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A�PLICATION fOR <br />�TME°"�'"" .:ONSTRUCTION <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 7598745 <br />EVERETT, WA9B201 ��QMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />�� aLC..SF2 6''�'7��e�n • � 5'a i "_' �'L. c.�j /,vg �C%' `3 � 3'�� <br />A0.CNIlFQOROE5ICN[R MAllADORlST CIIY 21P pHONE <br />GWE0.�lCONiNAC10N MA1 nUWR55 Cllx CIY YHON 4CEN � <br />�o �f-S /%ipl7L�m.1•- ✓ llL3— 7� 7!� e�'f- G��i/G3 .3L-�` <br />MICH�N1Gl COHiR�QOR MAIt ��DRESS UiY LIP IHONF IICFNSF I <br />i <br />PWM018G CONiR�CTOR MMl AOOR[55 CIIY 21P pNONE IICFNSE � <br />CL�SS OV WOMR <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLI710N ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VMWIIONOf WOPN <br />f <br />FROYOStDOSf OV RWl01NG <br />IFGM �fSCFIPIION O{ VROY(R�Y ISNOWN BEION OR e11AM fOUR COPIfS) <br />lOt _ PIOCF � Of <br />ioe nooxess <br />►LUM[ING <br />NG j <br />� �..?X C <br />—'-ri�.`vTue <br />�^ —� �'.: �TOA <br />� '�HOWFR <br />ROOF <br />$INK � <br />CONST <br />OI' FI%TURE <br />!ET SCTBACK RE�N Y�NO S <br />ANFA yACANT SIIE <br />❑YES ONO <br />UP�NCY GROUP NO OF DWEL <br />OF STORIES MA% OCC LC <br />EMENT NFOROOMS FIRE $PRINKI <br />MMOVALS <br />L ENVIRONMENTAL CMECK lIST <br />3. BUILOING PUN$ <br />) FI0.E MYDRANT <br />♦ FIRE PROTECTION SYSTEM <br />5 GRAOI4GE%GVATION6QEARINGICNUB9ING <br />6 DRAINAGE <br />L ENVIAONMENTAL IMPACT ST�TEMFNT <br />E. MEALTH DISTRICT <br />APPLIGTION ACC. BY PLANS CHECKED BY <br />9 7�79 <br />�t � DAiF <br />I HEREBY CER7�IFY 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 ORDINANCE$ GOVERNING THI$ TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE CRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCF OF CONSTRUCTION. <br />SIGNATURE F C ;T3' CTOR OR AUTHORI2ED AGENT DATE <br />„ i�2i'�h� � 3����' S� <br />MECHANICAL <br />Of <br />BOILERS—H P EA <br />GAS FIpFD A.0 UNI75—TONNACE EA <br />FORCfD AIR SYSTEMS—B TL � M <br />Wu� M[.�TFRC_NT11 M <br />UNIi <br />RANGFHOOD <br />AIR MANOLIN( <br />STOVf <br />IS <br />iEE <br />FEE <br />s <br />RECEIP! NO. <br />sunov+c s <br />PIUMflING <br />MfCNANICAL <br />OTMER <br />PFN�LTY . U.B.C. <br />SEC IONa) <br />TOT�I <br />KIIMIT VALIDATION <br />WHEN PROPERIY VALIOATFD (IN t1i15 SYACE� THIS IS YOUR PERMIT <br />r <br />� <br />J <br />� <br />� <br />J <br />, <br />