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1 <br />, <br />, <br />, <br />�. <br />, � <br /> � <br /> ,�,Ew,��,� A PP L I�AT 1 O N FO R ���,�n <br /> °�TM°F CONSTRUCTION <br /> everett PERMIT P+ <br /> DEPT OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259�8745 <br /> I EVERETT, WA9B201 CCOMBINATION ❑ BUILDING ❑MECNANICAL ❑PLUMBING PERMIT NO. <br /> awn . ui�onw�ss ar nr rHON� <br /> � =�.etu- Q ..` .�.L 7��Gl��n ��i �:',�,�.�,Zl��/ 9.P��� 3 33 7-�:G 7� <br /> �XCNlift'TOR[JISIGMF e1leUDP65 [IiY ZIP VHONF <br /> LIN(RAl CONINACI00. MAII AODRf55 CIIY ZIP PHONF IICFNS[/ <br /> n11C1UNIGl COM1IPnCtON MAIL AODRISS CIIV CIP PNONF tICEN$E/ <br /> PIlIM111�6(ONIPAUON MAII AODRES$ CIIV 21P PHONF �ICEN$F/ � <br /> CUSS Oi NOR[ <br /> ❑NEW ❑AD�ITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> VAIUAiIOIG Of NORK <br /> f <br /> Of5CN18f WON". <br /> �L' - • . <br /> ruorosiousi oi xmioin I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THF SAME TO 8E TRUE AND CORRECT ALL <br /> IEGAI OFSCRIF110`1 Of P0.0PfNIY(SNOIVN 6llOW OF A11�C1110UR COFIl51 PROVISIONS OF LAWS AND ORDINANCE$GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> wt euxx_or OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> AN1� OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SICYATURE OF CONiRACTOR OR AUTHORIZED AGENT DATf <br /> ion�oouui . <br /> k X � � . <br /> i <br /> PWMBINf: i MECHANIGL <br /> NO. TYPE OF FI%TURE FEE NO. TYPE OF EQUIPMENT FEE <br /> WATEN ClOSLT�TOLIEI) � AIN COND UNITS—H P EA <br /> H�TN7UP NFFRIGIRATIONUNITS—MP EA <br /> UVATORY�WASH HAS�NI 601LER5—H P EA <br /> SNON'f R GAS FIRED AC UNIlS—TUNNACE EA <br /> KI7CM[N 51NK 8 DISP fORC[D AIH SYST[MS—�.T U M EA <br /> DIS'NASHf R WALL NUilHS—fi i U M <br /> UUM1DNI'THAY UNIT NUiERS—P i U M <br /> CLCIHL5IVASNFR !\'APORnTIVF COOLfRS <br /> \VA1FR NUT[8 CIOTHFS�RYERS <br /> UNINM. VLN71UilON fAN <br /> UHIN6INC IOUNTAIN RANGE NOOD <br /> ROOR DRAIN AIN NANDIING UNIT— C f M <br /> VACUU.tit PNUNERS 570\'i <br /> ROOF DRAINS—RnINLEAOFRS MF1AL FIHFPUCE CHIMN[Y <br /> SINK ISFNVICf—IIAR,[TC 1 <br /> SU�TOTAL SU!TOTAI f <br /> �EIIMIi f �ERMIT f <br /> 70iA1 iFE f T07A1 iEF f <br /> 7 <br /> SIDf YARD 5[TItACK STRE[T 5[TOACK RUR YARD 5[IIUCK PIAN CII[CK NUM11lR PUN�HFIX FEF <br /> FFE RKEIPTNO. <br /> USI ZOtiE lOT ARfA VAUNL$Ilk <br /> OYES ❑NO iFFS VAlUA710N FEF <br /> TYPE OF CONSi OCCUPANCY GROUP NO OF DWEIIIN�UNIiS <br /> OUILDINC s <br /> SIZE OF 11L�G HO Of STOR�[5 MA% OCC tOAD <br /> viu�+m�c <br /> flRf ZONE NAS[MFNT BLOR00.�15 FINE SPRINALERS <br /> R[QUIN[D MKNANIUL � <br /> ❑YES C7H0 �-.� <br /> �►►IIOVAlS CY DATE pTfiER <br /> i ENYIRONh1ENUl CNLCK LIST <br /> P!NAUY U A C <br /> 7 BUIIDING PUN$ 5[C.IOHa� . <br /> J flRf IIIDRANI iOTAL <br /> � FIN[ 1'NO7ECTION SYSTFM ►E�MIT VAI�DATION <br /> S GBADIr:Gf XU\'ATION 6 CLfA0.1NGCRUNNING WHEN PNOPERIY VAL�DATFD IIN TMIS SPACq iH15 IS YOUR PFRMIT <br /> 6 DPAINACI <br /> 7 ENVINONM(NTALIMPACTSTATEMENT <br /> N HFALTM DISIAICT <br /> APIRIGTION ACC BY PLANS CM[CKED BY APPR FOR ISSUANCF tlY <br /> 9 L79 <br />