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APPLICATION FOR <br />�nOrolNn :.O�+�STRUCTiON <br />everett PERM,sT <br />DEPT OF COMMUNITY DEVELOPMENT $ERVICES <br />CITY HALL 259�0745 <br />eveReTr, w� vazo� [f �OMBINATION ❑ UUILDING <br />��.'Gs �rr� �' 389�' So J�tF <br />SIG�+IR MAIIADDRF55 <br />�j t{A'�'co� � � a� /h9sN ST <br />❑MECHANICAL ❑PLUMBING PERMIT NO. <br />' <br />titr zir vHor+E <br />� •--,-- .9ri�lotrw� 9p'l1a2 t�Sy- Z <br />�GU'[RAICO�v1FnCt0R MAILADDRf55 CIIY ZIP VNONE . IICENSF� <br />�oz�. � � �r� � �� r.��•� �Qo� ��- �37/ F"-°-At-EL•E1J4uf <br />MfCN�hIUICJMR�CIOX M�IL�OORF55 OiY LIP PMON[ LICENSE� <br />everetl <br />e <br />PIUNPMf,(ONINAROR M�II�D�XL55 ❑IY ZIV PNONE IICENS[I <br />❑ Af5 Of N'ORK <br />❑NEW �DDIiION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />\'�WAIIOrv Of NOXR <br />' �G+�D �.' <br />ciscxim woxs <br />/�A'�� Si026 �Fr/�7u�Ce5 <br />vaovoseousf or nwmi�.e � I HEREBY CERi1FY THAT I HAVE READ AND EXAMINED THIS AP- <br />�tNG S%aA�G PLICATION ,4ND KIJOW THE SAME TO BE TRUE AND CORRECT ALL <br />i�c.i otscaivno!vor raoviarrisr�owr+a[toN�oa enncHmuemvitsi PROVISIONS OF LAWS AND ORD�NANCE$ GOVERNING THI$ TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />ioi_nioc�__ov OR NOT. THF GRANTIN� OF A PERMIT DOES NOT PRESUME TO <br />ION e[JDRI55 (7 /J <br />� `�Q a �I' . ( '".%f1'� o <br />PLUMBING <br />NO. TYPE OF fl%TURE <br />17ATMiUO <br />/ LAVA70RY�WASM AASIN) <br />SMOW(R <br />KIiCHEN SIhK E DISP <br />DISWASMER <br />IAUNDRY7RAY <br />ROIMfS WASHfR <br />UNINAI <br />DRINKINGIOUN?AIN <br />1 LOOR ORAIv <br />VANUht fiRl AKEkS <br />NOOI ONAINS—RAINLE ADERS <br />SINK ISFk�9C(—HAR. ETC1 <br />SIDk �ARp S! li�lR <br />�� .� <br />USE ZONE <br />G —� <br />TYPf < < N5T <br />� N n� <br />9ZE OF IiLDG <br />flRf ZONF <br />�EIIMIT <br />TOTAI{EE <br />STftEEi 5[Tli 1 <br />M D <br />LOT ARU <br />BASEMEn <br />-L <br />FEE <br />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 />SIGNA�TU% F CONTRACTOR OH AUTHORRFD ACENT DAiE <br />� Y�!�,u���.u,r/!u � ��/r� <br />MECHANIUL �-/ <br />NO. TYPF OF EQUIPMF <br />� AB COND UNITS—H P EA <br />REF0.IGERATION UNITS—H P EA <br />flOILERS—NP fA <br />CA$ FlRED A C UNIiS-10NI <br />FORCF� AIR SYSIEMS-8 T U <br />WAII HU�LRS-0 T U <br />UNIi MEATiRS—H T U M <br />tVAPORAIIVE COOlERS <br />RANGE HOOD <br />AIP HAN�IING UNIT— C FM <br />STOVE <br />MFT�L fBEPUCE b CHIMNFY <br />3 OU <br />RUF YARO l70ACK PUN CHECK NUMNI <br />N�a ����9�/ <br />VACArvT SITE FEES <br />❑VES $CYp <br />IUP NO OF DWtLLING UNIIS <br />�— <br />euuoir+c <br />MA% OCC IOAD <br />PLUMflING <br />ONOUMti ��AE SPRINKLFNS <br />� RE9UIRED MECHANICAI <br />A���OVALS <br />1 FNVIRONMFNfAL C3/ECK 115T <br />2 BUILOING PLANS <br />J fINE HVONANi <br />� fBE FROTFCiION SYS7EM <br />5 GHADING4%UVATIONbCIlA0.1NGIGRUUHING <br />6 ORAINAGE <br />7 ENVIRONMFNTAL IMPACT STAIEMENT <br />8 HFAITM DISTRICT <br />tT <br />APPLIUTION ACC 9Y PIAN$ CMfCKED PY � APPR <br />DATF � OTMER <br />nr <br />PLNAITV <br />FEE <br />EA <br />M <br />SU! TOTAI f � <br />►EIIMIT S <br />TOTAL iEE f <br />PUN CHECK FEE <br />RE .:, � RECEIPTNO. <br />�I:'l'. - — Sv77�� <br />VAIUFiION FEE <br />'�-�.kr,, °D �G.Z� <br />UBC <br />SFC IOJ�aI <br />TOTAI I I 2 7� IS'U <br />�EIIMIT VALIDATION <br />WHfN PNOPERIY VALIDATED (IN iM15 SPACE� TMIS IS VOUR PERMIT <br />