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y;;;;��,'�'r`z' . <br />. �_. <br />��.EW��»� A�PLICATION FOR_ <br />everett �--ONSTRUCTION <br />DEPT. OF COMMUNITY DEVELOPAIENT SERVICES PE R M 1 T <br />CITY HALL ]5&8715 <br />EVERETT, W� 9B101 ��OMBINATION <br />owN�r. ❑ BUILD1Nf ❑MECHANiCAI ❑p�UM81NG <br />Q�, v�C�1 MML�A1DDN[SS PERMIT NO. <br />1\ 4��V i�/ I�� CI1T ZIP <br />.�,.�i dd 3"`Q S (� ^ P�o�E <br />AR[Mli[C�TORO'SG^R ^ I%`�C� ��L 9�J{l,. �—r:�— �J <br />AIUDOpE55 yT :) O I / "t� <br />❑NEW ❑ADDIiION <br />VAWAtION O( WORY. <br />f <br />PROVOSFD LSf r�(+qU�l01HG <br />L�ALTERATION ❑REP�IR <br />, l[�A10!$CRIPbONOfPROPlNiYISHOWN9[LOWOPAiTACN{OUNCOPIESI <br />� � � � BLUCk ��.Of _ <br />IOB npDR65 _ y��B�, <br />!/ ../'G[-/ <br />7LUMlING <br />NO. TYPf OF <br />WATER CLOSfT (Tp��[ <br />AATHiUB <br />LAVAIORY(WASM OA$ <br />SHOWFR <br />KITCMEN SINK b nISP <br />DISwASNER <br />UUNDRY TBAY <br />CLOTHES WASMFR <br />WATFR HEATfR <br />URINAL <br />_ � DNINKINC FOUNiA1N <br />-._........��.����..0 NNEE751 <br />USF ZONE LOT ApEA <br />fYPf Of CONST. OCCUPANi <br />IIZE Of BLDG. NO. OF STI <br />IRE ZONE v.c...�.�. <br />A►►IIOVAlS <br />i. fNVIRONMENTAL CNfCN LIST <br />7 BUILDIhG Pi�HS <br />3 FIRC HY�RFNT <br />1 FIRE PROTECTIpN $YSTfM <br />5 GRADINC�k%C:AV,�7�ON6CLEARINC/GHUtl91NG <br />6 L`RGIN.ICt �—�� <br />� f4\'IRONe.[r_eu : .................. <br />FEE <br />KIAR YARD iEiBA <br />VACANi SIiE <br />❑YfS ONO <br />+O OF OWFLLING <br />dAX.00C LOAO <br />lRE SPHINKlFRS <br />tEQUIRED <br />7YE5 ❑NO <br />�� DATE <br />ZIP <br />❑FENC.=N ❑GABAGE ❑BUILDING RELOCATION <br />S • F-'ec=-s ��u� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TU BE TRUE AND CORRECTALL <br />PROVISIONS OF LqWS qND ORDINANCES GOVERNINC THIS TYPE <br />OF WORK WILL BE COMPLIED WI1H WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF q pERM1T DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW RECULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAiURE OF �pNiRAC70R OR AUTHORIZED ACFNT DATF <br />d n %�1 + <br />MFCHANICAL <br />OF <br />���vniin�iS—HP fA <br />i—H P E/. <br />F�AC UNITS—TONNACFEA <br />AIR 5Y57EM5—B.T U ,H <br />'ATERS—B1.U. M <br />ATERS-9.TU. �� <br />i <br />f <br />FFE 0.ECEIPT NO. <br />VAIU�ITION iFF <br />OUILDINp f <br />�� <br />PLUMOINf <br />MECMANIGL <br />�� <br />OTNFR <br />���_ <br />PENALTY Il.[�C. <br />--�� SFC.70$a) <br />TOTAI <br />��� <br />�EIIMIT VAlIDA71p11 <br />WHFN PRUPFRLV yi���UATEO �IN TNIS SPACE� TMI515 YOUR PERMIT <br />