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r <br />APPLICATION FOR <br />��^°ro�'^ .:ONSTRUCTION <br />everett PERMIT <br />DEPT OF COMh1UNITV DEVELOPAIENT SERVICE$ <br />CITY HALL 259�8745 <br />EVERET7.WA9B201 ��OMBINATION �BUILDING ❑MECHANICAL ❑PLUMBING PERMITNO. <br />� ON'NlR MAR ADU 55 U1Y 211' PIION! <br />lIA,�Q �i L_ /�nn�.tinn/ .3•30.3-2�fe.5t EvERETT yA�oi ,2s2Py�3 <br />APCIIIIICi OR �I ILNlR M11Ml AI�pRISS ❑IY P {'HONE <br />GIHIReICOrvi0..1C100. MMlA00Rl55 CIIY ZIP PHONE IICFNSE� <br />MfC11AM1ICAI CO�iPACION A1All �DOR65 ❑ii CIP VNON[ IICFNSE I <br />�'�VMNi�GCONiq�CiOR AIAl1AD�NISS CIfV I.IP PMONE UCFNSF� <br />C1A11 Of \10RK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR �DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />\'�W�IIOGO! WORR <br />s <br />OI](NIIII ��OXA <br />DeM� l � s�i a <br />ruoros�nusi ui imnm�+c <br />G�,enGt <br />��c�i u�xw'i/rnovor ruor� <br />ioi %ZS--�W�ioc. 5 '�, <br />q R.v <br />iow� ou nnno� rauw caritsi <br />ion eonetss <br />.z.��d Ni9�/,�i-='���— <br />PLUMlING <br />NO. TYPE OF i1XTURf <br />WATkR ClOStT �TOLIET� <br />PA7M7Ufl <br />UVAIORY �WASM HASIN� <br />$HOwf It <br />KITCHEN SINK A OISP <br />DISWASMIR <br />IAUNDNI TXM' <br />ClO1MI5 WASH[R <br />N'A7(N HfAT[N <br />URINAL <br />f)RINRIYC fOUNiAIN <br />I LOOH ORAIN <br />\'�CUU�� HRI AKt RS <br />NOO{ �RAIN$—N�INLFAUfRS <br />SINK �51 RVICL—HAR, f IC 1 <br />70TA1 iFF f <br />5I711\CK STRER 5[TOACK RMN YANU SI <br />LOT ARf� VACANT 51T! <br />❑YES ❑NO <br />CONSI <br />IINI ZOv <br />OCNPANCY GROUP <br />A�MOVALS <br />1 [NVINONMfNUL CNICK UST <br />7 NUIIUING PUN$ <br />d IINf HYDNnNi <br />� flNf VH071C110N5Y$TEM <br />5 CHnUINGIIAU\'AIIONACUANINGIGRUHNING <br />fi ORAINAG[ <br />7 ENVIRONAlIN1Al IMPAQ STATEMENT <br />! M:ALTH DISTNICI <br />MA% OCC LOAU <br />IIRI SPRII:KIIXS <br />NIQUINlD <br />I1H5 I'NO <br />�Y OATF <br />APPlIU1lON AfC BY PUNS CMFCKED BY � APPR FOR <br />9.1 77 <br />1 HEFEFiY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW TI1E 5�ME TO 8E TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND GRDINANCE$ GOVERNING THIS TYPE <br />'S OF WORK WILL BE COMPLIED WITH WHETNER SPECIFIED HEREIN <br />OR NOT. THF 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 RECULATINC CONSTRUCTION <br />OR THE P[RFORMANCE OF CONSTRUCTION. �9� <br />SiCNAIUR[ OF CONiRACTOR OR AUTH00.1ZED AGENT DAT <br />. � <br />HY <br />MECHANICAI " <br />NO. TYPE Of EQU <br />AIR CONO 11NIT5—N P FA <br />pOIlFRS—H P EA <br />GASRREDAC UN�T$—TONNAGf EA <br />FORCf D AIR SYS1fM5—B i U M EA <br />1YALlNtA1fR5—OTU M <br />UN11HU7FR5—BTU M <br />t VAPORATIVF COOLFRS <br />Vf N71�ATION fAN <br />RANCE HOOD <br />AIR HANDLING UNIT— <br />MITAL fIRF7UCE 8 CMIMN[Y <br />SU� TOiAI f <br />►FIIMIT f <br />iOT�IiEE f <br />FEF <br />fFES <br />RfCEIPT NO <br />FEF <br />tlUILOINL S �� <br />PWMNING <br />AlIQ1�NIUl <br />OTliER <br />Pfn'AITy UBC <br />SEC lOJla� <br />TOUI � <br />►[IIMIT VALIDAiION <br />WMCN PROPENIY VALIUAIE�I�N iNIS SPACF) TMIS IS YOUR PERMIT <br />0 <br />