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AP ICATION FOR <br />'�'� ' C�N ST R U C T I O N � everetl <br />everett PE RM IT e <br />DE{'T. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HA�L 259-8745 <br />EVEttErT n5ezot �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />aw a nn.nunwtss �itr zir ruorvt <br />C :f7•S <br />rtrcr oR oe �+ie uu nonaFss cnr zm rnor+� � <br />GENERAICONIR�Ci00. A1AllAUORl55 CIIY !IP PIION[ LICINSlI <br />MECHANIUI COYTP�CIOR AIAII �OORI55 ❑IV !IP 1`IIUNI tIC(NSE I <br />PlUM61NGCOMNACiOR AI�IIADORl55 CII\' l.IP YHOIVL ;I�[NSIM <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DLMULITION ❑FENCE ❑SIGN ❑GARAGE ❑13UILDING RELOCATION <br />VAtUAT10N OF WORK <br />/ <br />s /_ 9n�, �.'_ <br />o us� or nunurt+c <br />IEG�I DESCNIPTION Of PNOPIRTYi <br />,,/� t� <br />L�(J"���+tlIOCK � Of <br />� <br />33�7 �-� <br />IOfl <br />PIUMBING <br />NO. TYPE OF F <br />WATER ClOSET (TOLIET� <br />PATHTUU <br />LAVATORY pVASH f1A51N) <br />SHON'ER <br />KITCHEN SINK 8 DISP. <br />DIS�M1'ASHER <br />LAUNDNY THAY <br />CLOTMEStVASHER <br />\YATER HFATCR <br />URINAL <br />DRINKINf. FOUNiAIN <br />FLOOR DRAIN <br />VACUUM OHI:AKkNS <br />ROOf DRAInS—NAINLLnD <br />SINK�SCRVICF—OAN. (1CJ <br />TVP[ OF CON'. <br />517.f OF OLDG <br />flNl. ZO�^1! <br />BElOt1' OR AiUCII IOUH [OPII51 <br />'_� <br />PERMIT <br />TOTALfEE <br />Slftili SLTBAC! <br />�or narn <br />occurnNcvice <br />NO UF STORIf 5 <br />APPAOVALS <br />1 FNVIRO\h11M1TALCHICKIIiT <br />a nua�wc ri.nns <br />7 fIH[ IIVDHANf <br />d HRI PNOTfCiION SYAF.At <br />FEE <br />I HEREl3Y CFRTIFY THAT I HAVF READ AND EXAMINED THIS AP- <br />PLICAT�ON AND K'�+OW THE SAME TO 9E TRUE AND CORRECT ALL <br />PROVISIONS OF LAW� AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL F3E COMPLIED WITH WHETHER $PECIFIED HEREIN <br />OR NOT. TH[ GRANTING OF � PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOL�TE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STAT[ OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERfORMANCE OF CONSTRUCTION. <br />$IGNATUHI: OI CONiRAQOR OR AUTHON4.fU ACFNT DATE <br />� <br />X � , � `� /-/5' `�d <br />MEC ANICAL {/ <br />N� TYpE OF EOUIPMENT FEE <br />nIR COVU. UNRS—II P. [A <br />NlfRICI RnTION UNITS—HP. En <br />UOILlHS—�� P L� <br />GAS I IHED AC 114115—TON�AG[ LA <br />fOHC1UAIR5i57f��1S—f17U .11FA <br />lVA4.H1i�I[RS-11TU �V <br />UNI71�[A7LR5—IITU ,U <br />f.VAVORNIN[ COOLERS <br />CLOiH15 DRYFRS <br />V'1 NIILV ION FAN <br />RANf,! IIOOD <br />AIR IInN�I.INC UNIi— C F.V <br />SIOI'f. <br />��9.1AL f INtP1ACF A CfIIh1NE1' <br />5 <br />S <br />HCAH YAHO Stti)AIX PIAN CMkCK NU.�' <br />��,�cnNr siTt <br />,���5 ,� �� FEES <br />VO Oh UWLLLWG UN16 <br />MA% OCC LO�U <br />IIIUNf1U,V5 IIKL )YRIrvAUR) <br />kf QUIRf U <br />'.�tiIS ;�NO <br />BY DATF <br />5 GRADIti(71%(�A'AIIONftCIlARIn17CRUliIIINC <br />G. UNnINAf.L <br />7 LM1V'IRONMLN7AL IMI'ACi S7A7(A71 NT <br />tl IlfnLiIlDISiHICT <br />APPLIUTION ACC I1V <br />� <br />I'I,ANS CHFCKtU ffY � API'N 11)R 11}UM'Cf IIP <br />PEPMIT <br />TOTAL Fff <br />FFF <br />� <br />S <br />f <br />PLAN CHCCK I'kF <br />R(CFIPT NO. <br />J FEE <br />IiUll.f)ING S <br />PLU,A1111Nf. <br />n11 CII�\NICAI <br />oir�� u <br />P( Nnl.l l. U li C <br />SEC. 3113�a� <br />TOTAL <br />P[NMIT VAIIDATION <br />Ulll N I'NUI'I RI YV nl IDN I U 11A' TIIIS SI'ACI � iHIS IS 1'OUR PENMIT <br />N <br />