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�. <br />CONSTRUCTION <br />t�� EwrprMn <br />CITY OF <br />everett PERMIT <br />OF.PT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-8715 <br />Evefleir.wnvaioi n[OMBINATION � BUILDING ❑MECHANICAL ❑PLUMBING PERMIT N. <br />PNON[ <br />everen <br />e <br />MAIL <br />/.UI1L11 <br />l 11\\ (11 N V YR <br />❑NE\Y ❑AUDITION ❑ALT[RATION <br />� uv�imn a �coeK <br />, / n i'i G"� - <br />rxarosiU�'(y �i miw�� <br />+'v � <br />nc�inis rtiouuiraorlA�p� <br />«„ �a���Lo, <br />�oH�nuxne <br />PIUMlING <br />NO. <br />SHOwF R <br />KIiC'�fN SINK 8 DISP <br />DISw�5ME0. <br />UV'+�Rl TRAY <br />��pINFS WASHFR <br />WATFN HEATER <br />URINAI <br />ORINKING FOUNTAI� <br />FLOOR OHAIN <br />v�ftll/M BRE AKF RS <br />5! <br />u <br />lOT ARE� <br />FFE <br />/1 <br />„�.N M-� <br />izE oF eyoc � na or 5rokiEs <br />ldXl$' � <br />4RE ZONE � BASEMENT OtU=_W� <br />A►►tOV�lS <br />1 FNVIRONMENTAL CMECK LIST <br />7 BUIIDING PUNS <br />7 fIRF HYORANT <br />� FIR[ PR0IECTION SYSiEM <br />q LR�DINGiI%CAVA710NbC1k�0.1NGILRUHPING <br />6 DRAIN�GE <br />7 FNVIRONMENiAI IMPACT $TATEMENT <br />e HF�ITM DISTRICT <br />APPLICATION ACC BV PUNS CH[CKE� BY <br />V- �� <br />91%9 <br />ur <br />UC[NSE � <br />IICENSE I <br />PAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILUING RELOCATION <br />FFE <br />� <br />s <br />RUR ��p0 SET9ACN <br />VAC�NT SIIE . <br />�YES LSN� <br />NO O� DWEIIINL U <br />MA% OCC LOAD <br />fIRE SPRINKI.ERS <br />RFQU�RfO <br />f7YF5 f9MC( <br />�r D�7F <br />FOR <br />I HERE6Y CER- FY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN _ <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO � <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />�NY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIG OFCONiRACTOR�M00.1ZFO�GENT O�tE <br />, _ a� � <br />� <br />� � �A v <br />MECHAN�UI <br />TYPE OF EQUI►MfNT FEE <br />NO � <br />AY <br />AIRCOND UNITS-HP EA <br />0.EFRIGERATION UNIiS—MP EA <br />flOILERS—MP EA <br />CAS FIRED �C UNITS—TaNNAGE FA <br />FORCED AIR SYSTFMS—B T U M EA <br />WAIINtATERS—BTU M <br />UNIiMFA7fR$—PTU M <br />fV�PORATNfCOOlERS <br />RANGFMOOU <br />AIR MANDLINC UNIT— C F <br />S10V1 <br />uoru cmfVlAfF 6CMIMNEY <br />iOiAl i[E • <br />PIAN CHEIX iEE <br />?lAN CH[GK NUM6ER FEE I 0.ECfIPT NO- <br />9UIlUING s <br />PWMHINC <br />MFCH�NIUL <br />OTMER <br />UBC <br />PF �+Al TY SEC. l:�l�al <br />TOTAI <br />►ERMIT VALIDATION <br />\VHEN PROPERLY VALI�AT[D ON TMIS SPACLI TMIS IS VOUR PERMIT <br />