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AP�LICATION FC�iR <br />rA•Ewromn (. �NSTRUCTION <br />CITY OF <br />everett PERMIT <br />DFPT OF COMMUNITY OEVELOPMENT SERVICES <br />e <br />CIlY HAIL I59-B715 <br />evtaeTT, wn 9ezot ❑COMBINATION ❑ BUILDING ❑MECHANICG� ❑PLUMBING PERMIT NO. <br />_ .._ ...�� .�,�..�.a cnr zir vHOn[ <br />ss <br />''rirr,�ff �%�'nlJ� �3�i 3-.��i <br />rrtv zir vnan[ <br />19l'.�1NItiL(ONIXACIOR M�II�DUN155 ❑lY IIY FHONE lIClNS[� <br />��-� ill ��OMK <br />]NUY �AO�ITION ❑ALTERATION ❑REPAIR ❑DEMOLIiION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />AN�/l[ N OI NOMR � <br />����� "'1 <br />t �Q /��brU i7!(l � <br />i1R'XIXI WOXA /, �� . ., . / <br />llGel OISQiVli0�+0f VqOY11�fY 15110WN flllOx ON n1U(H IO�M COPi151 <br />i/ <br />lO1 � PIOCa � Of <br />ionnoo iss � <br />/ � <br />PtUMBING <br />NO. TYI <br />�— WATERClOSFT� <br />BAIHTUB <br />UVAT00.Y IWA$ <br />SHOwf R <br />KI7CHEN SINK 8 <br />DISWASH[R <br />lAl1NDRY TR�Y <br />CIOTHFS WASHI <br />WATFR HFATER <br />SINK ISERVICF–BAR. ETC I <br />fU�iOTAI <br />►F�MIT <br />TOTAL R[ <br />SIDfYAR05[TBACK STRFFTSCTP�CK <br />US[ 20Nf lOT ARFA <br />TVP[ O` CONST OCCUPANCY GR( <br />A►��OVAIf <br />1 [NVIRONMENiAICMECKLIST <br />7 BUILDING FLANS <br />7 iliiF MYDNnNI <br />1 FIRE PROTFCTION SYSTfM <br />5 GPADINGf%CAVAT�ON6CLfAPINGIGRUBBING <br />6 DNAINAGE <br />7.ENVIRONIAENTALIMPACTSIATFMfNT <br />E MFAl1N DISTRICT <br />APPLICATIONACC BY r1ANSCMECKE08Y <br />91 79 <br />FEE <br />RUR Y�NU SF7BACK <br />VACANf SIIF <br />❑rF5 L'NO <br />n0 Of OWFILI�G W <br />MA% OCC lOAO <br />HRt SYN�NKLINS <br />R[QUIXED <br />C7YE5 ❑NO <br />�V OA�E <br />IOR �SSWNCf BY <br />�' J i �s �. � � i l.- � <br />I HEREBY CERTIFY THAT I AVE READ AND EXAMINED THIS AP• <br />PLICATION AN� KNCW TF{ SAME TO BE TRUE AND CORRECi ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK N'ILL BE COMPLIED WI1H WHETHER SPECIFIED HEREIN <br />OR NOT THE CRANTING OF A PERMII DOES NOT PRESUME TO <br />GIVE AUiHOKITY TO VIOLATE OR CANCEL iHE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW RECULATING CONSTRUCiION <br />OR THE PCRFORMANCE OF CONSTRUCTION. <br />SIGNAIUXF OF CONTRACTOP OR AUTMONI2ED AGENT DATE <br />`7n/1 / // � / . /� // <br />FEE <br />RFiRILFNAiIONUNITS–HP EA <br />6011(RS–HP fA <br />LAS fIRFD nC UNITS-10NN�CE FA <br />fONCfDAINSYST[MS–BTU MEA <br />WAILMEATFRS–BTU M <br />UNIi MfAiFRS-61 U M <br />VFNTIUiION fAN <br />RANG[ HO_.. <br />AIR HAN�LINL UNIT– <br />SiOVE <br />M[TAl {IRFPIACF 6 CI <br />SU� TO7Al � <br />►[�MIT � <br />TOTAIIEE � <br />NUMOER PIAN CMfCK FEf <br />fEF RKfIPTNO. <br />IF[S VALUA710M �� <br />BUIIDING s <br />VIUMflING <br />Mf Cl/AfIIUL <br />OTNFR <br />PlHAITY UB[ <br />s[c wx+� <br />tOTAI <br />�l�MIT V�IIDATInM <br />WNEN PROPERLY VALIOAIFD �1N TMIS SPACFI TMIS IS YOU0. ifNMIT <br />