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A,,,�PLICATION FOR,,, <br />'�o"'°'"" ..ONSTRUCTION <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-0715 <br />E\'ERETT, WA9E201 ❑�OM6INATION ❑ 6UILDING <br />�� <br />4rA4► <br />/3 Y rilt <br />1 <br />�OOMf S� <br />7.903 �1 N+i r � �r <br />❑ MECHANICAL <br />❑PLUM�7ING PERMIT NO. <br />ur � ••• <br />exoi -c.s'e • z�� <br />��r. <br />i Ii F►'�� ?T' i1��E7 <br />CITY <br />.c..st. �+'�atr-9�� <br />,�/ .�o�+ 6f�/ <br />!YlKM <br />e <br />PNONE IICENSE / <br />S17�9�z P.►•ua� Q r kG � <br />PlUMq1�+G CONtMCIOII M�II �OORF55 C�1Y ZIP PNONE IICENSE I <br />CU55 Oi wOI1F <br />❑NEYY ❑AODITION ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE BUILDING RELOCATION <br />V�1U�110NOf W011F <br />y ,: AO O L <br />.... ✓ � N' i rw 11/r� /t1 •(. � L(T! <br />OlSCRIBF WOR M � � <br />PROPOSE D USF,(1� <br />IEGI�IU C�IIPTIOHOfIII(�P�tY15MOM'w��`N�1�FOURCZf51 _� <br />��� <br />wl� F BIIXR �is �� � <br />AflOiT/or/ �-o i�� 1�!'�t- �t�T <br />Y e� . 3 O.+ i o' y <br />IOP �ODlll SS <br />Z9., Hs�+�Tj�It.rr. <br />►lUM/ING <br />TRAY <br />Y�RO <br />OF Ci <br />T _ <br />LOT �RE� <br />OCCUPAhCY C0.0UP <br />�, - z <br />NO OF SiOMIES <br />Z <br />I � � <br />�M�OVAIf <br />1 ENVIIIONMENTAL CMECK IIST <br />3 BUIIDING Pl�NS <br />7 FIRE HYDN�NT <br />� FIRE PROTECTION SYSTEM <br />5 GR�DINGf%UVATION6CLEARINGIGRUBRING <br />6 DRAINAGE <br />7 fNVIRONMFNTAL IM►ACT STATEMENT <br />p NFAITH D157RICT <br />BY I PlANS C <br />� � <br />41 �79 <br />BY <br />.N k'7t�'TT <br />�t <br />REA0. Y�0.0 SETB�CI <br />V�C�Ni SITf <br />�YFS @I�O <br />NO. Oi OWELL�NG l <br />M�%.00C IOAD <br />FIRF $PRINKlERS <br />REQU�Rf 0 <br />❑YFS BNO <br />�f DATE <br />7l fOR ISSL <br />, � • <br />': . <br />1 HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITM WHETHER SPECIfIED HEREIN <br />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 LAW REGULATINC CONSTRUCTION <br />OR THE PERFORMANCE OF CCNSTRUCTION. <br />SIGNATURE O�RACTOR OR AUIHORIiED ALENT D�TE <br />NO. 7�R vr cy��nw.�� <br />�IR COND. UNITS—HP. E� <br />REfRIGER�TION UNITS—H.P. E� <br />BOIlERS—HP. EA <br />GAS FlRED AC. UNIiS—TONNAGE EA <br />FORCED AIR SYSTFMS—B T U M <br />WAIIHEATERS—Bi.U. M <br />UNIT HF�TERS-8 TA. A7 <br />EVAPOR�TIVF COOLfRS <br />CIOTNFS DRYFRS <br />VFNTIIATION FAN <br />RANCEHOOD <br />AIR HANDLING UNIT— C i M. <br />SiOVE <br />M[tAI FIREVUCE 6 CHIMNEY <br />� <br />BUIIDIN(: <br />PLUMflING <br />MFCM�NICAI <br />OTHER <br />PENAITY <br />y3% <br />'/3 <br />U.P C <br />SEC. MN+) <br />PLAN CRfCR Ytt <br />I RECFIPT NO. <br />i0i�l I � <br />�E�MIt V�IID�TION <br />WHFN PROPERIY VAl1�ATED �1N THIS SP�CF� iH15 IS YOUR PERMIT <br />F1� <br />