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u <br />AQPLICA^TION FOR everetl <br />Me Evergmen � o����(' I� T' o� <br />CITY OF � <br />�verett PE RM IT <br />DEPT. OF COMMUNITY DE\'ELOPh1[N7 SERVICES <br />CITY HALI ?59�97s5 <br />evEREii.wnvezot �COMBINATION ❑ BUILDING ❑MECHANICAL ,�pLUMBING PERMIT NO. <br />OWtifR ANItAUUHIlS ❑Ll 21P PIIONf <br />r��� o� � ,�,� .�o�� L��.��a� �. � ���. � _ <br />A0.01111 OH UESICtitN NAIL AppH155 Ui1 (p� p110NE <br />GFNf0.Al CO�IHAC100. M1IAII ApD0.I55 ���� LIP PHOYI IICEM1Sf 1 <br />MAIIApDNl4 �Ih LI' PI���E LLLfN5E1 <br />♦Illll/.\ICAI (OM1INACION <br />PIVVpI'.f,10'.'1XACION nulLnppHI55 CIIY /IP 1'�IO,vF LIC[NSEI <br />� ��l����Y� � <br />l l b5 UI N9HK <br />❑NE�V ❑�ADDI110N <br />YAIUAtIfm OI ��UN�. <br />1 <br />OISCNIGI �10N� <br />ucii ui xunuinr, <br />— U v5 <br />❑ALTERATION i1JREPAIR ❑DEMOLITION ❑FENCE ❑SICN ❑GARAGE ❑6UILDING RELGCATION <br />0 <br />I� �. .'� i � �i P <br />LtGu IRSCu�rt�oh UI vNorlatr �SNo�ti'ti E�ttON' ox nilncN roue cDrR51 <br />�ot _ mocn _ or <br />�h <br />1011 npOPISS <br />PLUMBING <br />�NO. — 7YPE OF F <br />1 � '.vATkN ClOSLT I70LIE71 <br />I{ATHTUN <br />UVA70kY pYASH NASINI <br />SHON'EH <br />KIICHtN $INK 8 OISP <br />DIS\VASH[N <br />IAUNDkI'iRAY <br />QO7/1E5 N'�SH[N <br />UNINAI <br />UNINRINC FOUNTAIN <br />II.00R pNAIN <br />VACUUM ONEAA[HS <br />ROpi �RAIN$—NAINLkADtR$ <br />SINK 6FRVICI —UAN, f iC 1 <br />SIUf YARDS[i!{��g pint�� �� <br />USE LO�E LOT ANFn <br />TYPL Of CON57 OCNPnrv <br />SIZE OF tlLDG NO OF 57 <br />fIRE ZO.'JE NASEMEN <br />FEE <br />s oe <br />K RUN YAHD $F iOACn <br />vncnvrsnE <br />❑iFs ; rv0 <br />20UP NO p{ DWfIIJNG UNI15 <br />S n1A% pCC LOAD <br />II!UNOU��1S HR( $PftINKlLNS <br />APPPOVALS <br />1 ENVIROYMEN7AL CHECK LIST <br />7 IiUILDING PLAN$ <br />] fIHF HYDNANT <br />4 FIRE 1'NOIECTION SYSTEM <br />5 GN�UINLIkxUVniIONbQUH�NGGRUNNING <br />6 �RAINAGF <br />7 ENVIRONMkNTAL IMPACT ST�TEh1ENT <br />8. MEALTH DIS7RIQ <br />BY � OATE <br />APPLICATION ACC E�Y PLANS CHEIXFD OY I APPR fOR ISSUANCk BY <br />94J9 <br />I IIEREHY C[R11FY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICl�TION AND KNOW THE SAME TO OE TRUE AND CORRECT ALL <br />PROVISIONS OF LAW$ AND ORDINANCE$ GOVERNING THIS TYPE <br />Of WORK WILL BE COMPLIED WITH WHETHER SPECIF!ED HEREIN <br />OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />�NY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORM�NCE OF CONSTRUCTION. <br />SIG�'�A7UftF Of �ON7RACTOR ON AUTHON�ZkD AGENT DATE <br />NO. TYPE OF EQUIPMENT <br />n�ecOND uhlrs-Hr t,� <br />NEfftIGFRAi104 UNITS-11 P E1 <br />ItOR(R$-HP FA <br />GAS FlRED A C UNIT$- �ONNAGE EA <br />I ONCF U AIH SYFEMS—B T U M FA <br />\VALLHFnTEHS—17TU M <br />UNIiHfATI:HS—IITII M <br />LA'APORAfIVF COOlEHS <br />CLOiHtS DRYtRS <br />\'INIILA710N fAN <br />NANGtMOOD <br />AIR HANDLING UNI7— C F M <br />S70VF <br />MFUI FIRFPUCf 8 CHIM1WEV <br />PIAN CHfIX lJUAItlER <br />SUO TOTAL <br />PENMIT <br />iOTALFEE <br />�EE <br />FEE <br />5 <br />CMECA FE[ <br />RKEIPT NO. <br />BLILDiNL S <br />PLUMOING <br />MFCMAN�UL <br />01HFR <br />PfNALTV UBC <br />SiC 303�a� <br />TOTAI <br />PEBMIi VAUDATION <br />W MCN PNOVERLY VALIOA7ED IIN TMIS SPACE� TMIS IS YOUR PEftM1T <br />0 <br />,� <br />