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I��Ewrpmn APP_IICATION FOR ���,�„ <br />��TM°F CL NSTRUCTION e <br />everett PERMIT <br />OEPT OF COMMUNiTY �EVEIOPMENT SERVICES <br />CITY NALL 259-0715 <br />fVEREiT, WA58701 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNIII A41leUUX155 � �� CIIY 11P �NONf <br />GinlNell:OYiR�l10R F1ute00�f51 Ul\ ZIP PMONF �IClNSFI <br />i � <br />� �7�%Nc�_ <br />NICN�hIC�I ION�R�C�OR MUt �U�MlSS O1Y ❑Y pNON� ���(ry5[ � <br />1'IVm01�LNNIYACION MAllnppql55 CI�Y IIP fMONF IIC/N5[� <br />ClAS50f NONK <br />❑NEW ❑ADDITION <br />\4lU�tION 01 N00.F <br />1 <br />I]ISC0.1flf WON• <br />VFOVOSIU �51 OI pWIUIhG <br />❑ALTERA710N ❑REPAIR ❑UE�NOLITION ❑FENCE ❑SIGN ❑GARAGF ❑BUILDING RELOUTION <br />ieGni oueMutyo�+or r�ypo�v�v �srmw�+ <br />/ <br />l01 �flIIXF�Of � <br />IOB e00M65 <br />7"/ / - E <br />�wMsiNc <br />NO. Tl <br />WATEN ClOSEi <br />LAVATORV�WASH 9ASIN) <br />SNOWlR <br />KITCNEN SINK b DISP <br />D'SWASH[R <br />UUNORV TpAY <br />CLOINFS WASH[R <br />WATE0. MEAT[A <br />URINAI <br />DNINKING fOUNTAIN <br />iLOOR OR�IN <br />V�CUUM OPFAKfRS <br />RO01 OPAINS—RAINIFAOFNS <br />OM s I l A( II IOUN (OYq 51 <br />YANO 5!TBACK STNEFT 5[1pACK <br />!pNE IOTARFA <br />Of !ONST OCCUPANCY GRC <br />fIRF ZON[ BASEMENI OknN(�MS <br />{ <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THI$ AP- <br />PLICATION AND KNUW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS GF LAWS AND ORDINANCES COVERNINC THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT iHE GRANTING Of A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGUUTING CONSTRUCTION <br />OR THE PERFliRMANCE OF CONSTRUCTION <br />SIGN�TUPE OI CON7F.�^Tf�� OR AUTHORIZFD AGFNT DATE <br />I MECMANIGI " <br />iEE NO. 1Y►E OF FQU <br />�TA!R CONO UNiTS—H P EA <br />flOIlFNS—HP EA <br />WSfIRFDAC UHITS—TON� <br />fONC[D AB SYSiEMS—BiU <br />UNIT FIA7FR5—B 1 U M <br />lVAVORATNECOOlFNS <br />C.OINES ORYlXS <br />VlN711AtION fAN <br />RANGFMOO� <br />STOV[ <br />MF TAL f Bf PUC[ h CIIIMNEY <br />NUN YA0.0 SETBACK � PIAN CH[CK NUMOFR <br />VACANT SIIE <br />❑YES CNO <br />RfQU�0.ED <br />❑YFS I�NO <br />A�►�OV�If �Y DAlE <br />1 ENVINONMFNiAI CM[(K LISi <br />7 tlUILDING PL�NS <br />] fIRF MYDNANT <br />1 FIRE PpOTEC110N $YST[M <br />5 G0.AOING4%UVATIONBQfANINGCNUBPING <br />6 DRAINI.CF <br />1 ENVIRONMENTAL IMPACT STATFMENT <br />E HFAITH DISTNICT <br />APPIIUTIOHnCC flY PUNSCHECKEDBY APVB fORIS5l1ANCF flY <br />fEES <br />M EA <br />PIAN [MECK FEF <br />iFE � RFCFIPT NO. <br />BUIIDING S <br />PWMBING <br />MFCNANIGL <br />OTMFR <br />VINAt1Y UBC <br />SFC JON+) <br />TOTAL <br />�EIIMIT VAIIDATION <br />WMFN PROP[RLY VALIDATE�IIN TMI$ SPACEIIMIS IS YOUR PFNMII <br />ree <br />