOUR COCIL 51 <br />lOi � PIOG � Of <br />i <br />I <br />1011n1)Dx SSO � � ������� <br />PIUMBING <br />� NO. iYPE Of FI%TURE <br />1M1'Alf H ClOSfT OOLIE71 <br />PA7M7UU <br />lM'ATORY IK'ASH BASIN� <br />SIION'1 N <br />KIIUItN SINK 8 OISP <br />U�SN'ASHf R <br />IAUNORY TRAY <br />ClO7HE5 W�SMfN <br />1YA7lH HEAI[R <br />UNINAI <br />DRINAING fOUNiAIN <br />fIOOR DNAIN <br />\'ACUUn1 HRCARIRS <br />RG�` ORAINS—HAWLFAOfRS <br />SINl:6FRVICF—OAN. LIC 1 <br />0 <br />SU! TOTAL <br />►EIIMIT S <br />TOTAIF[E s <br />SIDI YARD 5[Tf1AIX STR[[T 5[TflACK R[AM IARU 5 <br />USE ZOti[ lOT AREA \'AUNT SIT! <br />OYR ❑HO <br />FEE <br />CONST OCfUPANCY GNOUP I NO OF DWEILING UNIT$ <br />AIA% <br />FIRf 20uC NASFMLNT I4luKUUnu REQUIN[D�, � <br />f1YE5 f7n0 <br />A►f�OVAlS /Y OA7F <br />1 fNVINON/.ILN7AlO/LIX l6T __ <br />a eunoinc ru�+s <br />7 fIX[ HIDBANT <br />� fINE PNOTICTION SYSTFM <br />5 GRADIh(:'f %UVA710N 6 QURINGICRUHHING <br />6 DPAINAGC <br />] FNVIRONAIENTAI IMPACT STATEMENT <br />6 HUIiH DISTRICI <br />APPLIUTION ACC 9Y PLANS CHfCKLD BY APPR fOR ISSUANCF 8Y <br />9.7-79 <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL UE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE �UTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. �,��� <br />$ICNAIUHE Of CONTHAC70R OR AUTNOftIZED AGENT DATE <br />X <br />MECHANIUI <br />NO. TYPE OF EQUIPMEN FEE <br />AIN COND UHITS—H P FA <br />R[IRIG[RAiION UNITS—N P FA <br />OOILfRS—MP k� <br />G�5 fIRFD AC UNIT$—TONNAGE EA <br />fORClO AIR 51'S7Eb15—H T U M EA <br />\\'AILNFMfHS—IITU h1 <br />UNI1MfATlRS—OTU hl <br />N'APORATIVE COOLENS <br />ClUlllf S DRYCNS <br />Y[NIILATION fAN <br />RANGENOOD <br />AIR/UNDLINCUNIT— CFM <br />SiOVE <br />Mf7AL FlH[PLACL 8 CHIMNFY <br />SU! iOTAL s <br />►FRMIT S <br />TOTAIfFf f <br />PUN CIILC� NUntOLH PIAN CHEIX FEF <br />FkE RECEIPTNO. <br />FFFS VAIUATION _ FI <br />BUIIDING s <br />PW�f01NL <br />MfCHAN1UL <br />O1HEN <br />PfNAUY UIIC <br />SEC loNal <br />TOTA� <br />�f11MIT VAIIDATION <br />WMEN PROPERLY VAl1DA7ED I�N if115 SP�CFI TMIS IS YOUR PERMIT <br />� <br />