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�MEwrprw^ . �"'� R L I CAT i O N F O R� ���,�n <br />��n�F ..ONSTRUCTION e <br />everett PE RM IT <br />DEPT. OF COMMUNITV DEVELOPMENT SERVICES <br />CITY HALL 259�87�5 <br />EVERETT, WA 98201 �COMBINATION ❑ lUILDING ❑MECHANICAL ❑PLUMlING PERMIT NO. <br />OWHEP MAII �DUMI55 CITY ZIP PHONE <br />io_._n ..,. /.in � ..cn C:.-oQ /o.�rs �Ai��.r � �b/l/lN //Q- g�L03 — zJ"Z.���Z� <br />M�II�DDR[SS CITY ZIP PMONE <br />LINfY.�lCOrv1R�tlOR M�IlAD�0.[55 CIIY ZIP YHONF LICENSEI <br />�CL/- <br />MICN�NIUI CONiP�C104 MMl AD011[SS CITY LIP YMON[ UCENSE / <br />PlW1flINGCOMiN�C10R M�II�DDRfA ❑TY ZIP PMDNE IICENSF/ <br />CU55 Of NORI(n <br />❑NEW �uADDITION ❑ALtERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑CARAGE ❑BUILDING RELOCATION <br />YAtU�110NOf WORR <br />f S�% C� �� <br />OtSCRIBt WORN <br />,�icevcqc� 12�r�•E <br />rxorououse or nunou+e I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP- <br />IEG�I DISCRIP110N OF PROP[P7Y ISMOWN BIION ON �iTACN IO110. COYIf51 <br />lpl _ BIOCK � O{ <br />IOP �ODNl35 <br />sZ z q C'�c esT <br />►IUM�ING <br />NO. TYI <br />WATER ClOSET 1 <br />6ATMTUB <br />LAVATORY�WAS <br />SMOWER <br />KITCHEN SINK 6 <br />OISWASMER <br />UUNDRY TRAY <br />CIOTHES WASNI <br />WATER MFATER <br />�� �i/L2�. �• <br />FIXTUIIE <br />�RINKING FOUNT�IN <br />iLOOR ORAIN <br />VACUUM BRFAKFR$ <br />ROOF G0.AIN5—RAINlEAO <br />SINK (SfRViCE—BAR. fTC I <br />SU� <br />USf ZONE <br />TYPE OF <br />AREA <br />AM�OVAIS <br />1 fNVIRONMEN7Al CMECK LIST <br />3 BUIIOING PUNS <br />J fIRE NYDRANT <br />� iIRE PROTECTION SYSTfM <br />5 GRAOINqIkUVAfION6QEANINGIGRUBAING <br />6 DRAINAGE <br />L ENVIRONMENTAL IMPACT STATEMENT <br />E MEAITH DISTRICT <br />APPIIUTION ACC BY PLANS CHECKFD BY <br />fEE <br />f <br />VACANT SITE <br />pYES CNO <br />NO.OF DWEIIING <br />�r � D�TF <br />F00. ISSUANCE BY <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTINC OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY 70 VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE Of CONSTRUCTION. <br />SICNATURf OF CONiRACTOR OR AUTMONIZEO AGENT DATE <br />i <br />MECHANICAL <br />NO. TY►E OF EQUI�MENT <br />AIR COND UNITS-H P. EA <br />UNIT$- <br />BOILERS—MP EA <br />GA$ FIpED AC UNITS—TONNAGE CA <br />fORCED AIN $YSTEMS—B.i U. N <br />WALI HEATERS—B T U M <br />UNIT HEATERS—B T U M <br />EVAPORATIVE COOLFRS <br />CLOiHFS ORYF0.5 <br />VENTILATION fAN <br />N�NGE NOOD <br />AIR M�NDUNG UNR— C FM. <br />MEUL FIREPIAC[ 6 <br />►[�MIT <br />TOTAI <br />NUMtlFit <br />FEE <br />BUILDING <br />PIUMlIING <br />MECMANIUI <br />OTMFR <br />Pf NAUY <br />iOTAI <br />3 <br />/L � <br />PUN CHECK PEE <br />� RECfIPT NO. <br />VAlUAT10N <br />U. B C. <br />SEC. 1011a1 <br />►EAMIT VAIIDAiION <br />WMCN PROPERLY VALID�TED pN iM15 SPACE� THIS I$ YOUR PERMIT <br />