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A�PPLICATION FOR-- M,.. <br /> �«"" .;ONSTRUCTION �� e <br /> everett PERMIT <br /> DE�i.Of COMMUNITY DEVEtO�MENT SERVItES . <br /> CITY HI1LL IS9�l715 <br /> cVEREtr,w�9eim ��OM�INATION ❑ �UILDING ❑MEtHANICAL ❑ILUM�ING rERMIT NO. <br /> OWNE� MNII�OdIFSS CITY 2R �� <br /> �'v/l�.z/f �l'1�i3�rs �,�i.. i an �o� L - )(d�--�+61- �„�e„�,,� _ <br /> h11CMITFCTOIlDFSIGNU AMI�ADpIESS CITY 2V MqNE <br /> ��� ro �-r�3�� ' <br /> GlNER�ICOMTR�C1Ol! MAII��[SS CITY 2l1 flqN LKlNSlI <br /> y' p , L ..cv <br /> [tM�MIC l COMTIt�CiO� M�II�DU�F 5 CI !1� MIONE lK[NS!I <br /> 77L -o 3�) <br /> %UMEING COHTA�CTOl <br /> MMI�DDR[SS ❑fY ZI� RIONE lK[MSE� <br /> C1�55 Oi WOIIR <br /> ❑NEW ❑ADDITION ❑ALTERATION �EPAIR ❑DFMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑SUIIDING RELOCATION <br /> F <br /> �,���„o�o,weo , � , �� 7'i�-� � �t.sd�'s �s <br /> � izoo R,� ,o�,� � f � a dv /" <br /> � oex��et wo�a <br /> i <br /> rRoro o usf or eunoir�c I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT All <br /> IEG�I OfSClI�T10N Of AOIE�7T 6MOM'NlEIOW OR�l1ACM iOUl CO�IlS) PROVISIONS OF LAWS AND ORDINANCES COVERNING THIS TYPE <br /> � OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> . io�/Ls vSe�oc■�of �U� OR NOT. THE CRANTINC OF A PERMIT DOES NOT PRESUME 10 <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAI LAW REGULATING CONSTRUCTION <br /> � OR THE PERFORMANCE OF CONSTRUCiION. <br /> SIGN TURE OF CONTR�CTOR OR AUTHORI2ED AGFNT DAiE <br /> ioe.00eEss x (� L �Q <br /> /0 <br /> ►IUM�ING M ANICAI <br /> NO. TrR OF FI%TU�E <br /> FEE NO. TtrE OF EQUI►MENT �E <br /> W�TFX ClOSE71TOlIFT� �IR COND UNITS—H/.EA <br /> B�THTUB AFiRIGER�TION UNITS—H.P.F� <br /> ��VI1TOIlY�WASN&151N) BOILERS—MP.f� <br /> G�5 FIRED:.C.UNITS—TONNAGE EA <br /> SXOWER <br /> KITCH[N SINK L DISP FORCED�I0.SYSTEMS—!TD. M EA <br /> WAtL HF�TERS—BI.U. M <br /> DISWIISMER <br /> �AUNORYTR�V UNITHfATFRS—BTU M <br /> CtOTMES W�SHER EV�PORATIVE COOLEIlS <br /> WATFR HEAi[R CIOTHES DRYfRS <br /> URINAI VENTIL�TION F�N <br /> DRINKINC FOUNT��N RANGF MOOD <br /> iLOOR DRAIN �IR M�NDLIHC UNIT- LF.M. <br /> V�CUUM BREAKERS STOVE <br /> pOOF D0.�IN5-R�INIEADFRS MET�L FIRFPIACE L CMIMNFY <br /> $INK(SfRVICF-B�R,ETC 1 <br /> fU�fOiAl � <br /> fU�iOiAl � <br /> rE�MIT � �F�MIT <br /> TOiAI I[t ! iOfAl/!F � <br /> PL�N CMFCK FEE <br /> SiDF Y�RD SFTBACK STRFFT S[TBAfK REAR YARD SETBACK PI�N CI{[�K NUMBFR FFE RECEIPT NO. <br /> USE ZONE lOT AREA y�CANt S�TE �EEf VAlUAT10N KE <br /> �YfS ONO <br /> TYVF OF CONST OCCt1VANCY CROUP NO OF DWELLING UNI15 <br /> BUIl01NG f <br /> SIZ[Oi BIDG NO Of STORIES MAX OCC IOAD <br /> PWM8ING <br /> fIRFZONE B�SEMFNT NlDROOMS RFQUR[�OKlFRS M[CNANIGL <br /> C1VF5 ❑NO <br /> A►MOV�If �Y D�i[ OTHfR <br /> 1 ENVIRONMENT�L CHLCK U51 pENALiY UBC <br /> SEC ION�I <br /> 7 BUIID��G PUNS 70t�� <br /> ) FIRF MYDR�NT <br /> � FIRE PROTFCTION SYSTEM rl�MIT V�IID�iIOX <br /> WNFN P0.0PERlY V�IiD�TfD�IN IHIS SP�CEI THIS IS YOUR PERMIT <br /> 5 GNADING4%GV�TIONBCIFARINLIGMUBHING <br /> 6 DNAINAGE <br /> ) ENVIpONMENTAI IMPACT STATEMENT <br /> e HF�LTM OISTPICT <br /> APPUC�710N�CC BY 7UNS�HfCKED BY APPN fOR ISSUANCf BY <br />