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rME„ro,�,,, A�.,PLICAI`ION fOI <br />��TM�' �JNSTRUCTION <br />everett PE RM IT <br />�.- <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY MAIL 759-8715 <br />EvtReir.wn9aaoi nrnu�iN�nnti I—leuu�ING ❑MECHANIGL ❑PIUMlING PERMITNO. <br />everetl <br />e <br />rioMnwecor++a+cioe M�n+�osus uir zv rnone ueFr+sn <br />C1A5501 N'011K <br />❑NEW ❑ADDI110N ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE SIGN ❑GARAGE ❑BUILDINGRELOGiION <br />\ � W �t ION 01 N O�R/It <br />� � I� /� <br />UIStRIB WORk // / / � I • / _ �. . � �l . � t /� ./r , i .L <br />raorosm �A oi amioivc • <br />11 Wl 01SQIit10Y Oi VROPfRfY ISNONN BIlOM' ON elle(N IOUF COVIlSI <br />1 OI _ BIOCc _� Of <br />�oR,00A�Ss 2sio ,�on.�,.�� <br />IIUM�ING <br />NO. TY�E Of II%TURE <br />K'A7LR ClOSfT IIOIIFT) <br />pA711tUP <br />LM'MONY �WASH AASIN) <br />SMOWfR <br />KITCNEN cINK 6 DISP <br />DISN'ASN[R <br />UUND0.Y TNAY <br />C107H15 M'ASMlR <br />WAifR HIATIN <br />URINAI <br />DNINKING fOUNT�IN <br />f l OOR DRAIN <br />\'�CUUM fl0.E�KIRS <br />RWf URAIM1S-F\�NLUDl0.5 <br />SINA �iER�9CE-BAN. !7C 1 <br />SU/TOTAI <br />�l11MIT � <br />TOTALIFF S <br />5�0[ Y�RO SRBACY. SiR[(T TLTPACK RUR YAP <br />O! CONST <br />LOi ARU y�[�NT SIIE <br />❑YES ❑NO <br />OCfUP.1N�YCROUP NO OF DW[L <br />NO OF STORIE$ MA% OCC LC <br />BASEMENT NtOROOMS RRfSPRINKI <br />NFOUI0.LD <br />A►►ROVAl3 <br />1 ENVINONMENTAI CM[IX LI51 <br />2 BURDINL PUNS <br />7 fiRl MYD0.hN1 <br />� flkE PNOT[CTION SYSTEM <br />5 GXADINUf%UVA710N8QEARINGlG0.UBflING <br />6 DRAINACE <br />7 [NVIRONMINTALIMPACTSTATFMENT <br />E. HEAITH DISTRICT <br />APPIICATIONACC.BY PUNSCHECKEDBY <br />vg <br />ST <br />0 <br />DAT[ <br />I NfRE6Y CERTIFIFTIIAT I HAVE REAf3�AND EXAMINED iH15 AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVI570NS OF UWS AND ORDINANCES GOV[RNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITN WHETHER SPECIFlED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STA7E OR LOCAL LAW REGULAIING CONSTRUCTION <br />OR TtiE PERFORMANCE OF CON57RUCTION. <br />SILNATURE Oi CONTRACTOR ON AUTNORIZLD AC[NT DATE <br />SO ��,a �/% � DC� 9� ! P PO <br />MECHANICAI ` <br />NO. T�►F OF EQUI�MI <br />AIqCOND U�ITS—HP EA <br />NIfRIG10.ATIONUN115—HP EA <br />NOII(p5—HP [A <br />GASIIRfUAC UNITS—IONNAGEtA <br />fORClDAINSYSI[MS—BiU N <br />WALLHEAifNS—NTU M <br />VH11HU7ER5—PTU M <br />L\'�I'ORAIIVE COOLERS <br />Vf N71LA710N MN <br />AIN NANDIING UNIT— <br />MF TAL f IRf PL�Cf 6 <br />CNLCK NUM9[R <br />Mli { <br />AL f[F � <br />PLAN CNFCK fE[ <br />fEF RICEIPT NO. <br />VAlU�t10N �I <br />BUILDING f�Q/�O <br />i%�� <br />PlUM01NG <br />MECHANIC\l <br />OTNER <br />PENALTY UBC. <br />$EC JONa) <br />TOTAL <br />►[IIMIT VALIOATION <br />WH[N PROPfRLY VALIDATEUpN TMI SPACEITHIS IS YOUR PfRMIT <br />�B'{CY'�� Tb^-t- � <br />l-L�l�✓ t�i�G7%2/�[i <br />_ �ir <br />S� <br />