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� <br /> ' 4PPLICATION FOQ <br /> ��°"""' CONSTRUCTIOh e <br /> everett PERMIT <br /> DEPT.O�COMMUNITY DEVEtOPMENT SERVICES <br /> an Hnu zs9a»s <br /> EVEREii.w�9e�ot ��OM�INATION � �UILDING G�MECHANICAL ❑►LUM�ING rERMITNO. <br /> OwNEII MMl�DDlltss clrr 21r MOr�F <br /> CHEVRO^I USA IP7C. P.O.Box 220 Seattle �•�A 98111 E2R-5222 <br /> NCNITFCfpIXi1GMG �N�IMDR[SS [ITY 2V h10NE <br /> CHEVRO` USA INC. same as above <br /> GfMFR�lCOM1R�CT04 MI�IIADMBS CItY 2R �MOME IKIMSE� <br /> will notifv - currentiv out for bid <br /> M(CM�NIUI CONTIISCT011 IMII�Dp165 C1T1 LI� Rq,R 4CMSI� <br /> . "1 <br /> . �w.+ei�c co�n•no� .Nn•�Ess aTr zn �� ucE�x� i <br /> II <br /> l ct�ss or wo.cI-7 <br /> I� ❑NEW y�+ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑iENCE ❑SIGN ❑GARAGE ❑BUILDING RfLOCATION <br /> VAtU�TlO/�Of WORk <br /> + estimated $20,000.00 <br /> oix.n�woaa <br /> �ocate 6' x 12' (72 square feet) oaY booth at oump islan�i <br />'I norostous�or wnoi�c I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />� pay booth, eustomer transaction PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALl <br /> I �EG�I DIX�VIIOH pf AO'klli�ISMOWH SIIOW OII�ileC::WU�C0�161 PROVISIONS OF LAWS AND ORD�NANCES GOVERNING THIS TYPE <br /> OF N/ORK WILL BE COMPL�ED WITf1 WHETHER SPECIFIED MEREIN <br /> ior__noca�a OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> i GIVE AUTHORITY TO V�OLATE OR CANCEL THE PROVISIONS OF <br /> Se0 attached ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />� OR THE PERFORMANCE OF GONSTRUCTION. � <br /> SIGNATURE Of CONTR�CTOROII UTHORIZ[D ALENT DATf <br /> �, (. � - <br /> �oe�oo.�5s 3105 Broadara Ave %`/ 4c•�< � _� h - - <br /> tIUM�ING MECMANICAI <br />� NO. T1TE Oi it[TU�E FEE NO. TY�E Of EQUI►MFNT fEE <br /> / WATE0.ClO5FTQOL�ET1 U AIRCOND UNITS-MP fA <br /> B�TNTUE REfRICFRA710NUNITS-HP fA <br />( UV�iORY(W�SM B�SIH� BOIlFRS-M P F� <br /> SMOwFa G�SfIRFO�C UNITS-iOnNALEE� <br /> KITCMFN SINK L DISV FCRCED�IR SYSTFMS-S T U M iA <br /> DISW�SN[II WALLHEAT[MS-BT.0 M <br />. L�UND0.VTR�Y UNITMF�TEIIS-STU M � <br /> CIOTMFS W�SNIR EV�POII�TWF COOLfRS <br /> WATER NF�TEII CIOTHES DRYFRS <br /> UIIIN�I VENIIUTION i�N <br /> �INKING fOUN7�IN RIINGE HOOD <br />, flO011 URAIN 11111 M�NDLIHG UNIT— C i M <br />� V�CUUM!R[�KE�l5 STOVE <br /> IlOOi D1f�IN5-RAINLf�DFRS MFTAL i1tER�Cf�CNIMNFY <br /> SINc(fERVICE-lnfl,ETC) <br /> I rs <br /> fU�fOiAl W�TOTAI � 'Z-7 <br />. . rl�MIT � R�MIi � <br />� • TOT�I�E! � TOiAI i[[ � . <br />( � � SIDf Y��D S Tl�fK STR[FT SFTlp^K 11[�R Y�RD Tl�CK PIAN�MFCK NUMBER tLAN CHECK ifF <br /> � _ /`�/N (� r3 l�o� ll ifE d3 RfCEI�TNO. <br />. O / d �� ^ .�.Z �o � <br /> USE ZONF LOi�REA yACl1NT SIIE <br />, . G—� OYfS OMC� R[f � V�LUIITION iF[ <br /> TYPE O�CONST. OCCUTANCY LIIWP NO Oi DWFILING UNITS <br /> ]Z-!�1 K1o5K g2 ` su�ioir+c + <br /> sizc or eioc. No.a sro�iEs M�a occ.io�o � U SO <br /> � � RUMBING EQ <br /> i1RF ZONF OASEMENT lFDIlOOMS F�RE 5►R�NRIFRi <br /> � IIfQUiF(O� MFCN�NIUI ' L�� <br /> t, ^ � — -- �YFS @NO <br /> A�MOVAU �► Y�R OTHFR <br /> 1 FNVIRONMEHTALCWiCKIIiT �(NALTY LLBC <br /> SEC.JOA�1 <br /> I. lUILDING►UNS <br /> 7 fIRF HYpIll1NT roTA� / Q� <br /> �. iIRE►ROTfCTION SYSTEM K�M�1����T� <br />� • WN[N AOIERIY VALID�TEO ON TMIS S►ACf�iN15 IS YOUII►fRMIT <br /> I 5 GRAUINGf11C��AtIONLCIEAII1NGfGRU!lING � <br />� h nRAIN�GF <br /> r 7. ENVIRONMFNTl1l IM►ACT STIITFMFNT <br /> �. NFALTM DISTIIICT <br /> AryLI[ATION�CC.lY rIANSCNECKEDlY ARR.fORISSWNCElY <br />� � � �7 �✓�� .�i `�� <br />' lJ <br />� �� ' . . 41•M <br />