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, ; � � <br />APP� ICATION FOR . <br />C(.,�STRUCTION <br />e�erett PERMIT <br />DEPT.OF COA1n1UhI1Y DEVELOPAtENT $ERVICES <br />CITY HALL 255-8745 <br />EVERETT,N'A9P201 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑?LUMBING i'ERfv�IT Nfl. <br />n1r�iL nUUnl]] llll /11' I'YU11 <br />�-O.r.-.cv:. P�)��v�fr'.c 1.'1/U L-Ui>i2��GiF�.-i 4�itd ,�vF=+Y'/% �"�'.>'':/ .�i'�.i- <br />Q O4 DESIGNlR AIAIL �DDRI55 ❑11' 21P PHOYL` <br />evered s <br />e <br />GlNLRAI/[OrviRACiON ANILADOFL55 ❑IY ZII' PIIOUE lKENS(N <br />�l.'-t-i�"�� �C i)i!i70C :2} � <br />At[f11AN1Ul CONipAC/0R Al�ll ADORL55 ❑1\ lIP PHOIV( LICENSE f <br />1'WMpINGCONTR�CTOR AUILADONI55 ❑1Y ZIP PIIONI IICLNSEII <br />CU55 O( \\'ORI; ,�, � <br />❑NEW ❑ADC!TION I�q�7ERATION ❑REPAIR IL}6EM110LITION ❑FENCE ❑SIGN ❑CARACE ❑RUILDING RELOCATION <br />vnwnnou or woer <br />s <br />OESCFIII[ \\'ORA <br />i;zorostouseor om.ome � I HERE6Y CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLIC�TION AND KNOW THE SAME TO 6E iRUE AND CORRECT ALL <br />imni u�scRirnor+or rxorexivis��owN ouowon nri,:a� roue mri�si PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />L� G?�.Fl� T pr L,r % i_ �/� OF N'ORK WILL f3E COMPLIED WITH WHETHER SPECIFIED HEREIN <br />w* �' PIOCN_Oi OR NOT THE GRANTING Of n P[RMIT DOCS NOT PRESUME TO <br />IOPADDVL55 <br />IG / .nn�,� �v .4 <br />9L1161BING <br />NO. TYPE OF FI%TURE <br />6niHTUO <br />U\'ATOftY (lVASH t1A51N) <br />SHO\VER <br />KITCHEN SINK A UISP. <br />DIS\VASHER <br />IAUNDRY TRAY <br />CIOTHES N'ASHER <br />K'ATFR MUTkH <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOft DRAIN <br />`:1CUUM dR61KCR5 <br />ROOF DRAINS-RAWIEAI <br />SINK �SEHVIC[-I4AR, CTC <br />USE ZONE <br />TYPC OF CONST <br />FIRC 7.ONC <br />PERMIT <br />TOiALfEF <br />lOT AREA <br />OCCUPAN�Y GNOUP <br />APPROVALS <br />L FNVIRONn1CNUL CHECK LIST <br />a. nuaoiHe e�nHs <br />). FlHC lIY�RANT <br />l FIRE PROTECiION SYSTEM <br />5. GRnUINGIf %CAVATION A CLlARIf<G/GRUI1171NC <br />G. DRAINAGI <br />7. INVIRONA7CNTAl IMPACT STATL7dCNT <br />B. HUITH DISTRICT <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATIhG CONSTRUCTION <br />OR THE I'ERFORMANC[ UF CONSTRUCTION. <br />SIGNATUR! OF CONIRACTOR OR AUTf10NIZED ACENT DATE •'z -7-�� <br />( <br />v <br />� X [ �.�� `� �i✓ <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />AIN COND UNITS-HP. fA <br />NIf NIGIRATlOY UNIT$-HP. [A <br />ISOILLRS-IIP U <br />GAS FlRLIJ A C. UNI15-TONNAGE EA <br />I�OHCCD AIR SYSiEMS-� T.U. M EA <br />\VnIL HMTLRS-U7L. M <br />UNII HLAILNS-OTL. M <br />LVnI'ONATNC COOLERS <br />QO1NC5 ORYFHS <br />VI.MILAiION MN <br />�3 <br />REAN YANU 5[1IIACK <br />\'AUNT SIIC <br />❑YL$ ❑NO <br />Nq.O� OWkLLINC UNI75 <br />h1AX OCC. LOAU <br />RfQUIR[D <br />I1V15 ClNO <br />BY DATE <br />APPUUTIUN ACC IiV PUNS CHCCKCU OY I APPR IOR ISSUANCf flY <br />9 7�79 <br />AIN IIANDUNG UNR- C F <br />S70V1 <br />n+rTni rie[rinc[ a aiu�nev <br />SUBTOTAI f <br />PF0.MIT S <br />70TAL Ffc S <br />PLAN CHLCK NUA713CR PLAN CHKY. FEE <br />FkC RKEIPT NO. <br />FEES VAlUAT10N FEE <br />11UILDING S <br />PWMBIN : <br />MLCIIANICAL <br />OTMCR <br />rirvn�r�. u.oc <br />sre �oxa) <br />:OTAL <br />PEAMIT VALIDATIJN <br />N'HfN PHOPLRLY VALIDATFU pN THIS SPAC[) THIS IS VOUR PERMIT <br />