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!Y� <br /> APPLICATION rur <br /> OF CONSTRUCTION <br /> CONSTRUCTION <br /> PERMIT <br /> everett <br /> ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> DEPT OF COMMUNITY DEVELOPMENT SERVICES PnoNI <br /> CITY HALL 259.8745 -I BUI DING t,P q — 5-030 <br /> wA9R2OT COMBINATION <br /> E\'Epc FT' MALI ADIIRISS �. `(/�Rf� <br /> /L (p 9' S AC��v/�/ /' AI, PHONE <br /> OWNU CITY <br /> MAR ADORISS .NON! llC[NSl X <br /> ARCHITECT On OIGSgq - � V OA� <br /> eV J CHr Y <br /> MAM1 ADORI55 IMOnI 11Cl XS[E <br /> GI NIRAI CONTRACT O D CITY <br /> ZIP <br /> MAD ADDRESS _ PHOni 1 <br /> MICHANICAI CON,RA/CA}IOR CITY ,�RX,.�YYY qq IP�" "• MAIL AODI 155 I�J/,C✓�/ <br /> L <br /> PI1'NPIYG CUN,RACIOR ��� <br /> 6,1,,7;1` C6VA,' `1 Y Ii ION DEICE ❑SIGN CJGARAGE ❑BUILDING RELOCATE <br /> ON <br /> CI ASS I WORR REPAIR <br /> ❑DF MOL <br /> NEW <br /> ❑ N ADDITIO ❑ALTERATION <br /> VAIU„ION --------- <br /> U. <br /> AP- <br /> I,ISCRIM ORR ,V s/ <br /> /fC N SF- I HEREBY CERTIFY THAI 1 HAVE READ ANE AND CORRECT ALL <br /> D EXAMINED THIS <br /> PLICATION AND KNOW THE SAME TO BE TRVERNING THIS U <br /> PROPOSIOUM of Pu'loING _ PROVISIONS OF LAWS AND ORDINANCES <br /> CES GOER SPECIFIED HEREIN <br /> OF WORK WILL BE COMPLIED <br /> r pR CANCEL THE PROVISIONS OF <br /> IILM DI SCP1.110Y 01 PRONRR ISHOWN RIIUW OR ATTACH IOW COPIIM OR NOT THE TRA7TINGOOF A PERMIT DOES NOT PRESUME T <br /> eO'of PR of GIVE AUTHORI Y O <br /> to, — / A/� L� ANY OTHER ST EOR LOpF COLA TRUCTION�NG CONSTRUCTION <br /> L N�E, A_ ^F OR THE PERFO A THORIZED AGENT DATE <br /> R <br /> SIGNA7110.E Of CON <br /> ,onAUGRIS� X --- <br /> MECHANICAL FEE <br /> PLUMBING FEE <br /> NO. TYPE OF EQUIPMENT <br /> TYPE OF FIXTURE AIR COND UNITS—HP <br /> NO, RIIRIGIRATION UNI75—FE HP FA <br /> WATIRCLOS11110LIETl BOILERS—HP EA <br /> AAIHIUR GAS EIRED A C UNITS—TONNAGE E M U <br /> LAVATORY(WASH RASINI <br /> FORCED AIR 1Y Sil MS—B <br /> SHOWER WALL HE AIIRS—ALU M <br /> KIICHIN SINK IS DISP UNIT Hl ATIRS—BI U M <br /> DISWASHER EVAPORATIVE COOLERS <br /> EAU ;RAY Cl Ol ISi l DRYERS <br /> CIOIHIS WASHER VENTILATION TAN <br /> WAUR HEATER RANGE HOOD <br /> URINAL AIR HANDLING UNIT— C F M <br /> DRINKING FOUNIAIN STOVE <br /> 1 LOOR DRAIN ASE T AL F IRI Pl AC F 6 CHIMNEY <br /> VACUUMB TAKERS <br /> RODE DRAINS—pAINL1ADIRS <br /> SINK ISI RVICI—BAR.11C) <br /> R <br /> SUN IOTA/ S <br /> PERMIT S <br /> SUR TOTAL S TOTAL II[ <br /> !• PIAN CHECK EFF <br /> PSRMIT <br /> lOIAI III <br /> S APIA Ill R •/ RFCfIPTNO <br /> ,,,[IT SI IRACK RI AN TARO SI IAAL.K // 1 C. 7 <br /> 1101 S ARD SI THAI Sfl <br /> YALUATION <br /> VACANT SII[ I <br /> USE 20Nf IOL AREA pYE1 !]NO <br /> OCCUPANCY GROUP '0010 1Y1 II1NG UNITS S <br /> � <br /> TYPE Of ONSI 3 11 AUII DING <br /> / MAX IXC TOAD <br /> NO OfSTORE 15 —_ PLUMBING <br /> 1111 OF AIDC <br /> ,—�— BASEMENT NI URIR)MS LIRE SP0.1NK MiCHAMUI <br /> RFOUIR <br /> FIRE ZONE 2 lYIS I1 <br /> �— XY DATE OINfR <br /> —r• APPROVALS U R C <br /> I PENALTY S[C 101(a)1 ENVIRONMENTALCHLCK LISA TOTAL <br /> 7 FRUILDING PLANS <br /> IOM THIS IS YOUR PER <br /> FAIT <br /> FIRE H PERMIT ALIDRT <br /> V <br /> W III I P0.ALIPAT VAlIDA1ED TIN THIS SPAC[I MI <br /> 4 EIRE PROlEC"ONSYSTEM <br /> S GRADINGIIXC AVAI ION BCllS ARI�G;WUBBMG <br /> 6 DRAINAGE <br /> 7 ENVIRONMENTAL IMPACT STAIIWNT <br /> S HEALTH DISTRICT PEAKS CHICKED BY APPR TUR ISSUANCE BY <br /> APPLICATION ACC BY <br /> uc. <br />