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tMEv�rymn APPLICATION FOR ���rcn <br />"TM°� CONSTRUCTIOti <br />everett PERMIT e <br />DEPT OF COM,�IUNITY DEVEIOPMENT SERVICES <br />CITV HALL 259�8745 <br />EVERETT, WA98201 ��aMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNlR , MAII �00N115 CI1P ZIP PHON[ <br />"�1dne.m,e l-�.���. I��.v�r����c� aois P�nPhursf f�-��,tt-9�3 -i�/��' <br />RCIIRlCT OR Ut51L [X M Il ADORF55 ❑fY )IY cunu[ <br />G[NlN�ICONIPACIOP M�ILAO�R6$ �IIY 21P PH�H[ IICEN5I1 <br />-� .�,�n� 4.r a��, <br />r <br />PHON[ <br />PILLNP��f.COrvi0.�CfON MAllA00NIS5 ❑tM ZIP PHOIVf �ICENSE� <br />CUSS Of NOXK <br />❑NPV ❑ADDRION ❑ALTERAT!ON ❑REPAIR ❑DCMOLIT�ON ❑FENCE ❑$IGN ❑GARAGE ❑BUILDING RELOGTION <br />\'elUAilOti01 N'OXK <br />f <br />� 5'Fd)/'2- <br />reoros�ousi oi xmiorvr, <br />llCnl U(SCRIPiIOu Of FROPIRIY �5110\sN PIIOw OR Al1AC1110UR COPII51 <br />l01 �PIOC��Of <br />iou nonu� ss <br />PWMBING <br />NO. TYPE OF FI%TURE <br />N'A7kN QOSf T Ii011f i� <br />UVATORY IWASH HASI <br />KIICMkN )INK 8 OISP <br />UIS\\'ASMER <br />UUNONI' INA1 <br />ClO7Hk5 N'ASH[R <br />WA7[R NFAIfR <br />URINAI <br />URINKING fOUN7AIN <br />I IOOR ORAIN <br />VACUUN t1H1AKER5 <br />RO01 UNnINS—NAINLEAOF0.5 <br />SINK (Sf Nl9CF —ItAR [TC 1 <br />VARI) S[ 7l1ACK <br />TYP[ <br />FIRE ZONI <br />TOTAL FEF <br />$TR[[T$[TOACK <br />LOT 1RIA <br />uJ�3 isd43 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVE'2NING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. TFIE GRANTING OF A PERMIT DOCS NOT PRESUME TO <br />G�VE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHtR STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNA7UNE OF CONINACTOR OR AUTHORIZfO AGENT DATE <br />MECHANIUt <br />FEE NO. TYPF OF EQUIPMENT <br />AINCONU UM1I75-HY kA <br />NEfRIGFR4TIONUtiliS-HP EA <br />OOLL[RS-NP fA <br />CAS fINED AC l�N1T5-IONNAGE EA <br />fORC[D AIR SYSTfMS-B T U M EA <br />1YAll MUTtNS-P 7 U M <br />UNIINEATfftS-BTU M <br />!\'APORATIVF COOLERS <br />CtOTHfS OFYfNS <br />NANGF MOOD <br />�IH NANDIING UNIT- C f M <br />510�'t Lj p0 n <br />AIFUI FBFPtAC[ 8 CMIMNEV <br />S <br />f <br />RU0. Y�RD SE 70ACR PLAN CH([I: NUMO[R <br />VAUN7 SII! {E[S <br />❑Y[5 ...NO <br />NO Of O\\9llIN(; (INIIS <br />BUIIUINC <br />MAX OCC LOAD <br />Yl UMIIING <br />OASEMENI � IIIUNOOVSI'IXk <br />A�►�OVAlS <br />1 [tv\'IRONM[NIALCMtCAl15T <br />1 BUIIOII:L PlANS <br />7 fIXE MYDNANI <br />/ fINfPR07(C710N51'STEM <br />5 CRAOINGfAUVAlION6QEnHIN��LRUHHINC <br />6 ORAINAGt <br />7 ENVIBONMFNtAIIMPACTSTATFMENT <br />C HULTH DIARICT <br />itVUirclu M[CMANI�AL <br />lYlS C7N0 <br />!Y OATE OiMIH <br />PINALTY <br />TOIAI <br />APPIICATION ACC OY PUN$ CHECKED BY I APPR fOR ISSUANCf HY <br />9.7-:9 <br />�_ 3 - <br />SU! TO7Al 3 <br />rF11M1T f <br />TOT�IFFE f <br />PL�N CHEIX FEf <br />FfE RECFIPI NO <br />VAIUAiION iEF <br />S <br />UtlC <br />s�c �ox+i <br />�[IIMIT VAIIDATION <br />WNtN PROPFRLY VALIDATED IIN THIS SPACf) TMIS IS YOUR PENMIT <br />