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the liver re,vn CITY (,I <br />everett p'E F a ri G I <br />P[RMIT N0. <br />CITY I IAL L :T5911745 <br />EVE PL IT.'WA UBZBI ❑ COMBINATION �J BUILDING I. I MECHANICAL :_.l PLUNi BING <br />ARCHIT rj C4t ( I" 00P M<'I AD[ W •A <br />PcErl nx,e Ic 275-t <br />GENERAL DON)4UrTON MA.; AUC•IC.S <br />The Gree /11cy—HIt ;c <br />MECHAIUGAI LGIPUACIJN MAIL AV[ PL',S <br />PLUMB 9:G CONINA' IcW MAIL ADDP! i1 <br />i <br />4C112cu11i <br />l STY <br />OLLItG� l41eft <br />AIP <br />POLOS <br />I+QilB <br />XZ L: <br />7 <br />1,25 <br />cnr <br />/5 �s s 7j <br />ZLP <br />A141 01 Ade2 <br />P„JNIv R--cFw 7=-^ <br />7ys`sy91 <br />CIL r <br />LP <br />FHOTIE , • [ 4'd r <br />cllr <br />LP <br />r•HJhE l::.U.9t r <br />CLASSOI WORK <br />'A,i�IQY7 0ADUIT ION i.hL iETiAT10N !, RI:PFIR Ly DELIOLRION [1FCNCL [': SIGN CGAPACF. -- . <br />/AL WA UN UI 'INi,< <br />1s. <br />I LCP , L YIOHr. <br />Avh I <br />PROPOSED USE C% BJILD,•1 <br />I HEREBY CERTIFY THAT I HAVE READ AND EY,A;IINEp THIS AP <br />PLICA110N AND KNOW THE SAME TO BE TRUE AND CORRECT <br />ALL 11116VISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF `IOPK WILL RE Cr.,MPLIED %'/ITH VIHETHLFT SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A' PERI.!iT DOES NOT <br />PRESUME TO GIVE AUTH0191TY TO VIOLATE OR CANGEL THE PRO. <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSIAUCTION OR THE PERFORMANCE OF CO?ISTRUCTION <br />,,//fA //J <br />� G <br />X �.i�L� <br />LEGAL .ES:Mt1.I'Arr PN;PfRTY SHC-: BL,cI: <br />Lot lca-.. a cr — <br />W- oZ S� <br />(4G E , q AG-r Nn 39l,t 7 ^Ccr).2-G,IC,l- <br />—{ (^� r <br />JOB en(,n(55 "X I� S GI ES � .» <br />3_ <br />PLUMBING <br />N0. TYPE OF FIXTURE OR ITENi FEE <br />_.YAiiN CLOSET(TOI!rl) —_ _ <br />B-THTLB —_ -- <br />(AVF •IRY WA 8:51!J <br />Z140AI, <br />MECHA�CAL - <br />NO. TYPE OF EQUIPMENT _ _ FEE <br />'•I,:iO'iL•;iNIT _RP !•• _—___ - <br />�,i.�IIIG(.RA',ON t,%.TS_. ..^ LA <br />fit ➢LF, PS_—_P I:A <br />T',A: taU' A C UN-_ IL FA —_ --_ <br />FC.A_p n :M SYcir M$ -- P I L' ki EA <br />_ ._. - <br />--.—_ <br />SINY' i Li51I <br />_ <br />_KIKNFN <br />DIShf/A:.IiCR <br />—.—_ <br />_. <br />_ <br />V.ALL HL AILR5 — If 7 U. N' <br />LAWJ RY TRAY <br />.._ <br />—. <br />L: ;Il NFATFRS__11' U 1•/ _.___ <br />_ .—___ <br />__. <br />_ <br />CLOTHES MASHER <br />_. <br />EIAPORA'":E CLR)LLRS <br />WATET: HI.F'EH <br />.__ <br />G -!,1[5 CRYLHE_- <br />URINAL <br />VENTILATICN FAN <br />- <br />_ <br />DRINKING FOUNTA ;N <br />_ <br />t7.1N6E HCIOD <br />_ <br />rL00R DFIXN <br />A'R HAN^ONG UNIT — C 11,+ <br />— <br />_— <br />_ <br />VACUJM BREAKERS <br />STOVE <br />ROOF DPA:NS — RAINLEMlEPS <br />Mr T.AL. FIRErt-ACI: F. L:HININO <br />SINK ISERVICE — BA•R. ETC ) <br />— <br />- <br />bL- <br />SUB TOTAL <br />TOTAL $ <br />__ <br />__ <br />PERMIT <br />$ <br />_SUB <br />PERMIT $ <br />__- <br />TOfAIFEE <br />f <br />TOTAL FEE $ <br />SIDE YARD SLIUACK <br />STHEPI SLTRAL:X <br />REAR YARD 5ETrACK <br />PLAN G,S.n NUN`utR <br />/� 2 C \ <br />(QfG� <br />PLAT, CHECK <br />FEE <br />FEE <br />RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />YES :NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CCNST <br />.._. <br />OC.COVANCY GROUP <br />NO OF OW--t-LING UNITS <br />BUILDING <br />f <br />SQ <br />00 <br />--- <br />SIZE OF BIDS <br />NO (A SIORUS <br />L-AX OCC. LOAD <br />-- <br />PLUMBING <br />FIRL ZONE <br />UASL IJLNT <br />1 iflc SFHINKLLHS <br />YI.S NO <br />I,ILCHANIL'•?L <br />DIRER <br />APPROVALS <br />BY <br />DATE <br />'. ENVIRONIALNIALCHECK UST <br />PENALLY <br />UI1 C. <br />St C. 303 (a) <br />—.. <br />? BULL DIN-4 PLANS <br />TOTAL <br />/,^v <br />66 <br />3 FtRC I/YDR7,NI <br />4 FIRE PROIECTION SY57EN1 <br />-- <br />PERMIT VALIDATION <br />Will It PROFLHLY VALIDATE O IN LIDS SPACE) I III,,; IS YOUR Pi (Ima <br />- <br />._ <br />5 GRADING <br />U DRAINAGE <br />_ <br />t FIiVIRONNI(NTAL INII'ACI H7A111.11 NI <br />.. RI At III DI!JIIICI <br />1111CA710N ADO. BY PLAN!; CIILCKLD Of <br />APPII 1011 IGSUANO BY <br />rl <br />