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NSEwr9�� APPLICATION FO` j eve <br /> ��TM�F CONSTRUCTIOfv <br /> everett PERMIT <br /> DEPT OF COh1MUNITY OE\'ELOPMEI:T SERVICES <br /> CITY HALL]59�8745 <br /> ev[2Eii,wn9e7ot ��OMBINATION ❑ BUILDING �.MECHANICAL ❑PLUMBING PERMIT NO. <br /> OW6tR M4l Al)DMl55 CIIY LF VIION( ��/ <br /> 7 -- /1 � I' � /! //, � �i � 7.�/�L/D(i <br /> si/�� �' J����f;'%; 5 J%���� //yl��/�t ! ✓�/c %T �o /- <br /> AFCNIIf(i00.�61GtiIF SUIt�OORf55 ❑IY ZIP �MONf <br /> G[Nf0.ALCOviReC100. n1UlAO0P65 bIY ZIP YHON[ IICFn5f1 <br /> Mffll�tilC�l IUhINAI ION �IAII�OUflIS$ llil LIV �HOHI IICENSI� <br /> PIV+illl\L COVIRACIOR MAII AOON65 CIIY ZIP PMONF 11C(NSE/ <br /> C1A5501 N'OFk <br /> ❑NEW ❑ADDITION �ALTEftATION ❑ftEPAIR ❑DEMOIITION ❑FENCE ❑$IGN ❑GARAGE ❑ONLDINC RELOCATION <br /> Y�IV�➢ON Of NORK G <br /> f � �./� <br /> OtSCFIBI KIIPK <br /> ��7 <br /> vxoaos�ouu or uunmvc i � .. I HEREBY CERTIFY THAT I HAVE REFD AND E%AMINED THIS AP- <br /> � � PLIfATION AN�KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> utu ouc+ivno�or caavian isuown nuawvi `no��oux mrus� PROVISION$C�F lAWS ANU URGINANC6 COVERNING THIS TY°E <br /> OF WORK WILL I3E COMPLIED WITH WHETHER SPECIFlED HEREIN <br /> ior_nior._or OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAN'REGULATINC CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> LGNATUft[Oi CONiRAQOR O.^.%UTNORIZED AGENT DATE <br /> IONe0pN65 � �� <br /> �ri,-ror�c�2 -v� �'���.c'e �� x = i. � ���-,-�-� <br /> PIUA:BING MECNANICAL <br /> NO. TYPE OF FIXiURE FEE N�• <br /> TYPE Of EQUIPMENT FEE <br /> \YntFNCLOSfiIiOLlEi1 NNCONO U�RS—HP fA <br /> pe1NTUE1 0.FfHIGENATIUNUNIiS—MP fA <br /> UVAIORY 1�1'ASH p�S�N� POII!NS—�I P U <br /> SNOKE2 GAS RREO AC UNIiS-10NN�GE EA <br /> RROIf N SINK M1 UISP (ORCED AIN 5157EM5—N T U M EA <br /> DISK'ASIIfF W�IIHEALLHS—f1iU M <br /> UUnpX11NA1 � UNI1HIAlfftS—N1U M 5'>— 'U � <br /> CIOiHES\VASMER fV'�PORATIYCCOOLC-HS � <br /> �wtFH HFAIIB CIOiM15�FYf25 <br /> UX�M1AL �'LrvtILAIION FAN <br /> DRIhKIUG iOUrvLA1N NANG[ MOOD <br /> fLOOR DNAIn AIR HANOIING UNIi— C f M <br /> WCUI:M OXtAY,LNS S10VL <br /> NOOI OR�R�S—NnlrvlUp[NS MfUI FIREPUCL E CNIMrvEV <br /> SIrvK�SFRV�CF—OAR tiCl <br /> � SUB TOiAI f O <br /> suerorei y �p <br /> P[RMIT f P[PMIT n�{ <br /> IOT�If[[ S tOTAIiE[ s yy <br /> PUN CMFCK FFE <br /> SIUFY�RDSIi�ACK SiR[FT$[���CK R[ANY�POS[iBnCA PUNCH[CANUMIfEH gFCfIPTNO. <br /> FfE <br /> lISF 7.ON[ LOT ARU VAUNi SITE �E�g V�lUAT10N FE[ <br /> ❑YES CNO <br /> TVPL OF COnST OCCUPANCY CROUP NO Of U\4'f LI ING U'�I15 <br /> 13UiLUWG s <br /> $12E UF OIOG NO OF STORI[S MA% OCC IOAp <br /> YlUn1U1NG <br /> (iNl ZUhE BASEMENi IIIUNOO�n RFQUBlUA`[µs MfUfn�IUl / O� <br /> ❑VFS C]NO <br /> ARFOWlS BY �ATE O7HLH <br /> 1 INViROHMIrvtAICMCCKl151 Pfrv�liY U[1C <br /> SfC J011a� <br /> z nwininc rur+s <br /> TOTAL <br /> 1 FIX[ NYOHANi <br /> � FIXfPR01[CTIOrv515TFM �FNMII����DATIOM <br /> 1':NfN CFOPkRLY Wl10Ai[D IIN THIS SPACLI THIS IS YOUN PENMIT <br /> S GXnUINCt%UVATION F QlARI4GILRUN111HG <br /> 6 DFAINAGE <br /> 1 FN��RONMENIAIIMPACI5IATEMENT <br /> S HFALIIIOISIRICL <br /> APPIICAIIOH ACC BY PlANS CH[CKEO BY APPP ION ISSU�NCE NY <br /> 94 49 <br />