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� <br />1 <br />� I <br />�,�,,, A��LICATION FOR r �„ � <br />�^°� CONSTRUCTION e , <br />everett PERMIT <br />DEPT. OF COMMUNITV DEVELOPMENT SERVICES <br />CITY HALL 259-07�5 <br />EVERETT, WA9SH11 �COM�INATION ❑ sUILDING ❑MECHANICAL ❑�LUMlING PERMIT NO. <br />AIICHANIUI COnTR�CfO� MMl ADDI!!SS bfY LIP VMONf IICENSE I <br />PII�MIIIN(:('ONfR�CT011 M�II�DUllFSS ��1Y ZI� �N011E IKENS[/ <br />l'1�)tOf WOII[ q <br />❑NEW �ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION IqFENCE ❑SIGN ❑GARACE ❑BUIIDING RELOCIITION <br />rui��nnr+nr wo�c <br />� o«k -�aa � � �� o-fl <br />�H1.i.F WM. <br />O 1 � <br />�'!1pT10 Vll OI 11UIlDING <br />lff.1. DISCII�iON 11TYISMpWNlEtpWOR <br />io��e�oc�a • <br />f,04'D �'U�.r.- j �t 1 L h � <br />4eo6 �1:�1. S`l. � <br />1011 �Of1Rf55 <br />yee6 N :a6 S . <br />►IUM�ING <br />Np. TYR Oi i11ITURE <br />WATER CIOSET ITOLIET) <br />lAiMTUE <br />LAV�TORY(WASX lASIN� <br />SMOWFII <br />IfITCNEN S�NK { DIS► <br />DISWASMEII <br />LAVNDIIV TRAY <br />CIOTHES wASMFII <br />WATEII MF�iEII <br />UII�NAL <br />DRINKING fOUNil11N <br />'' - � SIDtY�1105FT <br />� � <br />� USE ONE <br />� '�' TY�F q f0i5' <br />ti � ^ <br />� <br />SIZF OF S1DC <br />� /gx; <br />, illlF IONF3 <br />AIIE� <br />R-3 <br />I HEREBY CERTIFY THAT I HAVE READ AND EIUMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />coriesi PROVISIONS OF LAWS AND ORDINANCES GOVERNINC THIS TYPE <br />OF WORK WILL BE COMPLtED WITH 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 REGUTATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />9� SIGNAiURE OF CONTRACTOII OR AUTMORIZfD AGENT �ATE <br />„ . � �� . <br />FEE <br />�E/ VAC�NT $IlF/ <br />T ❑Y6 6w6 <br />)UP NO Of OWFIIINC UNI <br />MAII OCC LOAD <br />� <br />HkURWMS FIRF SYRIN <br />^� REQUIRED <br />AN�OVAIf <br />� 1 fNVI110NMENiAI CMECK llSi <br />2 BUILDINC PLIINS <br />� I iIRF NYDR�NT <br />� flRf MOTECTION SVSTEM <br />S GRADINGf%(AVAIION�CtkARINGIG�UBRING <br />• DIIAIN�GE <br />7 FNVIIIONMFNTM IM►ACT STAIEMENi <br />! NF�ITH DISiRICT <br />�t I O�iF <br />DY I ��'PR �OR ISSU�HCf OY <br />AIR COND UNITS—M P. EA <br />RfiRIGFN�TION UNITS—N.P. E� <br />BOIIFIIS—NP F� <br />CASRRED AL UNIT$—TONN�GEEA <br />iORCfO AIR SYSTEMS—! T U M <br />W�LIHEATERS—BT.0 M <br />UNIT HF�iE0.5—B T U M <br />FVIIPORATIVF COOlERS <br />CLOTNFS DIIYFRS <br />VENTIL�TION iAN <br />RANGF NO00 <br />AIR NANDLINC UNIT— C FM. <br />PIAN CHFCK NUMBFR <br />BUIIDING <br />PLUMAING <br />MECMANIUI <br />OTHFR <br />PFN��TY <br />FEE <br />s <br />►LAN CNECK FEE <br />S_� I RECEI�T NO. <br />U.BC <br />SEC )lllla) <br />TOiAI I I �� <br />�E\MIT VALIOAiION <br />WMEN PRpP[RLY VALID�TED IIN 7NIS SPACEI TMIS IS YOUR ►fRMIT <br />�� � � �`�... �� <br />.-. � G.E-1'�CZt-1,�-� <br />6 <br />Y <br />