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�M E„ro�.� A P�..1 C A T I O N F O R • evercM <br />"TM°` CONSTRUCTION e <br />everett P E R M I T <br />DFPT OF COMn1UNITY DEVEIOPMFNT SER\9CES <br />CITY HALL :59�B7a5 <br />EV[RCTT, WA9B201 �COMBINA7'ION ❑ BUILDiNG ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />Ow�.IR N�il �t�nxlu l�t� Jir rNOvi <br />���.,s_ /s96s .li� rrs u�o.fJ_ ___O c<._ o•:��r� <Qz-,Ci7. <br />��/ o � k Sc [ c ..P� ____ _ ..,. .,. �,.,.�. <br />111Rq IONR/I!ON idUl �DOMI55 f 11� IIP PHO'd IICIHSf I <br />��It.��\ItqfO\1R41f1q M�Il�UU4iS5 (.111 liV p��p\f IICI�+SI� <br />�'l l��11�\C ((1\jp�(IOR M�II AO0RI5� ( 111 ]Ip pN0`4 II�INSf / <br />� I ��� l)1 NORK <br />���'.t\\' �ADDITION <br />..��.i�i�.orno�:. <br />� <br />..�rnn xua.. <br />�'Yn��n.l O i• 1 nr Pl �IUi\C <br />❑ALTERA710N ❑REP.11R �EMOIITION ❑FENCL ❑SIGN ❑GARACE ❑BUILDINC RELOGTION <br />t T< ti. 1.. Vl • <br />J�. V IA �t NiCliO'.01 PppPIN1Y ISNONM1 PI lOA OR �ll�[H IOtIR (OCPIISI <br />i�iia�q-3uNIt��1.5(L UI . ��4 �� O� C ✓tre <br />.�� .nnui�. ,(� <br />,� _� —_ Yl 4 � w., <br />PlUM81NG <br />NO. iYPE OV FI%TURE <br />N U 1 u(l OSI t �t nl q 11 <br />I �A 11UH1 iN�SH H�ylsl <br />lHp�� I N <br />A � 1( I!I ti 111k b DISP <br />Db�ti �SIII H <br />1 �t'�UN1 IN11 <br />t I�)l111\1USMlH <br />R�ifN NfAIlX <br />lFl\AI <br />ORI'.!".L IOUNI�I'. <br />{I�)�)N UNAIti <br />tn(�.l A1 FlNI�KIkS <br />N�)n1 DN�i'.t-HAiAfl�DfRS <br />tI�.L �y� N�i(1 -N�R. f 7C I <br />SUB TOTAL <br />SIO! 1�RIJ :I l I1nfY. I SINI I i li l <br />t <br />IOi ANEA <br />iYP1 Of (OR\7 O(CUPAN(Yf.ROUP <br />Slll Of NlD(; 4'O Of S10RIE5 <br />{IHI ZOtif 0\SIMfM ❑IUH( <br />AVPIIOV�LS <br />1 lhYIROI:MINTAICHlCKIbt <br />i FlUilU1NGPUNS <br />) IIXI IIIORANi <br />� IBf I'ROl!(:710NSYSifM <br />5(.qnU�tif, I%t �y�l �!)N h( l! �NINf.!f,NUHNIN(. <br />b URAINAC( <br />7 fI:VINONMFNiAIIMPACiS7MEMCNi <br />E NFAITIIDISTNICI <br />�s <br />Hf �R YAR!) 51 iOAC <br />VAUNT SIII <br />:-;YfS f�-.r+0 <br />NU OI [7WlIfINf.l <br />hl�% O(C IOAD <br />{IMI SPNINkI1Nl <br />NIVUIPIU <br />� `vl S f No <br />!Y DAT[ <br />APVUU7IUN ACC BY � PUN$ CH[CKE� BY � MPp IUH 6511AN( I NY <br />9 1 '9 <br />I HEREf3Y CFRTIFY THAT I HAVti READ AND EXAMINED THI$ AP- <br />PLICATION AND KNOW THE SAME TO OE TRUE AND CORRECT ALL <br />PROVISIONS OF lAWS AND ORDINANCES GOVERNING THI$ TYPE <br />OF W'ORK WILL BE COMPLIED 1YITH \YHETHER SPECIFIED H[REIN <br />OR NOT THF GRANTING OF A PERMIT DOES NOT PR[SU��1G TO <br />GIVk AUIHORI7Y TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STA7[ OR IOCAI LAW REGUTATING CONSTRUCTION <br />OR 1HE PERFORMANCE OF CONSTRUCiION. <br />SI(,ti�iVNi VI CUNIHAC70R OR AU7HORIZfD AGkN7 DAtF <br />X / , � ` _,� �"' o <br />MEiHAN1UL <br />7YPE OF EQUIPMENT <br />niN(�1�0 I".I1�_HI' U <br />NI I Rlt,l NAl1�l4 �rvlit-fl P I A <br />IttJItIH1..H�' U <br />i�,nS IINfD nC V'�I1t-invY�Gf F� <br />It)N(IllAlit51511M5-IIIU MU <br />15A11 HI�IIHS-IIIU M <br />I:�I1111A71Rti-B7U M <br />fC4PnH�il\9 COOLIRS <br />flullll l Dq1iRl <br />V'I".IIU710N IA4 <br />H�NLI MOOf] <br />UF IIANDIING UNIT- C{ M <br />tilO\'I <br />♦11111 ilqlPl�U E CHIMNIY <br />FEE <br />SUB TOIAI f <br />F[RMIf f <br />toui rE� s <br />OIIC1: �UMpIH PLAN CH[CR Ht <br />Iit HFCLIPiNO <br />it6 VAIUATION IfE <br />AUIIUIN(; S <br />PlUMI11hG <br />Mif IIANII AI <br />O71P R <br />rf WITr �A� <br />stc lopa� <br />IOT�t <br />PGMIT VALIDATION <br />��111 rv IWUPLNIV V�LIDA7f U IIN 7Mq SPAQI THI515 VDUR PIRMIT <br />