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ARPLICATION FOR - �,�,�„ <br />m« "� �,�NSTRUCTION 0 <br />everett PERMI� <br />DEP7. OF COMMUMTY DEVELOPMENT SERVICES . <br />CITY HALI 259-07�5 <br />EVERETT, WA90Y01 ��pMlINATION ❑ sU1LDING ❑MECHANICAL ❑PLUMlING PERMIT NO. <br />OWN[R M�II�DDNE55 CIIY ZIP INONF <br />4 n_. � .. __ ot.9.i r-,-,,.._.. _. lni�rn_.-rr �1S 4-.3 F� <br />1/b�y <br />MfCH�NIUICONT0.�CI0R Meneoo��ss �••• �- --�- - <br />�IUMBwLCONIII�CTOR M�Il�D011f5o UIY ZIP IN4N[ 4CFNSE/ <br />C1�550! WOIIK <br />❑NEW ❑AD�ITION �ALTERATION ❑REPAIN ❑DEMOLITION ❑F'NCE ❑SIGN ❑GARAGE ❑BUILDINC REIOCATION <br />V�1U�110N Oi WOIIK <br />� � O <br />DFSCNI9F WORK <br />rearo�io usr or aunoiMc I HERE'ifY CERTIFY THAT I HAVE READ AND EIUMINED THIS AP- <br />PLICATION AND KNGW THE SAME TO BE TRUE AND CORRECT ALL <br />iFu 06CRIViION Of PROI RIY�SH wN BFI W Al1�CN IOUR �P�, _ � PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />� J OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />�% foi� eioca! o� "� OR NOT. THE GRANTINC OF A PERMIT DOES NOT PRESUME TO <br />x/G —� GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIf.NATURE OF CONTRACTOR OR AUTMORI2ED ACFNT DAiF� � <br />ion nooaess <br />� �h Z <br />�LUM�ING <br />OF <br />fIRE <br />TRAY <br />OF <br />LOT AREA I yACANT SIiE <br />OYES ❑NO <br />MECHANICAI <br />M <br />M <br />PI�N ECK NUMBER ,�Q PLAN CXFCR Ytt <br />�/���/` FEE ry� � I RECFIF� HO. <br />Y� � ItP <br />aunowc I' 6_000 <br />PLl1MBING <br />MECHANIUL <br />A►MOVAIS ��� � D�7[ � OTHER <br />1. fNVIRONMENTALCHECK LIS7 <br />1. BU�IDINC Vl�NS <br />7 FIME HYDR�NT <br />�. {IRE PROTECTION SY57EM <br />5 GRADINCIFXC�VATION6CLEARINGICRUBflINC <br />6 DRAIN�GE <br />PFNALTY U.BC. <br />SFC. ION+I <br />TOT�I I I <br />�fllMli V�LIDA710N <br />WMEN PROPCRLY VALIDATED lIN TMIS SYACEI TMIS IS YOUR PERMIT <br />7. ENVIRONMfNTAL IMPACi STATEMFNi <br />E HF"TM0157RICT ' <br />moi �r�nnN A[[. BY PLANS CHFCKFD BY APPR FOR �SSUANCE BY <br />� �i <br />9�1�79 <br />