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` a�PLICATION FOR- <br />��'"" .:ONSTRUCTION <br />everett PERMIT <br />DEPT. OF COMMUNIiY DEVEIOPMENT SERVICES <br />CITV HALI 259-0715 <br />EVERETT, WA9E201 ❑[OMlINATION I��UIIDING ❑MECHANICAI� ❑�LUMi1NG PERMIT N. <br />� <br />e <br />C1�5501V+0a� � <br />❑NEW GAD�'TiU`i ❑ALTERATION ❑REPAIR ❑DEMOIITION ❑FENCE ❑SIGN <br />f 6 <br />OIS�RIBF WORc /� , <br />( -,�nsjr�u.L� N��J o..=� o'�- <br />vnorosm us� or euuo��c <br />/'Gn-�Li�.-c. � �we `�lic7l� �.�a¢�c- - <br />IFGM OESU��LY ISNOWN IIIIOW OR �1f�CM IOW COPIl51 <br />�o, :� ai«K 1 O o� � ai A�� C..L i1 E/GMZ�._ <br />ioaeoo� 03 <br />►IUM�ING <br />DISWASME0. <br />L�UNDRV TM�Y <br />nniHES W�SHE <br />ROOF <br />-BA0. ITC � <br />STRF <br />� <br />AREA <br />'�i"-' iJ I-� - 1 <br />IF BL NO OF STORIFS <br />zw�C �' 1 <br />� <br />:ONE BASFMFNI fllI <br />.. �__• ...�- �� <br />AKlOV�If <br />1 FNVIRONMFMI�'. CHECK llST <br />I. BUILDING PUN'� <br />7 fIRF MYDRANT <br />� FIRE P0.0'fC710N SYSTfM <br />S LRADINCII �CA�'ATION 6 ClF �NINGICRUBflINL <br />6. DIIAINAGE <br />7.ENVIRONMENT�LIMPACTSiATEMENT <br />E. HEAITM D6TBICT <br />APPUCATION ACC. BY PLANS CMECKFD <br />�c cll, 1l c• <br />41 79 <br />VACANT �f 7 f <br />OYfS j�� <br />NO OF UH'EILiN( <br />l^ <br />MAX OCC IOAD <br />___. <br />�� � D�iF <br />❑BUIIDING RELOCATION <br />�8.�/ G�O�.I��C/ Ia � <br />I HEREBY CERTIFY THA� 1 HAV� READ .�ND EXAMINLD THIS AP- <br />PUCATION AND KNOW 1'HE SAME TO BE 7dU' .17.UCORRECt ALL <br />PROVISIONS OF LAWS AtID ORDINANCES GOVERNINC THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WMETHER SPECIFIED HEREIN <br />�G VE �UtHOR TY^T01V O ATE OR CANCEOL TME PROVIS ONS OF <br />ANY G fNER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGN�TURE OF CONTRIICTOR OR I.UTMORIIED AGCNT OATE <br />� lil� /.._i�� _/'._.,,_ //-�L.�d'� <br />BY APPR FOR ISSU�NCk PY <br />LASFBED AC UNIiS—TONN�GEFA <br />FORCED �IR SYSTEMS—B T U M <br />WALIMF�TERS—BTU �M <br />UNITMFAiERS—BTU. M <br />EVAPOR�TIVF COOLERS <br />[IOTHFS DNYER$ <br />YENTII�TIUV FAN <br />RANGEHOOD <br />�IR M�NOIING U��T •- C F M. <br />SiOVE <br />� <br />iFFS <br />FEE � � %3 <br />5 L-. <br />xunou+c ��aC}�ii• °O <br />PWMflINC <br />MECHANIC�I <br />OTMFR <br />U.B C. <br />PFNALTY 5[C.7UN�) <br />TOi�I <br />rE11MIT VALID�iION <br />WHtN PROPERIY VALIOA7FD i�N 1M15 SP�CEI THIS IS YOUR PFRMIT <br />_i /� <br />r� .'�'^"%�y ,;��: c, , �,;,: s <br />