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c- <br />1 <br />� <br />PPPLICATION FOR ���,�„ <br />�ry�`°'"^ :,ONSTRUCTION e <br />everett PERMIT <br />DEPT OF C0�1h7UNITV DE�'EIOPMENT SEI2VICE$ <br />CITY HALL 259-8745 <br />EVEREii,wn9s2o� �COMBINATION ❑ SUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />ON'NLR �/ M�IIApDXf55 CI11 ZIP PIIONI ,�SJ-Z72 P�� <br />� �!l'S �/9/lC /T��k����r•.^ S �//J lG� %r��a/,/r,�,�%/���vc.%7y`,���i, 9rS'a'o3 <br />AROIIiICIORDI5IGN[R M11AllA0DRt55 ����� Z�P P � � <br />G[NfNAlCON1RnQOR MAll�00Rl55 ❑iY ZIP PNOH[ l�ClNS[/ <br />k� � c/ � v' �i f i S/ e�" <br />•.•c /'/o c Y <br />Id(CN MUl CO!'�iR.1O0R 7 AIAII �ODRl55 � UlY 21P PHOv[ IIClNS! I <br />PWnIPI'.C.fONiRAQON MAIIADDRl55 CIIY ZIP PMONE IICiNS[� <br />L�. NE\Y ❑ADD�TION <br />V n W e110Y Of wORK <br />) <br />Dl5CNi91 NORK <br />'i .i' a �/ � — <br />PNOPOStO US[ 9UIlDwG <br />N <br />❑ALTERATION ❑ItEPAIR ❑DEh10LITION ❑FENCE ❑SIGN ❑GARAGE ❑BU�LD�NG RELOCATION <br />— <br />IkCAI 0[SCRIPIIOV Of VRJP[PiY ISNOWN BI lOw OR n11�CN fOUR COPIFSI <br />�or _owcr:�or <br />IOP�DD0.U5 '/ � / <br />1C �Z IO /,C� �T % T; I �G' LI � ✓�.�/ � C <br />PIUMBING <br />NO. TYPE OF FI%iURE <br />wnrra aos[r iroucn <br />11ATHTUA _ _ <br />SMOW[R <br />KI7CMEN SINK 6 DISP <br />DISWASM[R <br />UUNONY iRAP <br />CIOTMIS\YASHER <br />1VA7[R MFATEX <br />URINAL � <br />pµINKING �OUNiAIN <br />VIOOR DRAIN <br />VACUUM NRFAK[HS <br />HOOf 00.AIt�5-RAINIFAOERS <br />SINK �SL4vlCf-OAR. ETl l <br />SU! TOTAL <br />►ERMIT f <br />TOTAIiEF S <br />Y�NDSEiOAIX S1RfR5CT0ACK RC <br />20Nt <br />i Of C( <br />OF fll <br />ZONL <br />LOi AREA <br />BASFM[ <br />I HEREBY CERTIFY THAT I HAVE READ AND E%.1MINED THIS AP- <br />PLICATION AND KNOW THE SAME TO 6E 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 />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />$IGUA7UR[ Of CONTRACTOR OR AUTHORI2ED AGENT DATE <br />�� �, , /D -�/- 6'3 <br />MECHANICAI <br />FEE NO. <br />niH co�o <br />VACANT SITE <br />❑YFS Cti0 <br />CROUP Nn p� tnYLIIING UNI <br />llf5 MA% OCC IOA� <br />���ppppAlS FlNt SPNINKLERS <br />HkOUIRFD <br />AP��OYALS <br />1 FNVIHONMLNTAL CMECK 115T <br />2 PUILDING FUN$ <br />) fIR[ MYDHAN7 <br />.�� <br />� IIR! PN07ECTION 51'STEM <br />5 GNAUINGII%U\'AlION6QIAFINGIGRUNIIING <br />6 DRAINAC[ <br />7.lNVIRONM[:UIIMPACTSTATFMFNT <br />E HEAITH DISTRICT <br />!Y I D�TF <br />APYLIUiION ACC BY PUN$ CHFIXED BY I APPR fOF ISSUANCE 9Y <br />g.1 ; 9 <br />EQUlPMENT <br />RIFRIGFRATION UN�15-H P U <br />eou�es-�+r cn <br />CAS IlNFO A C UNITS-TONNACE [A <br />IORCkDAIRSYF[�15-ISTU MfA <br />\v4lL MFnTfRS-0 T U �� <br />UNI111UTEN5-OTU M <br />1\'APORATIVE COOlCRS <br />CIOTHFS DRYIRS <br />VI N71LA710N FAN <br />NANG[HOOD <br />AIB HANOLINL VNIT- C( A7 _ <br />MLT�I f10.FPUC[ 6 UIIbINEY <br />���L �� <br />SUS iOT�I s <br />PFRMIT S <br />TOTAIiEE ti <br />CM[CA <br />FkF <br />PL�N CHtCK ft[ <br />I N[CFIPT NO <br />OUILDING S <br />PLUM'IING <br />MlOIAN'CAI <br />OTH[0. <br />UBC <br />FINAITY S[C 70Ha1 <br />70TA1 <br />►FIIMIT VAIIDATION <br />WMEN PROP[0.lV VAIIDATEUpN TMIS SPACEI1H1515 VOUK PLRMIT <br />1 <br />1 <br />� <br />� <br />