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.j <br /> ,ME„ro�.� A^ PLICATION FOR ' ���,�, <br /> Gn°F CONSTRUCTION e <br /> everett PERMIT <br /> DIPT OF COMMUNITY DEVELOPMFNT SERVICES <br /> CITY HALL 259�8745 <br /> [VFRITT.N�A98201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PWMBING PERMITNO. <br /> nK'v�q MAII nDPNIN ❑iY IIP FNONF <br /> 7 ^ <br /> _ ���cn ��?n, D 21 �, � LR�,-,���1' �v.e� f',��r�7`" 9y2v I 2z'�/ -Gs�vf� <br /> �RCNIIICiORUI51f,r�lp M�III.ODNIA Cqy ZIp PNONE <br /> �� <br /> GI�+IN�I fOY1M�(t00. M�II AOOR[55 ❑IY ZIP 1'MON[ LIC(NSE� <br /> �� <br /> VIfINtiI(�llOti�R�C10M M�II�DOP155 C11Y LIP PHOv( IK[NS[I <br /> _- n _" _ <br /> � <br /> �`il'�iPi�il�U�.1plClpq M�IIADDR155 (IIY ZIP PNON[ IICENS!/ <br /> /�t� <br /> IIN�I NORK <br /> NE\v ❑ADDITION ❑AtTERA710N ❑RCPAtk ❑DEM01171pN ❑FENCE ❑Sb;N ❑GARAGE ❑BUILDINGRELOUTION <br /> ��n+nn�ni woati <br /> � �nnn, ���—. <br /> I11�t N NI N ORA <br /> '�""r•111°��`�"� P1°�"�`' I H[RE6Y CERTIFY TH\T I HAVE READ AND EXAMINED THIS AP- <br /> STc��cf PI.ICATIONl�ND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> nt.+i rnct'ziv Y01 PROPIPi��SNONN q��OW Oq ett�(NIO//UR(OPq51 PROVISION$OF LAWS AND ORDINANCE$GOVERNING THIS TYPE <br /> ini �16� xiorl 4/�/ or O I t �.� OF WORK WILL OE CUMPLIED WI1H WHETHER SPECIFIED HEREIN <br /> OR NOT THE GRAN'i�NG OF A PERMIT DOES NOT PRESUME TO <br />' GIVE AUTl10RITV T�� VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER $UiE f)R LOCAL UW REGULATING CONSTRUCTION <br /> OR THE P[RFOHMANCE OF CONSTRUCTION. <br /> SIGNAIUfiI OI CONiH/(TOR OR AUTHORIZlD ACEN7 DATf <br /> IIIp 4f1�IMIlS � / <br /> z�z�' Brce+d' c✓a v�zvi ,:� x /��n ��-�.�� l /G� `4 <br /> ►LUMSING MECHANICAL � � <br /> NO. 7Y►E Of il%TURE FEE NO. TY�E Of fQUI►MFNT FEE <br /> NAIIRCL05lTITOLIUT AIRCOND UNI75-HP U <br /> pA7N1UA RL{NiGfR�IIONUNITS-HP U <br /> 1 M'�70NY IN ASM pA51N� NOII!RS-11 P E A <br /> � iHOK9R GASfIRIDACUNRS-10NNAGLU <br /> NI1(HIti51NA6D15f�ON(InAINSV57lM5-flTU MU <br /> DISN'ASMfR ��'�LI111A71R5-U7V M <br /> UU�'�D�,� iNAY UNI7 MtATIHS-01 U M <br />� (LOIIIIS N'�SMIH l\'APORA71Yf COOI[R$ <br /> N'AI I R NI A!t' CLOTNt 5 DF1'i RS <br /> UFIN1l \'IMIUIION UN <br />� pRINkING IOUbiAIN RANGI IIOOD <br /> I IOON DNAIY ��q ry�ND�ING UNIT- C(M <br /> \'�CVUM flRUKIRi $IOVI <br /> I ROOI DRAItiS-RAIYLIADIRS M1117A1 (IRfPUCE 8 CHIMN[Y <br /> F <br />` Sihk p!R\9(i-9�R.1 7C 1 . <br /> I _ _ <br />( SU�TOTAL SU!TOTAI f <br /> f[IIMIT f R0.MIT { <br /> TOTALFF[ f TOTALiEF 7 <br /> SInF MRO 5(1AACK STRf[T SRBACK RUR YARO SI70ACA PUN U/[CA NVMBfR PUN CMCCK f[F <br /> C FtF BFCEIPT NO. <br /> USF 7.ONI l07 ARU � � J_' ��•Od �.. L '� <br />, VAUNTr$I7� �[(S VAW�TION f[E <br />� C7Yt5 <br /> 7YP N•ST' UCCU�ANCY LROUP NO Oi DWfl11NG UNI15 <br /> �N M— — ouiiniNc s�ll o� �' � rJ <br /> 512[ O! PIDf; � NO Of SiORIlS MA% OCC IOAD OO. 0�7� <br /> /Z k 30 � riuMnir+c <br /> fINF ZON[ OAS[M[NI HIUROU.NS IINf SPRINKlLNS <br /> Z �_ HF4UINL�O� / . MfC11ANICAL <br /> f1V15 I✓R[) <br /> ����OVAIS !Y DATE OII/IR <br /> 1 fNVIRpNMLNTAICHlCKLIST UBC <br /> P[NAITY S[C AIKaI <br /> 7 BWIDIr:f,pinNi <br /> ) fIRF NYDNANi <br /> TOTAL (� <br /> � IIRL PRO/If.110N SYST[M IftM1T VAIID�TION <br /> WHLN PqOP[RlY VALII)AT[D pN TIIIS SPACU THI515 VOUR PCRMIT <br /> S GRAD�NL4X(AVAiIONACtMRINC!GRUNPING <br /> 6 ORAIN��[ <br /> 7 LNVIRONM[NUL IMPACT S7ATFM(NT <br /> E NUIP!DISTRIC7 <br /> U�I-i�.tni'�ti ��� 1�1 rl�'v1i��it�Jf16.5 �I'PN IUN 'Sll'+.� . p�.� <br />