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t <br />,ME»„�.� APPLICATIOf� FOR=' ���,�„ <br />°�TM°° .:ONSTRU�TION e <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259�87�5 <br />EVERF.TT, N'A 98201 �COMBINATION ❑ BUILDINf <br />�� 1��� <br />i . <br />❑MECHANI�AL ❑PLUMSING PERMIT NO. <br />��e�i �� �5, f�'.y�y, <br />o , � ..>> <br />iv vNone � <br />GEN[P�l CONIf.ACLOP nqlL nD�RFSS [ItY ZIP PMONE LICFNiF I <br />M[[H�NIGt CONiN�QON MMl AOOP65 CILY LIP PMOnf �,CENSE 1 <br />%UnIqINL [ONIRACIOR M�II eU NF55 UIY 21P PHONE LI[FNSE I <br />C1A55 Of K'ORK ,.f,, ^ <br />❑NEW ❑ADD�TION ❑ALTERATION ,171REP.11R ❑DEMOLITION ❑FENCE ❑SIGN ❑GANAGE ❑BUILDI!�G RELOCATION <br />� � <br />oExaix� <br />PROPOSEO USF Of BUIl01nG <br />0�' <br />'f i G 0 / <br />IFGAIOfSC0.1PLI0Y01PNOPlRtt�SNOWNPlION'OR�ii�CM10UPCOY1fS� I <br />�� � ' � LEGAI DESCRIPTION <br />� " � <br />'._tiv T�� r :L; ` (_': <br />. . � � . .. . TI1 (�I.�.� '� •�. <br />1 <br />PLUMlING <br />NO. TY►E OF FIXTURE <br />WATER CIOSET �TOLIET� <br />HATHTUB <br />IAVATORY�WASH BASIN) <br />$MOWFR <br />KITCHFN SINK 6 DISP <br />DISWASHER <br />IAUN�RY T0.AY <br />CLOTMES wA5Hf4 <br />WATEN MEATFR <br />UNINAI <br />Dft�NKING FOUNTAIN <br />fLOON DRAIt! <br />VACUUM BREANE0.5 <br />MOOf DRAINS—RAINLEAOERS <br />SINK �SERVI�E—BAR, ETC 1 <br />SU�iOTAI <br />rEI1MIT <br />USF ZONE <br />7YPf OF �ONST <br />fi0.F <br />SIREFiSE191CK NEARYARDS <br />lOT AREA y���NT SRE <br />❑YES GNO <br />OCCUPAY.CV CROUP NO Oi DWEL <br />NO. OF STORIFS MAX OCC L( <br />BASFMENT NtOROOMS FIRF SPRINKI <br />A/►�OVAIS <br />1. ENVIRONMFNTAL CMECX L15T <br />i. BUILDINC PUNS <br />3 fIRE MVDRANT � <br />�. FIRE PROTECTION SYSTEM <br />5 LRACINGIF%CAVATION6QEIRINGICRUBflING <br />6. DRAINAGF <br />7 ENVIRONMENTALIMPACTSTATEMENT <br />7. MEALTH OISTRICT <br />APPLIUTION ACC. BY PLANS CMFCKED BY <br />?1�79 <br />�T <br />fEE <br />DA7E <br />APPR FOR ISSUANCE BY <br />I HEREBY CERTIFY THAT I HAVE READ nN�J E%AMINED THI; AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORR:�T ALL <br />PROVISIONS OF LAWS AND ORDINnNCES GOVERNINf: THIS TYPE <br />OF WORK WILL BE COMPLIED WiTH WHETHER SPECIFIED itEREIN <br />�R NOT. THF GRANTING OF A PERMIT DOES N07 PRESUME TO <br />'E AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />' OTHER STATE �iR LOCAL LAW REGULATING CONSTRUCTION <br />THE PERFORMA:JC'_ OF CONSTRUCTION. <br />\TURE Oi tONTRACTOR OR AUiNORjZED ACENT DATE <br />MECHAHIUL <br />NO. TY�E OF EQI�i/MENT <br />UNI'i5—HP. FA <br />GAS fIREO AC UNITS—TONNAGE EA <br />FORCED AIR SY571M5—B.T.0 M EA <br />WALL HEATERS-91L M <br />UNITHE�il85—dTU M <br />CLOTHFS DAVFRS <br />VENTILATION FAN <br />RANGEHOOD <br />�IR HANDUNG UNIT— CF M <br />STOVF <br />METAL FIREPLACf 8 CHIMNFY <br />PLAN CM[CK <br />BUIlOINC <br />PLUMBING <br />MECMANIGI <br />OTHEP <br />Pf NALTY <br />TOTAL <br />►EIIMIT � <br />FEE <br />FFFS <br />S <br />U.B C. <br />SEC. JON+) <br />RECEIPT NO. <br />►[IIMIT VALIDATION <br />WMFN P0.0PERLY VALIDATEO �IN THIS SPACF) THIS IS VOUR PERMIT <br />�iE <br />oJ <br />3a l oD <br />