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�Mf»ro,� APPLICATION FOR <br /> everett --ONSTRUCTION �°��^ <br /> DEPT OFCOMMUNI7YDEVELOPMENTSERVICES PERMIT e <br /> CITY NALL 159•B715 <br /> CVERETT, WA 9E201 []COMlINATION <br /> o,,,,,��, ❑ lUILDING ❑MECHANICAL ❑p�UMlING PERMIT NO. <br /> - �_ lf� .% M�IIGODN65 j CITY <br /> ._�' -r ".,' � -�.�.�-;�`� . , � . :ir rHOMe <br /> �RCNIT[CTOItO[SiCnfR � �. _ ����1�'� . .k�'-" Q . <br /> MUIGODItt55 �� ' ��./� /",�c IG � y_ � ..-� _ ..��' � � _ <br /> [IiY Z�� <br /> � PnpN[ <br /> GINfR�IC[j1IiMRp4 / <br /> ^� �. / M�II�DDRlSS [ITv <br /> / . ZI/ pMON[ <br /> LIC[NS[I <br /> MICN�qtl�lC0�+7f[eC�OR � <br /> � MAIL�pOR65 ��ty <br /> / bP INON[ <br /> l�[[NS[I <br /> �I VM914(;[pp��Rl1R011 <br /> M��l�OOR[SS flt� <br /> ZIP PNONF IICINSF I <br /> l u55 Uf wORR <br /> ❑NFW ❑ADDI710N ❑ALTERATION �REPAIR <br /> ❑DEMOLIiION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> rn��eriow or woxt �4• <br /> � .7'/�..'.�/ � � <br /> - � l/,l O <br /> 06l qpf�WOII <br /> /� <br /> /.1�_ . �f.14 / <br /> PpOP05lU V51 OI flNlplvG <br /> � �J�J�L <�_. 1 HEREBY CERTIFY THAT I HAVf RfAD AND EXAMINED iH15 AP- <br /> ��cei oncxio�ioMo^oeoJrr�sN �w �x{r PLIGTION AND KNOW THE SAME TO BE TRUE AND CORREC7 ALL <br /> u cornsi PROVISIONS OF LAWS AND ORDINANCES GOVERNING 1H15 TYPE <br /> c---� s�`5'P�" r <br /> `�" ��-°�a'�c�_or ��`1f,:. � v ,�i���� �OF WORK WILL BE COMP�IED WITH WHETHER SPECIfIFD HEREIN <br /> / �„ / �i �.- OR NOT. THE GRANTING OF A AERMIT DOES NOT PRESUME TO <br /> ��;' � �3' .� � � .. j r�• . ' - GIVE AUTHORITY TO VIOUTE OR UNCEL THE PROVISIONS OF <br /> � ANY OTHER STATE OR LOUL LAW REGUUTINC CONSTRUCiION <br /> OR Tl1E PERfORMANCE OF CONSTRUCTION. <br /> SIGNGTUH[ Of�ONTNACiON Qg AUiHORIZED AL[Ni OATE <br /> �OM eDD915t � <br /> X ,,� ;_.�-i.i: -� �/ �y <br /> .wMUHc { . i"_ -; � ,.; r'_ _ ;'�,,7,�_ J � <br /> MECHANICAL <br /> NO. TY►E Oi IIRTU�F <br /> wr,tlq rtO51117oUFi1 �fE N�• TY►[Oi EQUI►MFNi <br /> �ip coao uaits- �FE <br /> PM/IIUA MP M <br /> LA W IORY(WASN PASIN� R(f RIGf R�710N U41TS-N p [� <br /> SHOK'IR AOILfHS-NP F� � <br /> kRClllN SINK 6�ISP GAS IIRID AC UNIfS-IONNALF EA <br /> D6K'�SNI q �ORCI 0�IR SYSiLMS-9 T U M F� <br /> IAUn�.RYTRAY WAlLHU1l0.S-bTU 6q <br /> ClO1F,I5WnSHfN UNIIMfATEFS-ytU M <br /> WA7ER HU7(R �����URAIIVt COOL[RS <br /> llp�r:�� ClO1N!5 DMYI RS <br /> DHIhKIN(;�OU47AIN ���N1���1iON MN <br /> �1004 DN�IN RANCf HOpD <br /> VACUUMARUNIRS ��RH/1NU��NGUNIT- �pM <br /> ROOi pRAINS-RAINLf AO[RS S70Vf <br /> SINK�5[ftVlCt-BAR.f TC 1 MR�� f IRF PLAC[ 6 CHIMNry <br /> SU�TOT�I <br />� rERMIT � SU�TOTAI { <br /> TOTAIf[[ � r[�MIT � <br /> SIDlYAkUS(IPACK 575f175[TN�CK N[�gY�ROSL7BA�K p TOTALi[E � <br /> UN CN[Ck NUM9LR PLAN�M[CK I[F <br /> USEZON! IOTARE� fFk RK[IPTND. <br /> ��CANf SIi[ <br /> CYR ❑Np P[[S VAIIlAT10N «F <br /> lYP! O!(pNST OCCUPAN�YGROUP NO O{ OWfLLING UNI75 <br /> SIZ[ Of BIDG ND OF STORIES MA% OCC IOAD BVIIOIN� s � . <br /> � ✓ � /y f'' <br /> �iae zoN[ rwMmne — <br /> BAS[M[Ni HI�NUOMS ��R[ SFRINKIfRS <br /> M'Qsiq[N� MICHANIUL <br /> A►MOVAIf �Y DAT[ <br /> OTHlR <br /> 1 (NVIRONMfN7A�('N[[K ��St <br /> t BUILDINCVlANS PlHALTY VBC <br /> J IIR[ HY�pAN7 SfC 70A�) <br /> TOUL <br /> � IIR! FRO7tCilOH SY51[M I�" l�: <br /> 5 GqAOING!!k(��y�710HbClURINGIGRUAeIHL ���Mli VALIUATION <br /> WH[N PpOPERLY y���DATFO(IN TNIS SPAfU THIS IS YOUq P[RMIT <br /> 6 DRAI4AC! <br /> 7 INVIRONM[NiAL IMpACT STATlMFNT <br /> E H[��TM DISiRICi � <br /> APPLIUTION�CC BY PLANS CHtCK[D BY APPR fpq ISSUANCf HY <br />