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APPLICATION FOR <br />cino�m� .;ONSTRUCTION <br />everett PERMIT <br />DEPT OF C0��IMUNITY DEVkLOPMENT SERVICES <br />CITY HALL 259�8745 <br />EVERETt, wnveiot �COMBINATION ❑ BUILDING ❑MECHANICAL �,g.Pl <br />Nc PERMIT NO. <br />„--, <br />nanunnaemsicN�a .uneuueu� •��, •.. ...-.-' <br />GININA\CONIRAliOR ANII AOURf15 CII1 111' PNONE IICE✓'�! 1 <br />;'�v� � <n.Fr— .5a ;�1 ! 982 '� 's3 ��7� z Z o,� c,�✓ ic «• <br />MI 11�nIUl IONiR�C10N MAII �UUNI55 (IIY I L�P P110N( IICFNSF I a�� <br />PIV��Hi�f.(O�.iN�l10N M�iI�IlDMI55 Uh ZIP PMONL llC[NSl1 <br />❑ �SSUI NUx[ <br />❑NEW ❑ADDITION �ALTERATION ❑REPAIR ❑DEn10LITION ❑FENCE ❑SIGN ❑GARALE ❑BUIIDING RELOCATION <br />\TI W I IOs Of NONI. <br />f Z <br />IASININI NONI. <br />.-indF �M,—r✓nrff� NE,1T�d ;NS�A�I��i.—GE%"-IJir9rroF0/' Cu�¢'.IrE,{ <br />rquaostu us� oi xwcnnL <br />IFG�I OISCNiYIIOv OI VMOPoNI\ ISIIOMN HIION ON �II�11110UX l01'll\I <br />�o� _x�or._u� <br />I011 �OUNtss <br />PIUMBING <br />NO. TYPE OF il%TUR <br />WATlN C1O517110U[TI <br />IIAl11tUfl <br />UVA70RY IWASl1 H�S�HI <br />$IIUN t N <br />Ii11CH{4 SINK 8 U6P <br />OISN'�SME R <br />IAUhDRYINAY <br />� ClO1HfS\VASM[H <br />1YAIfR Nl�T(N <br />UHINAL <br />❑pINKWG IOUhUIY <br />FIOON ON�IN <br />V�CUUbtAN1AKFR5 <br />ROOI ORAINS-RAINLf �Ol H5 <br />SIrvK ISf R\9U -BAR. I 1C 1 <br />SIpF YARp <br />USF ZOM <br />IYP[ Of O <br />SIZF OF Bl <br />RNf ZON[ <br />70iAlfFE <br />ST0.E! i 5[T11/ <br />IOT ARlA <br />AY�lOVAlS <br />1 ENVINONMfN7AlCMECKLIST <br />7 9UIlDING PUNS <br />7 flFf HYDNANi � <br />� FBlPNOilC110NSYSifM <br />5 CRAUING!f%UVATIONbCIfANING,'CRUfl111NL <br />6 DPAINALF <br />7 FNVIRONMENUI IMPACT STAT[MENi <br />E HFALTII DISTN�CT <br />�f <br />Nf�N <br />y�UNI SIIY <br />L!HS _:NO <br />RfC <br />f�Y <br />er <br />APPIICATION ACC BV VLANS CMECK[D BY I APPR fOR <br />9-1 79 <br />I HEREBY CERTIfY THAT I HAVE READ ANU EXAMINED THIS AP- <br />PLIC�TION AND KNOW iHE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL OE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NGT. THF GRANTING OF A PERMIT DOE$ NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STAiE OR LOCAL LAW REGULATING CONSTRUCTIQN <br />OR Tf1E PERFORMANCE OF CONSTRUCTION. <br />SIGNAiUBE Of COMRACTON OR AUT110N�ZFD ALFNT DATL <br />NO. TYPE OF FQUIPMENT <br />nieconn unirs—ur cn <br />g�{µIGIXA710N UNI75-HP U <br />flOIlIRS-IIP U <br />GASfIRIOAC UNI75-TONNAGE[A <br />{OHCf0AIR5V51EM5-HTU M <br />�WllN1A7EN5-N1U AI <br />UNI1MlAiINS-HiU M <br />! A'�VORA71VE COOLENS <br />U OiHI S DN1! RS <br />\'INiIIAIION MN <br />un�ct r�000 <br />AIN M�I:ULINC UNIT- C f M <br />SIOVI <br />Mf7Al fIRFPUCt b CHIMNIY <br />SUBTOTAI <br />P[MMIT <br />TOTAL {EE <br />�A PUNCN[CANUMU[N <br />ff[ <br />i[ES VAI <br />UhIIS <br />OATE <br />tlY <br />s� <br />PIAN CMIIX fEt <br />I R[C[IPT NO <br />uwioiur, s <br />I'1 UMIiINL <br />MICIIANIUI <br />01HFN <br />UflC <br />PfNAUY SFC H1Ha� <br />TOTAL <br />�ElMli VAIIUATION <br />WMlH PROPFRLY VALIDATFO IIN iH15 SPACE� TM15 15 YOUR PCRMIT <br />fEE <br />� <br />