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A�PLICATION FOR � <br />��"' �,�NSTRUfTIO�N e <br />everett PERMI� <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL i54E715 <br />EVERETT,WA9E201 ��pM01NATION .�lUILDING ❑MECHANICAL L��LUM�ING PERMIT <br />���� z�p �HONE <br />OWH�R M�II �DDMf ST —_! I '�. <br />. r .__ 0/i'1�1 l�Q—`T1�� <br />�RCHI1ElTOROfi�cnte ....--__----- <br />LINFII�lCOH1R�ClOrt M�II�DDRESS <br />CITY 21P �HONE UCMSEI <br />MfCH�MULCOHT���tO� M�II�DDIIESS <br />fllY ll� rMONE IICENSE � <br />MUMRIYL CONLR�CTOR M�IL �UUM(5$ <br />CIiT ZIP IHOrvE IICENSF I <br />:USSOf WORR <br />❑NEW ❑ADDITION ❑ALTERATION .�P,EPAIR ❑DEMOIITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />Y�W�t10NOf WOR[ ' <br />,�/ '�� � \�o P�uMB/NG oR <br />o[saiaewo�x , - — �_.. ,_... �. /.,...� ,.,_ .,�-,� �Tv RmM )E6ELTRILA(-GHANGED. <br />us� or eonun+c <br />IEG�I OfSQIPiIOH O' �ROP(l1Y ISHOWN E[lOM' O� A�i�CM <br />�ar�,y� eioc� 7.i or ��/£ J711 <br />ioe .00�Fss <br />�IUM�ING <br />I <br />i <br />SIDE ��R[ <br />USE 20NE <br />TY►f OF C <br />11RE� <br />MMOVAIf <br />1 ENVIRONMENT�LCMECKUST <br />2. BUIIDING PLAN$ <br />] FIRF HYORANT <br />� FIRF PROTECTION SYSTfM <br />5 GRADINGL%UVATION6ClF�0.1NGGRUBRiNG <br />6 DY.INAGE <br />L ENVIRONMfNTAI IMPACTSTATEMENT <br />! HF�LTN OISTRICT <br />BY I PUNS CHECKED BY <br />9-1�79 <br />IIE:� <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP- <br />� }{EQ � PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECi ALL <br />cori�si PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS TYPE <br />�� JF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />>� � OR NOT. THE CRANTINC OF A PERMIT DOES NOT PRESUME TO <br />ANY O HEROSTATE OR LOCAL L WR REGULATING CONSTRUCiION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />I SILNAiURf OF CONTMCTOR OR AUTHORIZED AGENT DATE <br />f <br />VACANT SITE <br />OYES ❑NO <br />n <br />APPR <br />X /�Cuif;1�/•Q.oz��G <br />MECXANICAI <br />NO. itrF Oi EpUI►MEN� <br />AIR COND UNITS—H P. E� <br />NEiRIGFR�iION UNIiS—H.P. EA <br />BOILfRS—NP FA <br />CASfIRFD AC UNITS—TONN�GEE� <br />fORCED AIR SYSTEMS—! T U. M <br />W�LL NEATEIlS—B.T.0 M <br />UNITHE�TERS—BTU. M <br />EVAPOU�TIVE COOLERS <br />CIOTHES ORYERS <br />VFNTIl�710N FAN <br />RIINCE HOOD _ <br />A�R <br />TAl <br />'B�CK Pt�N CMECK � <br />1 <br />NG UNITS <br />BUILDINL <br />�o <br />PLUM0ING <br />RS <br />MfCHANIGI <br />DAiE OTHFR <br />PfNAl7Y <br />BY <br />FEE <br />CMIMNEY <br />fU�TOiAI � <br />K�MIi � �' <br />TOiAI itE � �� <br />P��N CMFCK FEF <br />fEE RECEIPT NO. <br />. V�lUAT10N i!E <br />s <br />U.B C. <br />SEC.ION�I <br />iOfAl I I <br />NIIMIi V�IIDAiION <br />WMEN PROPERIY VAIID�TED (IN THIS SP�CEI TNI515 YOUR PERMIT <br />