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AP�LIC� <br />« «"""" C.�NSI <br />everett PE <br />DEPT. OF COMMUNITY DEVEIOPMENT SERVICES <br />CITY HALI 259-D715 <br />EVERETT. WA 9l201 ��pM�INATION ❑ �UILDING <br />.r�NE■ uu�u �oo�tss <br />�,a��r �_ ��e�l��s�i,_, �y� i�f��o� <br />'�N F�R r <br />�'TTION <br />❑ MECMANICAL <br />cnr <br />'p'!;.-., t i� <br />❑�IUM�ING �ERMIT NO. <br />'�ZO <br />il� <br />� <br />e� <br />, <br />- 5/f/7/ <br />f <br />GENE��I CONTA�fT011 MAII ADDII[SS CITY 2R RqNf IKFMH / <br />SQ G <br />MfCM�NIGlCON1R�CT011 M/11lADDRlSS CIfY LR �MONF IKEMSlI <br />RUMIIINGCON1��C1011 MAllADOlFSS CRY 211 MOMt lK[Mf[� <br />CUSS Of WOIIK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑SUILDING RELOCATION <br />VAlUlIiIOMOf WORK <br />f <br />OESQIe[ W011k � <br />.t� .:,�,�/% ��=c%v/arc c1,,,,�.,�„_ <br />norosto vs[ or euno�nc <br />f-,C f�l�ii.'!'fi <br />IEGM DEXRRTION OF AORRIY �SNOWN!lIOW W �TTIICN FW� <br />�ot�siaa `� a �i% /��vti� /�or, <br />ioe �oa�Et� 5��� iLii 5 <br />�IUM�ING <br />USE <br />lOT <br />IA�OV11lf <br />1. ENVIRONMENTAI CMECK IISi <br />7. WILDING►UNS <br />7 FIRF NYDIIANT <br />�. RRE /ROTFCTION SYSTEM <br />S GR�DING�E%C�VATION�ClEl1RINGIGIIUlSING <br />♦. p�AIN�GE <br />7. ENVIIIONMENi�I IMMCTST�TfMENT <br />l MFI1lTN D15TRIC7 <br />AMIItATIIN� ACC. !Y R�NS CMFCFEC <br />9�1•79 <br />T I HEREBY CERTIFY THAT I NAVE READ AND EIUMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECt ALL <br />PROVISIONS OF LAWS AND OROINANCES GOVERNINC THIS TYPE <br />yit � OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED MEREIN <br />OR NOT. THE GRAN7ING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW RECULATING CONSTRUCTION <br />OR TME PERFORMANCE OF CONSTRUCTION. <br />SIGNAiUI1E,0FCONTR�CTOR OR �UTMOIIIZED AGFNT D�TE <br />MECM�NKA► <br />FEE NO. i11E Oi EQUI►MENT <br />�IR COND. UNITS-N.►. F� <br />IIEFIIIGFII�TION UNITS-M►. E� <br />lOIlERS-Nl. EA <br />G�S FlRED �.C. UNITS-TONN�GE EA <br />FOIlCFO �IR SYSTfMS-01 U M <br />WAIL ME�TERS-l.TL. M <br />UNIiHEA7ER5-S.7U. M <br />EV�POII�TIVF COOlF115 <br />CIOTNES DRYFRS <br />VENTIUITION F�N <br />IIANGE 1100D <br />�IR NIINDLING UNIT- C FM. <br />STOVE <br />METAI FIRFRIICE 1 [NIMNFY <br />V�C�NT SITE <br />OYFS OHO <br />�� <br />AnR i011 <br />PUN CNEC' <br />eunoiNc <br />PLUMBING <br />_�' <br />� <br />w� mu► • � <br />wuuT � <br />wr�► rtE � � <br />NUMlfR R�N tMfCK iEE �'� <br />FEE RECEI►T NO. � <br />tEEf � v�W�T1011 � �� . <br />i <br />s ' <br />MECM�NIUL <br />DAtt OTMFR <br />►ENAITY <br />u.e c <br />SEC. bll�l <br />TOTAI I I � � <br />M�MIf VAUDATIOII . <br />wNEN Ml0►EUIY V�LIDATED IIN THIS SMCEI THIS �S VOUII ►EIIMIT <br />