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fME�+rpn�n AP�LICATION FOR � <br />°�^°F C.INSTRUCTION <br />everett PERMIT <br />DEPT. OF COMMUNITV DEVELOPMENT SERVICES <br />CITY HALL 259-E7/5 <br />EVERETT,WA98201 ��OMSINATION <br />�G�P 0��' <br />❑ lUILDING ❑MECHAMICAL <br />k�s� � , ��.� <br />03 � Uuw��1' t�.�E. � <br />❑r�uMe�Nc PERMIT NO. <br />g8zv <br />everen <br />e <br />. 2 �'1 / <br />GIHFR�I[OMR�CIOR M�IlA0DRE5S ❑iY zll' PHONE J 1[ENS <br />,��vL (3p2TLDW CA�i.li (0�#'�6' 40=��4�i. S.�i . kyE2k�7f' 33)- 69�z '� �J <br />M[CM�NIUt CpNIp�CJDA MMl A0011[55 C11Y LIP PMON[ liC[NSE / <br />I`IUMPIYG CONIR�C100. M�II eUDR[55 CITY IIY PNONF IICFNSE 1 <br />CUSS 01 N'OIIK <br />❑NEW ❑ADDITION �ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUIIDING RELOCATION <br />VAW�LION 01 WORt <br />� <br />f fY\ / P� � <br />wl5tRl0! WORx <br />�T. '7"l�'•�e �T I .+,. QRa ✓4� E�7� <br />vROPO5fUU5F Of PWIDIr+G I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />iEcn�^s�rnoHor�oSv,�risMo��a�wL�ii���uemvits� �' <br />l01 BIOCk�Of <br />�lUMY1NG <br />NO. <br />W �TER CLO! <br />j BATHTUB <br />UV�TORY p <br />SHOWFR <br />KITCMEN 51� <br />DISWASHfN <br />L+ en+ � �' q ✓ r . <br />�. OF i1tTURE <br />DLIET� <br />BASIN) <br />ROOi DR�INS-RAINLFADERS <br />SInK ISERVICF-B�R. ETC 1 <br />fU�iOTAI <br />�E�MIi t <br />iOTAI /[E � <br />75RBACK STRfFT5ET8�CK RURYARD <br />OF CONST <br />LOT ARfA <br />NO <br />A►MOVAIf <br />1 fNVIRONMENT�I CMFCK LISi <br />7 BUILDING PlANS <br />7 FIRE HYDRANT <br />� fIRE PROiECTION SYSTfM <br />5 GRADING/fxC�VATION6QE�RINC/GRUBRING <br />6 DRAINAGF <br />7.ENVIRONMENT�IIMPACTSTATEMENT <br />!. HFALTM OISTRICT <br />SY I PLANSCNfCKED BY <br />41-79 <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 WITH WHETHER SPECIFIED MEREIN <br />OR NOT. THE GRANTINC OF A PERMIT DOES NOT 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 />SIGNATURF NTRACTOR OR AUIHORIIED AGENT D�TE <br />r61��"/� �/ 1^7/ �� <br />NO. TY►E OF EQURMI <br />�IR CONO UNI75-MP. EA <br />REiRIGF1IATION UNIiS-RV. EA <br />BOILERS-HP FA <br />GA$ f10.fD A.C. UNITS-TONN�I <br />FORCFD AIR SYSTEMS-B.TL <br />WALI ME�TERS-B7.0 M <br />VENTII <br />R�NGE <br />STOVF <br />V�CANT SITE � <br />❑Yf5 ❑NO <br />VO.Oi OWEIIING UNITS <br />BUItDING <br />MA% OCC LO�D <br />PLUMBINC <br />FIRE SPRINKLE0.5 <br />REQUIRFO MECMANIGL <br />�YfS ❑NO <br />/t D�T[ OTMER <br />PFNAI.TY <br />iOT�I <br />AFPR <br />F�N <br />fU�70iA1 � <br />�F�MIT / <br />TOTAIi[E � <br />►LAN CHECK FEF <br />FEE RFCEIPT NO. <br />VALUAiION fl <br />4 <br />UBC <br />SFC bN�l <br />�[IIMIT vAlI0AT10N <br />WMEN PROPFRLY VAIIDATFD (IN TNIS SPACEI THIS IS VOU0. PERMIT <br />