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r— <br />� <br />APPLICATION FOR <br />�^°roM� :.ONSTRUCTION <br />everett PERM�T <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259�8745 <br />I EVERETT, WA 98201 ���MBINATION ❑ BUILDING ❑MECNANItAL ❑PLUMBING PERMIT NO. <br />ON��u �,�� � /L,Mn/O�N/1 �/.^'... UiY ZIP PNONF <br />l �1� �� .0 �Lur �,.�„L.� .�.S�T'i -�1,�F9 <br />v` <br />�s-.-�y� <br />�� <br />everen <br />e <br />NICM��IUlCON1R�Ci00. MAll.10�R[SS Cli" LIP PHON[ UCENSLI <br />PlL+1qIVGCOvipAQOX AlAlleDp0.l55 ❑iY ZIP PMONf LIC[NSE� <br />Cl �55 Of x'ONK <br />❑NEW ❑ADDITION ❑ALTERAiION �EPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARACE ❑BUILDING RELOCATION <br />. <br />\'MUAIIO`:Of NOPa � <br />� � 1�4V <br />OlSCRIPf N'ORR <br />_ , n R •L / <br />US! O! flU1lDInG <br />llGAl Of $CRIFI ION Of PNOPf R IY ISNON N Bl1011' OR <br />lOt�r i1�PlOCK,,,.q%Of �'+'"�M„�/ <br />IOfl nU�Ff 55 <br />PLUMCING <br />NO. <br />UVATORV <br />SHOWER <br />DISWASH[R <br />LAUNpRY TI <br />TYPE OF il%TURE <br />URINAI <br />ORINI:ING f01 <br />fLOOR ORAIN <br />ROOF DRAINS-RA�NLfA�FRS <br />SIDF 1'ARD 5[T[ <br />USF ZON[ <br />TYPE O� CONST <br />SIZE Of PIDG <br />HR[ ZONF <br />IOUP COPRSI <br />►F�MIT f <br />STRFFT SCTDACK <br />lOT AREA <br />OCCUPANCYGROUP <br />NO Of SiOXIFS <br />B�SEMfNT NIUNOOMS <br />AM�OVAIf <br />1 WVIRONMENTAL CMECK L15T <br />I BUILDINC YUNS <br />7 fIRF HYDR�NT <br />� FIRE PROTECTION SYSTEM <br />5 LRADINGI!%CAV�TION6CLfARINqGdUBflING <br />6 ORAINAGE <br />7.ENVIRONMFNTAIIMPAQ STATEMENT <br />E HFAITH OISTRICT <br />�ppIICATtON ACC BY PLAplS��CHECKED BY <br />9�1-79 <br />FFE <br />NUR YARD Sf 10�CK <br />VAC�NT $ITL <br />OY[S ❑NO <br />NO Of OW[IUNL UNIIS <br />MA% OCC IOAO <br />fBF SYNINKlERS <br />REQU�Rf D <br />r7Yf5 C7N0 <br />/t DAiE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED 7HI$ AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES COVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH N'HETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />S�GNATURE OF CO�u1RACTOR OR AUTMORIZED AGENT DATE <br />x// �l��lG�/� / GS'�^d � <br />MFCMANIUI <br />NO. TY�F OF EQUI►MENT F[E <br />BOILERS-HP fA <br />LASFIREDAC UI <br />WALLHfAI[RS-NTU M <br />UNIi HF/ TE0.5-P T U M <br />V[NTIUTION FAN <br />AIR HANDLING UNIT- C f M. <br />MFTAI RNEPUCE 6 CHIMNEV <br />{'UN CHCCK NUMtlLft <br />TOTAIFEF � <br />PI�N CMECK FEF <br />FEE RFCEIPT NO. <br />VAIUAiION iEF <br />BUIIDING 3 <br />1'1UM91NG <br />MFCNANIUL <br />OTHFX <br />PENµTY U.BC. <br />SEC.JO71a) <br />iOTAI <br />►[LLMIT VALIDAiION <br />wHkN PftOPERLY VAtIDATED IIN TMIS SPACEI THIS IS YOUR PERMIT <br />