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f�� Evarpreen <br />f.ITY OF <br />ever��t <br />BUILDING DEPARTMENT <br />259�8745 <br />, �PPLI�ATION F�.. <br />CONST�UCiION <br />PERMIT <br />TO BE COMPLETED IN INK -!'LEASE PRINT <br />C DEMOLITION i] COMBINATION �BUILDING <br />�wNER MAIL �DOflE55 . . <br />�MECHANICAL <br />everett <br />� <br />�PLUM5ING ❑ SIGN <br />7 ��`V� I l <br />•IFNERA� [ONTFACTOR MAIL AOORE55 GITY 2iP PMONE IICENSL • <br />� <br />� C <br />h1ECHANi;ALCONTMCiOq hIRILADORE55 CITV ZIP PIIOtIC LICEIISE• <br />��f�i�� U � ��l'YIE <br />PWM1IBiNIiCONiRALTOR AIPILPO�RE55 C11Y ZIP PIIONE V7ENSE• <br />�U ��� �'1,,C <br />GLAS$ OF 1VOPN <br />NEW ❑ AODITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.IhSERT G BUIL�ING RELOCATIOtI <br />VAl A10110FWOPK(LOSTOFl.IAiEBIA�SPWSLFBORI <br /><'���.,, �7 �I DDO � Q, <br />�or_ eiocK— <br />�F /�-23 Ga <br />L - � G -zfi�,-5' <br />PROJECtA00RE55 <br />f e� 0 4 Cf' �, a1- �i(L.- S•L <br />NO. I TYPE <br />NORYTPAY <br />FRONTSE10nLK <br />-i � <br />uSEZONE <br />�" <br />LYP[ Oi CONSi <br />'T% _ A� <br />L <br />I HEHEBY CERTIFY THAT i HAVE REAO �ND EXAA1INED THIS AP- <br />PLICATION AND KNOW TI iE SAME TO BE TRUE AND C6RRECT. ALL <br />i'ROVISIONSOF LAWSANCORDINANCESGOVERNINGTHISTYPE <br />OF WORK WILL BE CGMPLETED WITH WtiETHER SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY T VIOLATE OR CANCEL THE PROVISIONS OF <br />ANYOTHERSTAT� RLOCALLAWREGULATINGCONST CTICCC���J <br />OR THE ERFOR ANCE OF CONSTRUCTION. n�2M��� <br />1 �� <br />SIIiNATUR F CO,N�r ACTOR OR AUTMORI2ED AGEtlT DATE �Y <br />X �(/l�l�a u,r .'� <br />� <br />UNITS—HP. EA. <br />A.G UNITS—TONNNGE EA. <br />THIS PORTION TO BE COMPLETcD BY BUILDING DEPT. PERSONNEL <br />I�I�J ��•7. �����•� <br />HEPP SEiOACK <br />lOTnREA p <br />OCCUPnNCYGF <br />T�� i <br />NO OF STOPIE: <br />/L <br />SIDE SETOACB <br />��A <br />VPCPNT SITE <br />1.4'LS t]NO <br />NO. OF OWEILIN <br />� <br />AIA%. OCG. LOAD <br />j��� � I �)� L. !�. <br />�� <br />7[x <br />FEES <br />BUILOING <br />PLUM9ING <br />IAECHANICAL <br />OTHER <br />PENALTY 1 � �� � <br />— 1 _. <br />TOTA. <br />P�AN CHELK FEE <br />C FEE �/-�� C�j PECEIPiNO � <br />. �, (_- <br />VRLW.TION fEE <br />5 %L� �'IC7�i C � �� <br />0 <br />