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everett � �NSTRIJCTIOtV ` `�e <br />c�rr ov <br />PERMIT <br />DEPT. OF COMMUNITY DFVELOPMENT $ERVICES <br />CITY HALL 259�87�5 <br />EVERETT, WA9B201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMlING PERMIT NO. <br />OWNEM I.1All AD�NI55 CIiY ZIP PMOVF <br />/ � <br />--; �r.v:vrri/ if /�'�i��v CrOi /U/Gi/.t...� a:: Clvcs+:�s `i��l ?S�'-S'SI? <br />�RCNII[qORD[SIG�vtR MAllA0DR155 CITY ZIY IMONE <br />GtNfReL CONIqeC10R Mnll �OOIIESS UTY ZIP FHONE LI[FNSE f <br />m(CN1t+lUl [O�+�P�CT00. MAII AOORFSS CIIY tIP PMONF IICENSE I <br />f1U�1q1'.rLCONipnQOR M�Il�00R[SS ❑IY 21P PNOnE UCFNSE� <br />CUSS Of x'OFK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />Y�IUAtION Oi WOPI( <br />� ��<;C.� . i� o <br />oiscaiet woR� <br />RoiF .P� uy.- �i� ;a ��.�/.-ri ,—ic.: <br />PROPO5f0 US( OI PUIIAING <br />lE Wl OESCR�PIION OI PROP[RLY ISMOWN B[l0�! ON �II�CN IOUII COFIl51 <br />l01 � PIOCk � Of <br />�/,(� DD/ �-oD -�a� /9 fi�` <br />��.c�[/r/P �N ,�K i ��S ,��i G' � <br />IOP �DORl55/ / <br />J��C� � /Yi/. /%-/J..nI D/i L-L-s7?C'!�1' <br />�IUM�ING <br />NO. TY�E OF FI%TURE FEE <br />W�TE0. CLOSET �lOIIET� <br />BATHTUB <br />UVATORY (WASM P�SIN� <br />SHOWFR <br />KIT�HEN SINK 8 OISP <br />� DISWASHfR <br />�. LAU�DRY TRAY <br />CLOTHFS W�SHER <br />� WATFR MF�TER <br />URINAI <br />DRINKING FOUNTAIN <br />iLOOR DRAIN <br />V�CUUM BREAKERS <br />SINK �SERVICE-B�R. FTC � <br />SU�iOiAl <br />KIIMIT ! <br />FIRE 20NE <br />LOT �REA <br />B�SEMENT I flfORO0A15 <br />A►MOVAIf <br />1 ENVIAONMENTAI CMECK LIST <br />3 BUIIDING PUNS <br />J fIRF HYORANT <br />�. FIRE PROTfCTION SYSTEM <br />5 GM�DINGIFX(�V�TION6ClfARING/G0.U8flING <br />6 URAINAGE <br />7 ENVIRONMFNTALIMPACTSTATEMFNT <br />E. MFAITH DISTRICT <br />VAC�NT SITF <br />❑Yf5 ❑NO <br />�i I DAT[ <br />�PPIICATION ACC. BY PLANS CNKKED BY � APPR fOR ISSUANCE BY <br />41 79 <br />I HEREBY CERTIFY TH�T I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINAN.^.E!� COVERNING TMu TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTINC OF A �ERMIT DOES NOT PRESUME TU <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 />SIGNATURE OF CONfRA:TOR OR AU7MORIZED ALFNT DATE <br />MECMANIGL <br />NO. T1'fE OF <br />REFRIGFRATION UNITS-M P. FA <br />G�5 FIRED A.0 UNITS-TONN�G. EA <br />FORCFO AIR SVSTFMS-B1 U. M F� <br />UNIT HEATFNS-B.T U M <br />FVAPORATNE COOLfRS <br />R�NGFMOOD �� <br />AIN MANDLING UNIi- C.F.M. <br />MEiAL FIREVLACE 6 CHIMNEY <br />iFES <br />BUILOINC <br />I'LUM9ING <br />MECMANIGL <br />OTHFR <br />PENAITY <br />TO1Al <br />,�—SG <br />fU�TOiAI � <br />R�MIi { <br />TOTAIfEF t <br />PUN CNFCK FEE <br />FEE RECFIPT NO. <br />VALU�TION il <br />s <br />UB C. <br />SEC. 1 <br />►E�MIT VALID�TION <br />WHEN PROPfRIY VAIIDATED �IN THIS SPACE) THI515 YOUR PERMIT <br />