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tMEr�ryn�n APPLICATION FOR <br />°'"°° :,ONSTRUCTION "°"" <br />everett PERMIT e <br />GtPT OF COMNUNITY DEVELOPMENT SERVICES <br />CITY HALL 259�E7�5 <br />tv[nett.wnneioi ❑COMCINATION Q�SUILDING ❑MECHANICAL ❑►LUMlING PERMIT NO. <br />C^��� N�II AOONtSS UiY pIP PMONE <br />—l� � / � <br />.`� -J_ �`__ %� /`j//��_��/..•.. //.%i:: % � � i .: �-aJ r-,vA7.r„r,�Gd /lfl�ll,• / /�, ��J ��n <br />MCMIIlCI OA D[SILrIR MAII epD11151 UiY n� ...n.,. <br />6!vfR/.tCO'+1ReCiOR rMRADOR155 CITY llP PNONF lIC(MSE� <br />.+f�H�wlfM1l CO�fRnC1C� M�II AOOEUS CILY LIF PNO4l lIC[NS[ � <br />i9PNpW((pY1q1C�OR M�ILGOOI![55 CItY jlp FNOH[ PC[NS[I <br />( I �15 01 WONR <br />❑NEW ❑ADUITION ❑ALiERATION ❑REPAIR �DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATIUN <br />��IWIIONOf WORK <br />ti ������ <br />UISCPIB[ WOM[ � <br />,' � 7���c t_= �"'C_,tJ �i.1/L �i �j -�' <br />aorosto�se ar euunwe � <br />I I G nl Df SCRipilO� OI PROVf R1Y �SHOW N B( tOw OR �il�(N f OVR COPIl51 <br />IO1�BlOCRJG�G• Oi �C/Ji% C�C-�Z��it%I <br />�C�. �X�c- <br />108 eD�N155 <br />PIUMlING <br />NO. TY�E OF <br />KMIN(IOSfTIIOIIF <br />A�7MiU9 <br />UV�iORY �WASH PA1 <br />Ali(r11N SINK 6 DISP <br />DISWASN� g <br />UUNUNY TqAI <br />( l Ol MI S N'�SNf R <br />N'MIH MU71R <br />IiRIhAI <br />DRINY.ING fOUN7AIH <br />ROOR URAIN <br />V'ACUL'M f1P( AKI RS <br />0.001 nqAINS-NAIN�UDIPS <br />SINN (51 HVIC[ -BAR. f TC I <br />I[IIMIf <br />TOT�L <br />SIDF YAND Sf lOACY. S1R! E i SI <br />USF ZONE lOi AR[A <br />1Yf'( Of CONST OCCU7AN( <br />Si2! Oi BIOG NO Of STI <br />IBI ZONF BAS[MFNI <br />A��IIOVAIT <br />/L' <br />r <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLIGTION AND KNUW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF L�'JJS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL 8E COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTINC OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL TIiE PROVISIONS OF <br />ANY OTHER STATE OR LOUL LAW REGUTATINC CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGN�TU0.E Of COhiNACTOR OR AU7MONIZED ALENi DATf <br />�. <br />X ,�C:..���>.'��/_�aC..._ �' � -�� <br />MECHANIUI <br />i[E NO. TY►E OF FQUI►MENT <br />AIH('OM1IJ UNITS-NV N <br />RfIRIf.tR�TI04UY175-HP fA <br />eonies—��r �� <br />GAS i IRf U A C UYRS- i0!�NAGf F� <br />IOR(IDAIRSt5ifM5-BTU N <br />N'ALLI/IM[NS-ATU M <br />U41iHUi1R5-ATU M <br />I1�Af'UR�iI\'F COOI(NS <br />Q O7Hf 5 DMYI 0.5 <br />�94i1U710N IAN <br />RANGfN00� <br />AIXMANDIMGUNIi- CFM <br />S10A'f <br />MFT�I IlqlFUCE 6 CHIMNEY <br />SU� TOTAI <br />s �[RMIt <br />s TOUL I[[ <br />RURYAROS[1BAIX PUNCH[CKNUMBlN <br />!tk <br />VAUNT SITE <br />^uYFS GNO i[FS VAIUA' <br />VO Of OWfLLING UNITS <br />.5 MA% OCC lOAO <br />PIpRUUn1t fINF SPNWKlENS <br />RfQUIPI� <br />'rFc rNn <br />�Y DATF <br />1 FhVIRONMfNiALCHICNLISi <br />7 9UILOING PUNS <br />) flRf MYDNANT <br />� f IRE PNO7ECTION SYST[M <br />5 GH�DING7%U\'ATIONbQU0.1NC.'GNUBflING <br />6 DNAINACE <br />7 tNVIpONM[NULIMPACTSTAT[MENT <br />E N[ALTH 0151HICT <br />APPLIU710N ACC BY 7UN5 CNECNFD 8Y <br />vt'a <br />�VP0. IOR ISSUAVCt AY <br />BUIIOING <br />PIUMHING <br />N��NANIUI <br />O1HFR <br />^f 4A�TY <br />TOTAI <br />UBC <br />5[[ 70Jfe1 <br />� <br />t <br />� <br />CMECK itE <br />R[C[IPT NO. <br />►tRMli VALIDATION <br />1ti11(N VNOPlNU �U�ID�7FD GV iH6 SPAUI TH1515 YOUR PlNMIT <br />�,t <br />