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� <br />� <br />L.. <br />fAsEw�fl�� A PPLICATION FOR- <br />cev�rEtt ��NPERMITTION <br />DEPT OF COh1ntUNITY DE\'ELOVMENT SERVICES <br />CITY HALL 259�8745 <br />EVERETT,1YA98201 ��OMBINATION ❑ BUILDING ❑MECHANICA� I IPIIIMi11Nl: DFRAAIT Alfl <br />everetl <br />e <br />PlV��01�LCpNiNUlOR nlAllnDDRlSS Uix ZIP VHONf IIClNSF/ <br />CI�S> Of NON6 <br />❑hE\\' ❑ADDITION ❑ALiERATION <br />�-,��„�o,o� ��owbo <br />�/sa�—� <br />OLSCFIIII NORR <br />l°,�-,..� _ �� - � <br />ruorosi f v oi n� n � <br />lecM o�scsiru . or aqor�atv prw�sn xuow x ntv <br />lQl � �IOIX�OI ��j� <br />� a !� <br />IOfl AflpXISS <br />�S/5� /r2J-.__ � <br />PLUMBING <br />NO. iYPE OF FI%TURE <br />1VAT1 H C1051 i IiOIIE *1 <br />BA711iU[I <br />UVAiORY (\VASH AASINI <br />US[ I.OnL <br />iYPI Uf C <br />UISN'ASHIR <br />UUNUXY iRAY <br />CtO7Mf 5 N'ASMIR <br />\VA7LR HfAlf0. <br />UHINAI <br />UHINKING �OUN7AIN <br />fLOOR DHAIN <br />WCUUM NNIAKfNS <br />ROOF UNAINS—RAINLfAOIRS <br />SINK �SIR19Q —OAF, LlC I <br />TOTAIffF <br />$iH[Ei $CiflACK <br />LOT AHU <br />OCCUPAN�Y GNOUP <br />NO OFSTORI(5 <br />BAS[MIV� <br />A�►ROVAlS <br />1 fNVIRONMlNiALCMECKL157 <br />2 PUILDInG 4'U�'S <br />7 fIR! HI'DNANi <br />� F10.F PNO7ECTION SYSTEM <br />5 GRAOINC1xU\'AIIONbQURINLIGRUtlNING <br />L ORAINAGE <br />7 FNVIRONMENTALIMPACTSTATFMFNT <br />E HEALTII DISTRICT <br />R ❑DEMOUTION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDINC RELOCATION <br />�/ I HERE�Y CERTIFY THAT I HAVE RfAD AND EAAMINED TNIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CCRRECT ALL <br />roue corvisi � �ROVISIONS OF LAWS AND ORDIN,\NCES GOVERNING THIS TYPE <br />• OF WORK WILL 6E COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT THE GRANTING Of A PERMIT DOES N(1T PRESUAIE TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUC�ION <br />OR THE PERFORh1ANCE OF CONSTRUCTIOY. <br />SILNATUR[ Of COYiRACTOR OR AUTHORIZfD ALE4T DATE <br />f <br />MECHANICAI <br />FEE NO. TYPE OF EQUIPMENT <br />ABCOhD UtHTS—MP kA <br />RfFRIGFRAiIONUNIiS—HP U <br />NOIlFRS—N P FA <br />GAS FIRFD AC UNIT$—IONNAC[ EA <br />fONC[DAIRSYS7[MS—HTU MfA <br />�YAILFIfA7CR5—HTU M <br />U'�I7NfA1fN5-11TU M <br />!\APpgATIV[ COOlkkS <br />CIOTNfS DN1185 <br />\'1 N11��710N FAN <br />NANL! HOOU <br />AIN IIANDLINL UNIi— C 1 M <br />SIOVf <br />MEUI FIREPUC[ A CMIMNEY <br />VAIAN/ Sllk <br />CYfS �NO <br />LU <br />!Y I DATE <br />APPIIUTION ACC OY P�ANS CNECKfD DY I �NPR fOR ISSUANCE BY <br />9i�i9 <br />FEE <br />SU�TOTAI f <br />�FMMIT { <br />fOUI f[F f <br />PIAN �11[CK NUMIIkN PIAN �HEIX FEE <br />flf RECfIPTNp. <br />F[[S VAW�TION iFF <br />BUIIDING S %� <br />J �d <br />PWAIIIING <br />MlCMANIUL <br />O1HfR <br />PENAITy UHC <br />5[C JOJIa� <br />TOiAI <br />tE11M1T VALIDATION <br />WMLN P0.0P[RlY WLIDAiCDpN 11115 SPACk� THI515 VOUN YERMIT <br />