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�,E�,�,� .APPLICATION FOP <br />CONSTRUCTIOf�. <br />everett PERMIT <br />DEP7 OF COMMUNITY DEVELOPMENT SENVICES <br />CITY HALt 259�87�5 <br />EVERETT, WA 9E201 �OMtINATION ❑ 6UILDING ❑MECHANICAC ❑�LUMlING PERMIT NO. <br />OWNIA/ <JGL�% I/I �/�/-I/�OONf�/G COIV/ /(ICYV_� 7�ZO / PHZJ Z i�/ vy <br />COMIIl�Ci011 <br />M�II <br />ZiP <br />MICM�NIULCONTR�tl01� MMlA0D0.E55 ❑TY LIP PMON{ �I[FNS[� <br />1'WMB�vGCOtitR�ClOII �nn�teDDRE55 ❑iY ZIP PNOH[ IICtNSE/ <br />CU55 01 N'ORCr-�f �� <br />❑NEW L�d1lODITION ❑ALTERA7ION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />V�W�LONOf WORR m <br />f/ <br />s �b G�J U <br />DISCR�fi[ wONK� <br />VqOF05t0 US! Of fiUIIOiYG <br />� <br />O S'/GiQ�� .r G <br />IIG�I 06QIVIlO'� Of VROPf RIY (SNOWN B[lOW OR Af1��C✓N <br />1O1��y�lOCK�Of �:%-�c+1� ! f <br />ioe�oneus <br />►LUMtING <br />NO. <br />�6 C a / <br />PA7N7U6 <br />IAVATURY�WASH <br />SMOW[R <br />KI7CHLN SINK 8 D <br />DISWASH[R <br />UUNURY TBAY <br />CLOIMFS WASHkR <br />DRINKING fOUNTAIN <br />ILOOR D0.AIN <br />V�NUM PNFAKERS <br />ROOf UNAINS—RAINI <br />SINK 6[RVICf—BAR, <br />SIDE YpRD 5[TBACK <br />{_ <br />C.E� <br />US[ ZUN[ <br />�—� <br />iOTAtFFF <br />lOT ABU <br />� I I <br />AMROV�IS <br />1 ENVIRONMFNTALCM[IXLIST <br />3 BUIl01NG VUNS <br />7 FIRE NYDN�NT <br />/ FIRE PNO7ECTION SVSTEM <br />5 GNADINGIL%GVATION6CLEANINGGRUBflING <br />b DPAINAGE <br />L ENVIRONMENTAL IMP�CT STATEM[NT <br />!. HFALTN DISiRICT <br />�i <br />BU N YARU StTBACK <br />VM 1NT 5�� <br />GY[i BNO <br />YO. CF �WFIIING U� <br />� <br />MA%�OCC LOAD <br />fIR[ 5?RINKlIRS <br />R[QUi¢[O <br />❑Yf5 f'NO <br />�1 DATf <br />APPLIUTIUN ACC. 9Y PLANS CHEIXEO BY � APP0. tON ISSUANCE <br />9.1 ;9 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINA�CES COVERNING ?HIS TYPE <br />OF WORK WILL BE COMPLIED WIiH WHETHER SPECIFIED HEREIN <br />OR NOT. ?HE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUiHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTNER STATE OR IOCAL LAW REGULATING CONSTRUCTION <br />OR TH[ PERFORMANCE OF CONSTRUCTION. <br />9GNATURC O/ CONiRACTOR OR AUTHORIZED AGENT D�TE <br />„/.��1�-„�'/�,_ �� iz,�/�,, <br />Rf/FIG[R�TION UNITS—HP U <br />BOIL[RS—HP U <br />WSIINf��C UNITS—TONNACEE� <br />IORC[DAIRSYRkMS—BTU M <br />N'ALL HEAIERS—B T U M <br />U'.lihi.'.Tf0.S-97U M <br />I \'APOW!:�V[ COOILRS <br />� U7Hf 5 DRYI NS <br />Vf ViIUTION IAN <br />RnNGE MOOD <br />M4 HANOLING UNIT— C.F M <br />S70VE <br />PLAN CNLCK NUMBf0. <br />IF[S <br />�[�MIT � <br />70TALFEE � <br />PUN CH[IX FEE <br />FIE��.p RECEIPiNO. <br />VAIWiION p <br />BUILDING slO GO <br />C� <br />YWMOING g <br />MLCNANIUL <br />OTHER <br />PENALTY UBC. <br />SEC )ON�1 <br />10T�1 8� <br />�[IIMIT VALID�TION <br />WHEN PROPERLY VALIOATEO (IN THIS SPACE� iH15 IS YOUR PERMIT <br />