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• fMEnrprwn�� APPLICATION FO1� <br />°�TM°F CONSTRUCTIOn <br />everett PE RM IT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259�8745 <br />EVERETT, WA98201 ���M8INATION � BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />- - $��,n,�u��s�.a-�ND a,r zir vHONe <br />r� ., . . _ <br />? h� �...�E��V IJi' <br />ZIP <br />eve�l�I <br />e <br />- - _... �.. �. aYL :r.r r ��aHs�. <br />LVLF .SHiTf� R�,vl� /Alr Ro�C4h3 wOo p�r.f�i��.0 450'�Z (of.$5�13 2/3oD <br />ICH UI CO ip�C10R T.i�n noox�ss arr [iv veoHE �I[FNSE � <br />AUn�PitiCCONiR�CLOR M�Il�00N[SS CIIY ZIP PMON[ llC[NSF/ <br />Cl \S$ Of NONK <br />❑NEW ❑ADDITION ❑AITERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SICN ❑GARAGE ❑BUILDING RELOCATION <br />V�IUAiION p( NOMR <br />+ �/ �r eoo <br />I]ISCMItl( NOR\ <br />� � - � <br />raovostoun ot emiou+c , I HEREBY CERTIFY THAT I H�VE READ AND E%AMINED THIS AP• <br />1 L.. U � i PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />IIG�lOiSCNIPIIONOIVXOVlMtVp110NnBilON'OFe1�nCpN�7�OUnRCOPi61 PROVISIONSOFUWSANDORDINANCESGOVERNINGTHISTYPE <br />l0� �P�OCK_Of C�T'�"�a"""-� OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />iox �noeiss <br />rwMeiNc <br />NO. TY�E OF fl%TUIIE <br />\VATEN ClOSET �TOIIFI� <br />BAIMTU9 _ <br />U\'ATORY �W�SM B�SINI <br />SHOWf R <br />/ KITCHEN SINK A OISP �— <br />Tp�Y <br />\Y�SM[R <br />URINAL <br />ORINKING iOUHTAIN <br />FIOOR ORAIN <br />WCUUAI flp[AKENS <br />:[f <br />USF ZONE I l0f ANFA <br />�� � <br />K3 <br />')5G s.F 1 <br />fIRE20NL BASEM[N7 NIUN( <br />AA�OV�LS <br />1 FNVINONMENTAI CNFCK ll$T <br />1. 9UIl�IN� PlANS <br />) FIPE HYORANT <br />� fIRE PROTECTION SYSTEM <br />5 GR�DINpE%CAVATION6CLEARING/CRUBBINL <br />6 DNA�NAC[ <br />7 ENVIRONMFNT�LIMPACTSTATEMENT <br />0 MEAITH D�STRICT <br />APPIIUTION ACC. BY P�ANS CMfCKED 1 <br />� I tiryYl <br />9-1�79 <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION$ OF <br />— lJ� ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />ON THE PERFORMANCE OF CONSTRUCTION. <br />SIGYATURF OF CONiRACTOR OR AL4HONIZED ACENT DATF <br />/ Tu�-/ rF 83 <br />Y �%�YIA�__ A / <br />VAUNi $ITE <br />OVFS ERO <br />v0 OF �WEL <br />I <br />NA% OCC lC <br />�Y � D�TF <br />L - �=- <br />TY�E Oi <br />BOILLRS—HP FA <br />GASPRFDAC VNRS—TONNA�fEA <br />FORCED AIR SYSTEMS—B.T U M <br />WAIIMEATERS—BTU M <br />UNIi HEAiERS—N T U M <br />AIR MI <br />SiU\L <br />FEE <br />�/ -7.�/, IR.E/✓ J� <br />0`OyV <br />FEE <br />BUIIOING s/� � /I Zp <br />vei ��..c <br />PIUMBING � � <br />MECMANIUI /� <br />OTHFR <br />PINAITY UBC. <br />SFC. lOJla� <br />TOiAI Z crS <br />�[lM1T VAI�DATION <br />WHEN P0.0PENLY VAtIDATEO �IN THIS SPACEI THIS IS YOUR PFRMIT <br />1 <br />7 <br />� <br />� <br />� <br />� <br />