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A: 'LICATION FOR D <br />TN EYKLP."" Cm DE CONSTRUCTION <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-874S <br />EVERETT, WA9B201 ❑COMBINATION ❑ BUILDING ❑MECHANICAL PLUMBING PERMIT NO. <br />7ZZ <br />ARCHIIICT OR DESIGNER <br />MAIL ADVISE SS <br />CITY LIP <br />PHpwl <br />IICFNfE <br />GIN[ RAL CON -may <br />MAIL ADDRESS <br />�C <br />LII <br />PllOwf <br />IICINS[ 1 <br />MICNANICAl COw1RAC1➢M <br />MAIL ADDRISS <br />CITY <br />TIP <br />PHOnf <br />OCFNS[ 1 <br />PIENRISC NNIMCTOR <br />MAIL ADDRESS <br />cliv <br />U) OI %ORK <br />❑NEW ❑ADDITION ALTERATION ❑REPAIR <br />YACl.AIIn%OI WORE nn <br />1//// <br />WORK <br />`...NISI DE'SI OFRDILI)"t, X <br />�jTIO 01-c-ROle <br />IIGI DI SCRIPIIO7N /OI /ISjOZPI�R IY )SNOW NPRI�IOW OR Al1AOp11��0�UR`COPH 51 <br />l012 1f-ALOT^�OF L�yl�rc-// <br />,on ALVIN SS <br />PLUMBING <br />TRAY <br />OF FIKTU <br />SUB <br />T <br />AR SARD <br />❑DEMOLITION ❑FCNCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />Vl 101 AREA yACANT li <br />�3 D DYES <br />CONST OCCUPANCY C OUP NO OF DWII�IA <br />v_ N R-3 -/ <br />APPROVALS RY <br />1 ENVIRONMENTAL CHECK LIST <br />1 BUILDING PLANS <br />T FIRE HYDRANT <br />4 FIRE PROTECTION SYSTEM <br />S GRADING9XCAVATIONLCLIARINGIGRUBBING <br />6 DRAINAGE <br />] FNVIRONMENGL IMPACT S1ATf MFNT <br />B HEALTH DISTRICT <br />AVPUUTFON ACC BY I UNS CHECKED BY APPR <br />O <br />DATE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROV15IONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WOROR NOTK HE GRANTWILL Ell, ING LOFF A PFRMIT DOES NOT IED WITH WHETHER SPECIFIED <br />HEREIN <br />PRESUME TO <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 />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />MECHANICAL <br />WL)NITHIATERS-BTU <br />TYPE OE EQUIPMENT FEE <br />UNITS -HP [A <br />IION UNITS -HP [A <br />P EA <br />AC UNITS-TONNAGEEA <br />R SYSTEMS -BTU MIA <br />TERS-BTU M <br />ERS-BTU AS <br />BY <br />t <br />f <br />CIIECK NUMBER PUN CHECK FEE <br />1I[ I RECEIPT NO <br />LDING <br />S <br />MBING <br />HANICAL <br />!Pf <br />HER <br />URIC <br />AVY <br />SEC VANE <br />TOTAL <br />PERMIT VALIDATION <br />SPACE) THIS IS YOUR PERMIT <br />WHIN PROPERLY VALIDATED <br />TIN THIS <br />91 79 <br />