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the EYINrWn <br /> Om OF . - PERMIT <br /> everett <br /> DFPT OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259-9745 ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> EVERETT.V A 95201 NCOMBINATION ElBUILDING zlr <br /> CI _ r <br /> MMI ADIIRI is LL <br /> OWNER i+ L' PHONE <br /> :SLX:' � alr zlr <br /> � �T, MMI LMISS <br /> ARCHI11C1 OR DI SIGNI R IICI NSI 1 <br /> CITY <br /> TIP IRON[ <br /> MALI ADDRl55 <br /> GI MI RAI[oMIMC10R FHONI OCINSI I <br /> CITY nv <br /> MAIL ADDRI SS <br /> MICNANICM CONTRACTOR PMONF IKFNSII <br /> CII\ 2iP <br /> MAII ADORE SS <br /> PIUMRING CONTRACTOR <br /> CI ASS Of WORK <br /> NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> VALUATION OI WORk <br /> IF 2 O <br /> o1KR1@I WORK <br /> I r —� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> norossDI OI suit PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> 1 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> LEALDIKRIPOONOfPROPERna"OWN@HOW OR ATTACH LOUR Conus OF WORK WILL BE COt14G OF A PERMIT <br /> DOES, NOTSPECFLED ME TO <br /> 7'1 hT OR NOT. THE GRANTING LA A PERMIT DOES NOT PRESUME TO <br /> LOT 11 <br /> BLOCK Of —3"—�� GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> 28 SIGNAI R I ON TRACTOR OR AUTHORIZED AGENT GATE <br /> S"1Z" y <br /> IOP ADDRESS X <br /> Ito 79-rw S $ � <br /> ME ANICAI FEE <br /> PLUMBING FEE NO. TYPE OF toUIPMENT <br /> NO. TYPE OF FIXTURE AIR COND UNITS-HP EA <br /> WATER CLOSET ITOLILTI Rf FRIGERAtIONUNItS—HP IA <br /> —��'. BOIlE0.s—HP FA <br /> RA1117UB <br /> GE EA <br /> LAVATORY IWASH RAI INT GAS TIRED AC UNITS—TONNA <br /> SHOWER FORCFDAI0.SYSTEMS—BTU MEA <br /> I <br /> KITCHEN 9HKA DISP WAL' HEATERS—BTU M <br /> � L <br /> DISWASHIR UNIT HFAI[RS—BTU M <br /> LAUNDRY TRAY B EVAPORATIVE COOLERS L <br /> CLOTHES WASHER CIOTHIS ORrI RS <br /> WA11R HEATER — VENTILATION FAN <br /> URINAL RANGE HOOD <br /> DRINKING fOUNIT.N AIR HANDLING UNI I— CFM <br /> 110OR DRAIN SIOVE <br /> VACUUM BREAKERS METAL FIREPLACE 6 CHIMNEY <br /> ROOF DRAINS—RAINIEAMRS <br /> SINK ISE0.VICE—BAR.FTC I <br /> SUS TOTAL f _ <br /> OIL PUM11 f <br /> SUBTOTAL f <br /> PERMIT f — TOTAL Il[ <br /> IOTAt FII fPLAN CHECK FE! <br /> RI AR I ARU SI TIIM K PLAN CHECK NUMBER III RECEIPT NO <br /> SIDI YARD SI TRACK SIRIlT SLTflAC KP, C ®O 73 <br /> O SAl11ATIOH FE <br /> USE ZONE L011 AREA Jf+1 VACANT <br /> ONO F111111 <br /> OLICUPANCY C-11 up NO OF DYVE MING UNITS 5 Q <br /> TY1 co{H�ss rYJ� 1 <br /> -�!J'� •—� DING <br /> NO OI Sll RIES MAX OCC LOAD Q(� <br /> SIZE O BIT PLUMBING <br /> MECHANICALI <br /> FIRE ZONE BASf_MENI NI UR(H)MS REQUFTEDKI[RS VC)— <br /> p 3 nVIS cIND <br /> BY DATE OTHER <br /> ArotovMs unl <br /> 1 ENVIRONMI NEAL CHECK LIST PENALTY MC to llel <br /> L98 civ <br /> ) BUILDING PLANS TOTAL <br /> I FIRE HYDRANT PERMIT VAtIDAT10N <br /> R TIRE PROTECTION SYSTEM WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERM) <br /> 5 GRADINGIIXCAVATIONS CLIARINGICRL'BRING <br /> A DRAINAGE <br /> ENVIRONMENTAL IMACT SIATEMINI <br /> @ NEAUH DISTRICT AppR TOR ISSUANCE BY <br /> APPLICATION ACC BY PUNS CHECkFD BY <br /> 9.179 <br />