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AP�LICA��ON FOR ««<n <br />'".E»ro"'" IJNSTRUCTION e <br />GITY OF <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 2548715 <br />EVERET7, WA98201 �COMBINATION ❑ SUILDING ❑MECHANICAI ❑PLUMSING PERMIT NO. <br />OWNfR MAII��ON65 CIIY 21P PNOHE <br />,: .� ,.� . ,_ . . � . _. , .u,. ,�. .,_, ..+ • E„�.-n- Y t�3 ?SJ -vs� a <br />ORU[SIGNIR M�IL�O�FE53 ��TY <br />GINIMI CONTReC10R MAII ADDR[55 UTY 21P PNONF IICENSF I <br />M[[H�NIUI CONIP�CTOR M�II �OOR65 [IlY LIP PHONE LICENS[ I <br />PtI�mPIHG COMiReC100. M�II ADOR6S <br />UI� ZIY PHO�[ UCFNSE� <br />C1A55 Oi WpRR <br />❑NEW ❑ADDITION ❑AITERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GANAGE BUiLDING RELOCATION <br />\'eWAPONOf WORK <br />+ .�cr� . v o <br />DlSCN�BF WORR <br />/�_ � �� .. �_ rf iv .� �f.v�oD/T/C�/ <br />PqOYOSfD USF O� BUIIDMG <br />IIWI O[SCRIPIION Of YiO�UIY ISHOMN BlION' OR niUCH fOUR COPIL51 <br />wi eioca�or <br />,�i/K [lU/ �/-v v -, <br />� ��.�i/fR�N Jt�i��5 <br />� IOB�ODNFSS � / <br />� a �d / �TI/ ihiJ-�r. <br />►IUM�ING <br />NO. TYrE OF FI%TURE <br />' WATER CIOSET �TOLIET) <br />� B�TMiUB <br />i <br />� U\'�10RY(WASHBASIN� <br />� SHOwEN <br />. KITCHEN SINK 6 DISP <br />. DISWASHFR <br />uuNDRY TRAY <br />TYPE <br />SINK <br />ZONE <br />Pi <br />— BAR. F 1 C 1 <br />fU� TOTAI <br />rE11MIT <br />iOTAIifF <br />STREfT SCTB�CK <br />lOT AREA <br />OCCUPANCY LROUP <br />NO Of STORIES <br />I1►/IIOVAIf <br />1 fNVIRONMENTALCMECKl157 <br />1 BUILDING PLANS <br />7 fIRF NY�R�NT _� <br />� FIRE P0.0TEC110N SYSTEM <br />5 GRADINGIf%UVATION8QEA0.1NCILRUIIflING <br />6 DNAINAGF <br />7 ENVIRONMFNTAIIMPACTSTATFMFNT <br />!. HFALTH DISTRICT <br />�PPLICATION ACC BY PUNS CMECKED BY <br />� <br />VACANT SITE <br />❑vF5 ❑NO <br />VO OF �WELLING l <br />MA% OCG lOAO <br />FIRE SPAINKlENS <br />RFQU�vFD <br />❑YES ❑NO <br />�t DAiF <br />APPR FOR ISSUANCF flY <br />I HCREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLIC�TION AND KNOW THE SAME TO 8E TRUE �ND CORRECT ALL <br />PROV�ilONS OF LAWS AND OROINANCES COVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />CIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SICNATURE Uf CONiRACTOR OR AUTHORIZED AGENT DATE <br />x %��� � �J.,� � _; z - s� <br />MECHANIGL <br />NO. TY�E OF EQUI►MENT FEE <br />AI0. COND UNITS—H.P. FA <br />REFRIGFRATION UNITS—H P. EA <br />BOIlfRS—HP EA <br />C�S FIRED A.0 UNITS—TONNACE EA <br />F00.CED AIR STSTEMS—BT.U. M �� <br />WAII HEAIENS—B T U M <br />UNITMEATERS—flTU M <br />EVAPORATIVF COOLFPS <br />CIOiMFS ORYERS <br />VENTIIATION FAN <br />RANGE MOOD ' <br />.�eu.uniweiiurt_ fFM _ <br />METAI FINEPUCE 6 CHIMNEY <br />fU� TO <br />R�MIi <br />TOiAI <br />PUN CH[CK NU��BER <br />iEE <br />IFFS <br />NUIIUING <br />PWMPINC <br />MECHANIUI <br />07HFN <br />PENALTY <br />TOT�I <br />s <br />UBC. <br />SEC ION+I <br />• <br />:NICK FEF <br />RL�.:EIPT NO. <br />►[�MIT VAIIDATION <br />WMEN PROPERLY VAIIDATEO (IN TMIS SPACE) tN�S IS YOUR PERMIT <br />