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� - <br />' APPLICATION FOR ���,�„ <br />�' '"°E"°"�°°° �ONSTRUCTIOh <br />, ���o, e <br />� ewerett PERMIT � <br /> DEPT OF COMh1UNITY DEVELOPMENT SERVICE$ <br />�i CITY HAIL 259�0745 ' <br /> EViRETT,\VA982�1 �COMBINATION ❑ BUILDING ❑MECHANICAL �P!_UMBING PERMITNO. <br /> I ��,y�p !AAII ADOFfSS ❑IY ZIP VMONF <br />� r'� L �S �1U� ; ..�J��'/'0� `-� . I <br />� �qUlli(CiORpi51CNfC NAIL�OORE55 , UIY ZIP PIION[ �Y/ <br /> 1 <br />�� �INjgdQpp,�}yFt�qy / L 2/rr / M�II A0�R65 ❑iY ZIP PMONE IICEN$E/ <br /> � /C`. °��lsZ ,�'717S�G, �a3�/f1f= <br />� ���cM���cotin'•cron ��� � n�ni��oouEX� �JL �-�,'/T <br /> �i�y J.IP PNONE LICENSE/ � <br /> � A�1ILAJI]N155 UtY ZIP PNONF llClti,Ef I <br /> PI V.��OIhG COvt0.�C10P I <br /> C1�i50!N00.K � <br />' ❑NE�'.' ❑ADL�IiION J�ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARACE ❑BUILDINGRELOGTION <br /> Yni�enn�or woac <br /> / G ! <br /> o�scaoe woa� <br /> / , n � ✓q �fICJ 1 ,S�i�/l <br /> ruorostous� or nuun�Nc I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />'� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> ieeni oiscnivuov or rAor�ai��ivw�.n n[iow oe eiuu�iouamvus� PROVISIONS OF LAW$AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL �E COMPLIED WITH WHETHER SPECIFIED NEREIN I <br />� ioi _xiocr:__or OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS CF , <br /> I�� ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SICNATURE FCONTH TOR AUTHORIZED ACENT DATE <br />� .cc / -- � <br /> loN eDoatss �/L � � L i2'} c// � �� � _ � � <br /> �/G / / '� �'�' S C J( /� �' <br /> PLUMBING MECHANICA <br /> i NO. TYPE OF FI%TURE <br /> FEE NO. TYPE OF EQUIPMENT FEE <br /> WA7kRCl05[T�TGIIET', AIHCOND UNIB—NF EA <br /> REFRIGENATIONUNITS—MP [T <br /> HA7MTUB <br /> UVATORYIWASM 3ASIN) 11011FR5—HP FA <br />�II $HOWfR GAS tIRED�C UNIiS—TONNAGE EA I <br /> KI7CHFN SINK 8 DISP fONCED AIR SYSTEMS—B T U M EA <br /> UISW�SFIER �v���MfA7FN5–BTU M1 �_ I <br /> ' UNITMFAilRS–OTU M <br /> IAUNGkI' TNAY <br />. ClO7H6 WASH4R E\'APOHATIVE COOLERS <br /> WA1[R HEAiER CLOTMfS ORYFRS <br /> VENTILA710N FAN <br /> URIIJAL <br /> DNINKING fOUNTAIN <br /> RANG[ HOOD <br />' AIR MANOLING UNIT– C F M <br /> f IOOR DR/Jti � <br /> VACUUA1i1NlAK[RS $IOVk <br /> NOOI D�tAINS–FAINLEAUERS METAL FIREPLAC[d CMIMNFY <br /> SINK IS:RVICI–HAR E1C� <br /> I <br /> SUB TOT�I s <br /> SUBTOTAL <br /> �j PFRMIT f PFRMIT S <br /> _�J� f TOTAI ifE f <br /> TOTAI fFE <br /> PLAN CMECK FEE <br /> S�Of `MRO 5[iBACK STR[[T S[T11ACK RUN �ARO SIJOACK �lnN CIICCK N�MOER qKEIPT NO. <br /> F[F <br /> U5F ZONf LOT�KE� VACANT SITE fEFS V�LUA710N fFE <br />' ❑YFS ONO <br />� 7YPE OF CON57 OCNFANCV CROUP NO OF DWELIING UNIi$ <br /> I)UILDWG f <br />� sa[or o�oc NO OF 5(ORIfS MAX OCC LOAO <br />' viuMiau+c <br />, RRL ZOYE BASEME`!T 111UN00��15 RE2UIRFDK1R5 MtCHANIUL _ <br />� I_ ❑Y[5 ❑NO <br />' AtIlOYAIT !Y DATE OTMER <br />� 1 ENVIRONMENUICNECKLIST PFN��T� U.9C , <br /> SEC JONa1 <br /> 2 BUILDING PLAN: 70TA1 <br /> ) iIBE MYOeANi <br /> � flNE PROI°C710N SYSTfM �E�MIT VALID�710N <br /> I_ —^— WHEN PROPERLY VAIIDATED(1N THIS SPACF)TM15 1$YOUR PERMIT <br /> 5 LRADINGIfXGWA710NoCLE�R�NL�GRV^.NING <br /> —�� � � <br /> 6 DRAINALC <br />�II �- <br />� 7. ENVIRONMENTAL IMPACT$TATEMENT <br /> i <br />, p. HEALTH OISTRICT <br /> APPLICATION ACC. BY PLANS CHECKED RY APPR.FOR:iSUANCE BV <br /> I <br />� 9-1J9 <br /> � <br />� <br />� _t_ " _ 1 <br />