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ApPLICATION FOR ��� <br />'^•E"ro'"^ CONSTRUCTION <br />CIT' OF <br />everett PERMIT <br />DEP7 OF COMMUNITY DEVELOPMENT SERVICE$ <br />CITY HALL 259-8745 <br />EVERETT, W�9B201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT <br />M�II eOONf 55 <br />CIiY IIP PNONE <br />ov.,�u . . _ _,_ ._ __.., a.�� �:UcG'� N.'N � yS7.o3 .'�S.'�-4� �� <br />.C[/OICt / • - '- ' -' [IiY ZIP <br />ORD[SIGMtR M�II�D�Rf55 <br />� CtlV ZIP PHON[ IICEMSE I <br />�[NFR�ICOViRACTOR M�ILADDRKS <br />iHeoDerr� l-fnGFn� 4S,sGr_nND Ave. EJt��7J�,W�.• kP�2o3 �.s"�-9�'18 <br />iuFiwJ�4nl COYiR�Q00. M�II AD�RtSS <br />CI11 lIP PNON[ UCENSEI <br />PIU��HIYI; COYLR�Ci00. MAII ADDR65 <br />Cliv ZIV PHONE ll[ENSE 1 <br />`�NEWN"pK�ADDITION ❑AL7ERAlION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOGTION <br />V�lU�iIOVOFM'OPK c� <br />f � ��� '�'� � <br />D!$CNIBf WORM <br />_pD0i1"ior� <br />PNOVOSlDU51 OI PUII <br />�R m <br />IFG�I D[SCPIPIIOn Of <br />101,�b�vK• <br />7f �A/ R N Lt� <br />(2Fr_ERTc A <br />iox .00aiss <br />�1-525 C- <br />fLUMtING <br />NT-T— <br />iRAY <br />�- 2 <br />'YPE Oi CON57 <br />�� <br />iIZE OF 6l n <br />z'K�if !I�'.. <br />BE ZON� <br />1"�An� o �� uG u,; Din�G • / -cr <br />1 HEREBY CERTIFY THAT I HAVE READ AND E%AMINED TH�S AP• <br />����� PLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT AI.L <br />IY�SHOWN BfION'ON �11�O110UFC0p1l11 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />'o, 'p � L Co - OR NOT. THE CRANTING OF A PERMIT DOE$ NOT PRESUME TO <br />ANY O HERQSiIATE OR LOCAL L W REGULATING CONSTRUOCTION <br />� m OR THE PERFORMANCE OF CONSTRUCTION. /J <br />$IGNATURE OF CONTRACTOR OR AUTHORI2ED �GEN7 DAT/JF(//��//�� <br />N I N f ,- /_ ' i 1C+ /% /�. <br />AVE. �Ve2€IrW�15f1 <br />617 <br />ETC 1 <br />fU�TOTAI <br />fF11MIT <br />iOTAIfEF <br />fREFT 5[iPACI <br />� �� <br />jT ANf� <br />2�F � <br />ICCUPANCY Cf <br />(�- 3 <br />10 OF STORIF <br />1 <br />IASFM —ENT <br />�►MOVAIS <br />1. ENVIRONMEMTAL CHECK L157 <br />3. BUILO�NG PlANS <br />J RRF MYDRANT <br />� FIRE PROTECTION SYSTEM <br />5 GNADINGIf%UVAT�ONbCIfARINUGRU9flING <br />6 DR�INALF <br />7 [NVIRONMFNT�IIMPAQ ST�iFMENT <br />E HFALiN OISTRICT <br />�pPLICATION ACC BY PL�NS CMECKED 8Y <br />V C. <br />9 L79 <br />MECHANICAI � <br />FEE NO. TY�E OF EQUI�MENT FEE <br />AIR COND UNITS-M P. EA <br />REfRIGENATION UNITS-MP F� <br />AOIlERS-MP EA <br />GAS FIRED A C UNIT$-TONNAGE EA <br />FORCfU AIR S�STEMS-B T U M EA <br />W���HEAIFHS-BT.�I. M <br />UNITHE�IERS-BTU M <br />fVAPORATIVE COOL[RS <br />CIOTMFS 00.YER5 � <br />VFNTIUiION FAN <br />RANGFHOOD <br />AI0. H�NDUNG UNIT- C.F M. <br />STOVE <br />METAL HRFPUCE 6 CHIMNEY <br />..0 meu f <br />VACANT $ITE <br />�Y[S 6N0 <br />vo or owcuir+c u <br />Z <br />MA% OCC lOAO <br />fIRE SPR� <br />REQUIRlD <br />C7YF5 ❑NO <br />�f D�'E <br />AVPR FOR ISSUANCE BY <br />L-G <br />.�N CH[CK NUM <br />�/� <br />F[ES <br />BUIIDING <br />PIUMPING <br />MECHANICAL <br />OTME0. <br />PWALTY <br />TOTAI <br />— - PLAn CMECK FFE <br />FFE �u +y RECEIPTN <br />.,7s — " 3 s <br />V�lUAT10X <br />Si�y�.� � <br />UBC. <br />SEC JON+1 <br />►E�MIT VAIID�iION <br />WHEN P0.0PERlY VAl10�TFD IIN TMIS SPAC[I THIS IS YOUR PERMIT <br />