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, <br />' APJPLICATION FOR � �„ <br />` « �«°�"' CJNSTRUCTION e <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 25BE7�5 <br />EVERETT,WA98201 ��OM�INATION �UILDING ❑MECHANICAL ❑PLUM�ING PERMITNO. <br />owMU M�II eootiss [Ilr iR INOME <br />A/i.�on / %Z.an..��/ 2 r/i., ��i..l.�.�'t�- �✓fKe� .%5 4 -/gr�'D <br />■ wem m��ess aTv zv <br />PWMPrvLCON111�C10R M�IIADDLLfeS CI1Y 21� INONF IICFNSEI <br />Cr1��55�Of WOIIK <br />I.�7aEW ❑ADDITION ❑ALTERATION ❑RFPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARACE ❑BUILDING REIOCATION <br />VnIU�TiUNOi W� <br />� S6 <br />DISCMIBI WORk <br />r�oroseouse or euuowe <br />ue�i otu�mior� or no�eRTr isHown <br />ioi � eioca � ov ,� <br />ioaeoouss <br />23is Heaa <br />i �WM�ING <br />� NO. H1i OF FIXT <br />1 WATERClOSfTITOtlET1 <br />S�THTU! <br />� IAVATO1lY�WASH B�SIN� <br />� SMOWER <br />� _. KITCMEN SINK L DISP <br />DISw�SHER <br />I�UNDIIY TII�Y <br />CIOTHFS W�SHFR <br />W�TFR NE�TER <br />URINAI <br />• DIIINKING FOUNT�IN <br />•`ppR DRI11N <br />� V�CUUM BREAKEIlS <br />IIOOf DR�INS—U��NIE�D <br />I SINK(SERVICF—EIIR,ETC1 <br />USE <br />iYPE <br />lOT AIIE� <br />I HEREBY CERTIFY TMAT I HAVE READ AND E%AMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORREC? ALL <br />w oa erucH iou� corns� PROVISIONS OF LAWS AND ORDINANCES COVERNINC THIS TYPE <br />i � OF WORK WILL BE COMPLIED WITH WHEiHER SPECIFIED HEREIN <br />OR NOT. THE GRANTINC OF A PERMIT DOES NOT PRESUME TO <br />C,IVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATINC CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUI� OF CONTX�CiOR OR AUTH00.�ZED ACENT OATE 4/Ir/f�0 <br />�w�uv�►s <br />L FNVIRONMf NTAL CNECK LISI <br />7. BUILDING PLANS <br />7 fll1E NYDII�NT <br />� i1RE P0.0TECTION SYSTEM <br />S GRADINGf%GVATIONLCLk�RINCIG4UBRING <br />6 DRAINACE <br />7. ENVIIIONMENUI IMPACT Si�iEMFNT <br />! HFALTM DISTRICI <br />APPUUTION ACC EY �UNS CNECKED BY <br />41�79 <br />VAC�NT SI <br />pYES <br />�r <br />nPPR <br />SF <br />DAtt <br />ISSUANCf BY <br />MECMANICAI ' <br />NO. TtR OF fQU1�MENT <br />AIR COND UNITS—M P. EA <br />REFRIGER�TION UNITS—H.P. f� <br />BOR[IIS—HP E� <br />WS �IRfD �L. UNITS—TONNAGE E� <br />F00.C[D AIR SYSTFMS—S T U. M E� <br />WAIL MEATEIIS—B.T.U. M <br />UNITHfATERS—BTU. M <br />E V�POR�TIVF COOLEIlS <br />CLOTXFS DRYERS <br />VfNTIUTION F�N <br />R�NGfHOOD <br />AU M�NOIING UNIT— C.F M <br />STOVE <br />r.aTAI RRF�UCE L CHIMNFY <br />euuomc <br />PIUMBINL <br />MECHANIUL <br />OTHFR <br />PFN�LTY <br />TOT�I <br />a <br />� <br />i <br />TOiAI � � <br />Mli • <br />Al RE • <br />►UN CNtCK FEF � <br />FEE �E<:FIR NO. <br />VAWATIOM �:: <br />s/ Sd �,�� O O�Ci <br />uec <br />SEC. JONaI <br />R�MIT VALID�TIOM <br />WNfN PROPEIIIY V�IID�TEDl�N THIS SP�C[I THIS IS YOUR ►EIIMIT <br />� <br />