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AP,°LICATION FOR Le <br />TM EYBIprBPn a" Of W N ST R U CT I O N <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 2SM745 <br />EVERFTT WA9B201 []COMBINATION ❑ BUILDING ❑MECHANICAL MPLIUMBING PERMIT NO. <br />MAIL ADDRESS CITY I// <br />°WMiR Ano.-ill r.IL -T.I,, Frov,rlt 9Xaof _asa—Pd3G <br />CENTRAL CONTRACTOR MAII ADDRl SS <br />CITY ZIP PNON[ llC[10E R <br />MICNANKAI [ONTRACIOR <br />MAIL ADDRESS CITY Lip PHONT LICENSE L <br />CLASS OF WORKIOY�A, I� <br />❑NEW DOADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />V ALUA710N OT W ORK <br />S <br />LNYRIBE WORK <br />PROPOSLD UST OF BUILDING <br />LEGAL DT SCRIPIION Of PROPERTY (SHONN RI LOW OR AITACH FOUR COPIES) <br />LOT _BLOCK OF <br />10R ADDRI55 <br />PLUMBING <br />NO, I TYPE <br />W AIER EIOSL7171 <br />BATHTUB <br />SIIOWIR <br />1.11(HIN 5'NK A DiiP <br />U 11N'ASNLR _ <br />LAUNDRY TRAY <br />QOIHIS W'ASHIR <br />NATIR HIAIIR <br />URINAL <br />DRINKING FOUNTAIN <br />I LOOR DRAIN <br />VACUUM BREAKERS <br />ROOT DRAINS—RAINEI ADI RS <br />SINK 151 RVICI —BAR. ! IC 1 <br />SUB TOTAL <br />PERMIT S <br />TOTAL FEE IF — <br />RD St TBACY, I STRUT SLTBACK I RI AR N <br />LOT AREA <br />mi <br />APPROVALS <br />1 INVIRONMLNIAL CHECK 115E <br />2 BUILDING PLANS <br />I FIRE HYDRANT <br />A FIRE PROTECTION SYSTEM <br />5 GRADINGEKCAVATION A CH ARING!GRURSING <br />B DRAINAGE <br />7 ENVIRONMFNTAL IMPACT STATEMENT <br />I HEALTH DISTRICT <br />APPI Ir AI1ON ACC EY I PLANS CHECKED <br />BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION <br />BE TRUE, -.ND CORRECT ALL <br />OPROVISIONS OF LAWS AND ORDINANCES GOVERNING TH 5 TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVEANY AUTHORITY PROVISIONS <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE Of CONTRACTOR OR AUTHORIZED AGENT DATE <br />EEE I NO. I _ TYPE <br />VACANT MII <br />OYES ❑NO <br />BY <br />DATE <br />IOR ISSUANCE BY <br />MITI <br />FIRED AC UNI15-wnn" <br />ID AIR SYSTLMS-B T U <br />L HLATIRS-BTU M <br />w aaea-RIFE M <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />,IDLING UNIT- CFM <br />IIREPLACI A CHIMNEY <br />at <br />L <br />CHECK I IL <br />RECEIPT NO, <br />UtlC <br />PE NAl1Y SiC Jmlal <br />TOTAL <br />PERMIT VALIDATION <br />WHLN PROPERLY VAUDATEOIIN THIS SPACEITHIS IS YOUR PERMIT <br />91 79 <br />