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AP"LICATION FOR' - <br />eVerett CJN ERM TTION <br />everen <br />e <br />DfPT. OF COn1MUN17Y DEVELOPMENT SERVICES <br />CITY HALL 259�P745 <br />FveaeTi.wn�elm ��OMBINATtON ❑ BUILDING ❑MECHANIfAI �PLUMBING PERMIT NO. <br />o�enia D �/ n�nn nuuxiss ai� iu� r��on� <br />�X`�i� /.�ui�q'l=rC %SJy 7u�����cr �r Cla,^�7% 353-�733/ _ <br />AqO111lOOROl51GY1P \IAl1AppRl55 C11Y LI` PIIOVI <br />GIti10.AlCOV10.�CiOX MAIIAI)OXlSS UIP ZIP PIIONI IIQNS[I <br />n�ICMAnIUt CONt0.nCl0R mnit �DDRf55 Ul\ LIP P�IOv[ lIC[NS[ t <br />PIUM111114L(Oti1HAC10R ����LAUI)0.ISS CIIY lIP fllOti IICINSII <br />RUfi/� sa� i/un�/,in4 lv7 •� .c��oa ✓wnv Ell�e�w%/ 9F.2o9 `�c �i <br />❑ A<S OI N'ORA <br />�NE\1' �ADDITION ❑AIiERATION ❑REPAIN ❑D[R10LITION ❑FF.NCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VAWAiION OI N'ORN <br />S <br />DfSCPIPt \vOXA <br />reoros�o us� or xwiuirvc <br />i[ c�i o� stuirriov or rxort arr isr�awn nuo�r as n�ua� roua corn s� <br />l01 �� BIOCA � OI <br />ion <br />PLUMBING <br />TYPE OF FI%TUNE <br />\1'Ai1:P. CLOS[T I1011E71 <br />nnii+TUH <br />UVATORY �N'ASN PASIN) <br />5110\V E R <br />KI7CNLN SINK 8 DISP. <br />DISWASMER <br />UUNURY 7RAY <br />CLO1H6 N'ASH[H <br />WA7fR HEATfR <br />URINAL <br />ORINKINC fOUNTAIN <br />FLOOR �ftAIN <br />VACUUM BHUKFNS <br />ROOF DHAINS—RAIf.IUDERS <br />SILIC VARD SC <br />USE 20NC <br />TYPE <br />F10.E <br />T9T�l <br />FEE <br />�s <br />RfAN VAND Sf 713ACK <br />LOT ANU \'AUNT $ITf <br />❑Y[S ❑NO <br />OCCUPANCV GHOUP NO OI ON'f LI ING UNIIS <br />NO.OPSTORI6 AUX OCC LOAU <br />111 UROOMI I INI <br />HIQ <br />I1Y1 <br />APPROVALS BY <br />L CNVIRONM[NUL CH(CK LIST <br />1. 9UILDING PLANS <br />J flRf HVORANT <br />4. RR[ PRO7LC710N SYSTIM <br />5 G0.ADINGiI XUl'A710N h CLI ARIN(:�f,NUIIHING <br />6 DRAINAGL <br />L LNVIRONMI.NTAI. IMI'ACi $TA7[MLNT <br />8. HULTH OIS7HICT <br />DATE <br />APPLIUTION ACC IIY PLAYS CHLCACU I1V � ��'�'H �UR ISSUANq 11Y <br />'1 1 �79 <br />I liERE6Y CERTIFY THAT 1 HAVE READ AND [XAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO 6E iRUE AND CORRECT ALL <br />PROVISIONS OF LAWS �ND ORDINANCES GOVERNING THIS TYPE <br />OF �YORK WILL fi[ COMPLIED WITH WHETNER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TC VIOLATE OR C�NCEL THE PROVISIONS OF <br />ANY OTHER STA7f OR LOCAL LAW R[GULATING CONSTRUCTION <br />ON TH[ PERFORMANCE OF CONSTRUCTION. <br />SIGhAIUNL Of W�7RACTOR OR AUTNOIt17E)D AGEYT DAIE <br />� _ .. � � �/ _ <br />IECAANICAL `� � <br />NO. TYPE OF EQUIPMENT <br />AIH CONU. UNITS—H P U <br />RLIRIGI.RATION UNI75—M P. LA <br />non.tes—nr �n <br />GAS IIRLD AC U'�IiS—TOYNAGC U <br />lONCIUAIRSI'S11A15—IITU �1U <br />\\'�IlHiA7fN$—IiIU l.l <br />UNI1111A1IR5—IiIU M <br />1\'/.POHAi I\'[ COOL I RS <br />Cl Ol HI S UR1l RS <br />viuiuniioN rnrv <br />RAVG[ HOOD <br />AIR MAryD11NG UNR— C F M <br />S70\'! <br />A11 UL IIRI PIACI R:HIMNLV <br />PI AN CIII CK <br />FE6 <br />►fRM1T <br />TOTALfFE <br />I ttr <br />FEE <br />� <br />�! <br />ruN n�tcK F[E <br />RKEIPT NO. <br />V FFF <br />RUIl01YG S <br />PWMflIkG <br />MICHANIUI <br />OTIIIR <br />1'INAl1V U.BC. <br />SCC. 30)�a) <br />iOTAI <br />P[RMIT VALID�TION <br />N'NLN PROPLNIY \'�UDA7fO pN 7M15 SI'�C[) 7HI515 YOUR PCRMI7 <br />