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1 <br /> i <br /> � <br /> i <br /> �,E,�,� "PPLICATION FO�. ���,� <br /> ��^°F CONSTRUCTION <br /> everett PERMIT e <br /> DEPT OF COMMJNITY DEVELOPMENT SERVICES <br /> CITY HALL259-07�5 <br /> EVERErr, wnvexo7 �tOMlINATION ❑ SUILDING ❑MECHANICAI �LUMlING PERMIT NO. <br /> . �W� � M�II�D�N155 CIIY ZIP YNONE <br /> 1 i!1 <br /> a r9'nr�T /`7/%��er ,` �7��nrno� �ere7T /`�"�o/ �-��/�S'(.� <br /> MCNIIlCI FpE51LNflt MeII�DDIlFSS ❑TY 21P �NOMF <br /> LfN[Ml COV1R�ClOR M�II�OOR[SS CIiY 21P �MON[ ll[[NSF� <br /> n�ICneNIUI Wrvlll�tlOR MAIt�DDN65 �I1Y 21P �NONf UCFNS[/ <br /> %UMflIVG(ONIi��ION M�IIAppRl55 (IIY 21V <br /> PNOM U[ENSE/ <br /> Ct ASS Of N'OIIK <br /> ❑NEW ❑ADDITION ❑AIiERAiION �REPAIR ❑DEAIOLITION ❑FENGE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> \'nW�LONOf WOIIK <br /> y <br /> DISCMIPI WOMx <br /> � <br /> e � P C•� s" in " � � o� mni R u ' <br /> rnovosio usi oi xunowc I HEREBY CERTIFY ?HAT I HAVE READ AND EI(AMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORREC?ALL <br /> lfG�l�ISCRIP110YOf PROPlFIY�SNOWN 'lpw e iuc ro aco nsi PROVISIONS OF UWS AND ORDINANCES COVERNINC THIS TYPE <br /> �./ ���^ � OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> wi-``'�xiocc`�0-+ or ' OR NOT. THE GRANTINC OF A PERMIT DOES NOT PRESUME TO <br /> j,9a� /� CIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> P ANY OTHER STATE OR LOCAL LAW RECUlA71NG CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. � <br /> SILNATURE OF CONTRACTOR OR AUTHORIZED ACFNT DATE <br /> IOP ADORt SS y �.,l/�J '�/p � <br /> // C � A /Z"� / / � /� �✓ —� <br /> ►LUM�ING MECMA ICAL <br /> NO. TYrE OF FIXTU�F FEE NO. TY►'OF FQUI►MfNT iEE <br /> WATE0.Cl05[T�TOLIETI AIN�OND UNIIS-HP E� <br /> BATNTUB RE{RIGERATION UNITS—M P.F� <br /> IAV�TORY�W�SM BASINI POIlFNS—H P EA <br /> $MOWfR WS iIRFD�C UNIT$—TONNACE EA <br /> KITCMEN SINK 6 DISP IORCED AIR SYSiEMS—B T U M EA <br /> DISWASHER W�LLHfAT[BS—BTU M <br /> L�UNDRY TR�Y UNIi HEATFRS-9 T U M <br /> CIOiHES W�SNF0. fVAPORATIVF COOLERS <br /> WATFR HEATER CLOIHfS DRYERS <br /> URINM VFNTIL�TION fAN <br /> DRINKING fOUNT�IN RANGf MO00 <br /> FLOOR DRAIN i (j O �IR NANDLING UNIT— C F M. <br /> V�CUUM BREAKFRS STOVE <br /> ROOf�RAINS—RAINLEADFR$ MRAt fINFPUCE 6 CNIMNFY <br /> S�NI((SERVICE-9AR,ETC) <br /> SU�TOTAL UO fUt lOTAI { <br /> rF�MIT f 6 rF�MIT { <br /> tOi�lf[F � S 0 TOTAII[E � <br /> SIDF Y�RD 5[TBACK STREFT SCTAACK RUR YAPD SFTBACK PIAN CHICK NUMBCR PUN CMFCK FEF <br /> IEE RECEIPT NO. <br /> USE ZONE l0T A0.EA y�[�NT SITF <br /> ❑YES ❑NO iFfS VAIU�iION iFF <br /> iYPF Oi CONST OCCUPANCY CROUP NO Of OWEILING UNI15 <br /> SIZf Oi BIOG NO Of STORIfi MA% OCC IOAD BUIIDING f <br /> VlUM91NC <br /> fIRE ZONF BASEMENT NlUROOMS FIRt SPNINKLE0.5 , <br /> REQUIRfD M[CMANIUL <br /> C7YF5 ❑NO <br /> AMROVALS �t D�TE OTN[R <br /> 1 [NVINONMFNTAL CMECK LIST <br /> PFNAUY UBC. <br /> 1 BUIIDING PlANS 5[C 703�a) <br />. ) {BE HYDRANi TOTAL � <br /> 1 FIRE PROT[CtION SYStFM ►EIIMIT V�IIDATION <br /> 5 GRADINLIf kGV�TION 6 CIMNINGIGRU6flING WNEN PROPERLV VALIDATFO IIN TMIS SPACF�THIS IS YOUR PERMIT <br /> 6 DR�INSC! <br />