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,�� ,� ApPLICATION FOR <br />.,ONSTRUCTION <br />everett PERMIT <br />DEPT OF C0�.7MUNITY D:VELOPhtENT SERVICES <br />CITY HALL 259�8715 <br />EVERETT, WA 98201 ��OMBINATION ❑ lUILDING ❑MECHANICAL <br />y��rp JM��IL �DON�I}55] �/���/ /�`� //, ��T� ��[/ <br />' / /Y N//I l./ / '/ J/ 'J f `fM VLCi/Lii ///�Q/GA) <br />❑rwMeiNc PERMIT NO. <br />�� <br />e <br />%J�i� � V��7 /✓i7' (/Cl.v���� .v�. cG�i��- � vw,3 :��-��.7� �-s.�i �3-�';+ <br />�+ICM1b1Ut(Os1RnQOi MAIIADDMl55 CIIY LP PXONF liC[NS[1 <br />fIPMp1YC COviR�CLOM MAIL ADDRl55 CIIY ZII PXOM/ UCENS[ � <br />-�� <br />(1�55 Of N'OMF <br />❑'�EW ❑ADDITION ❑ALTERATION �REPAIR ❑DEMOLITION ❑FENCE ❑51GN ❑GARAGE DBUILOING RELOCATION <br />��,weno�+or wock � <br />� -�iC/p-C'� , i>» �� <br />D,�° wORN n <br />/J-c�J�vw dy" . �ryf►i,t � <br />rxo .> st oi xunDiN <br />y�c ��r�� - S,�/�, <br />IFG�lDI5CM1V110vOfVROVIRIY(SNONNfl[LON'ORAiIAC 10 <br />� ` <br />io,_eioct�or — Pr <br />3'/f r�1- a�-o z- .Cl�v�'/o� <br />�'� / �*�¢s � ��_ <br />IOB�O�NISS+ ��� � <br />G J <br />rwMetNc <br />NO. TY►E OF FI1 <br />WATFN ClOS[T ITOl1ET� <br />BA7HTU8 <br />UVAIORY �WASH BA514� <br />SMON'IR <br />NITCMI N SINN F DISP <br />DRN'ASHE R <br />UUNDRY 1RAY <br />ClO1H[S WASMFR <br />URINAI <br />DNINKINGIOUN7AIN <br />{L000. DN�IN <br />VACUUM IIXUKF 0.5 <br />ROOI DNAINS—NAIv�FADFRS <br />SINK 6f HVICf — OA0.. LTC 1 <br />Slpf VAROS[TAACK <br />US! 20NE <br />TVP[ OF CONSi <br />TOT�LfF[ f <br />tfEiS[IAACK R[ <br />LOT A0.0 <br />OCCUPANCY GROUP <br />NO OF STORIfS <br />A►I�OVAIS <br />1 lNV (ONMFNUICN[CKLIST <br />3 BUILDING PLANS <br />7 {INF 1/1DRANT <br />1 IINf PROIICTION SYST[M <br />5 GHADINGLkCAVAIIONbCIURINGfLRUPflING <br />6 ORAINACE <br />1 E1�V10.0NM[NTALIMPACTSiATFMENi <br />6 NUUH DiSTNlC1 <br />/� � I HEREBY CERTIfY THAT I HAVE READ AND EXAMINED THIS AP- <br />�' PLICATION AND KNOW THE SAME 10 BE TRUE AND CORRECT ALL <br />, � PROVISIONS OF UWS AND ORDINANCES GOVERNING THIS TYPE <br />6 OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />�� GIVE AUTHORITY TO VIOUTE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW R.EGULAiING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />^/ SIGNATUN[ OJTjONjjtACTQR'Oq AUTMOP.IZ[➢'/iCENt bATE <br />MECHANIGI <br />AIRCOND U!+ITS—NP EA <br />RfINI�FRATIONUN175—NP U <br />POilLRS—M P U <br />GAS f IRLO A C UNITS—TONNAGf E� <br />fORCi�AIN5Y5TLM5—BTU MEA <br />K'ALl HUTLRS—B T U M <br />UNI7HlATfRS—ATU M <br />LVAPORATIV[ COOLC0.5 <br />y(Y7IUTION fAN <br />NANG[NOOD <br />AIR HANOf ING UNIT— C F M <br />M[ TAL f IF! Pl ACE 8 f.HIM4[Y <br />CHECK <br />VA[ANi SITE <br />❑YES ❑NO <br />YO OF DWLLIINL UNI15 <br />BW IOING <br />MA% Ott IO�D <br />PIUMBING <br />�r <br />Mf CIIANIUL <br />OA7[ � 01N[R <br />APPLICA710'� �CC BY OUNS CH[CNED PY I APPp ION ISSWNCF BY <br />9.7 -; 9 <br />PF NAL1Y <br />2��t <br />SU� TOTAL f <br />►[�MIT { <br />TOUL i[[ { <br />NUMBLH PUN �M[CK f EE <br />FEE RfC[IPTNO. <br />f[FS �AlUAT10N fl <br />S ii evs.. �` . <br />L�9C <br />5[C 30N�1 <br />10TAL I I <br />►[RMIf VAIIDAiION <br />wNFN PROVERIV VALIDAT[O VN 7HI5 SPACEITMIS IS VOUR P[AMIT <br />��� <br />� ,� <br />