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�MEwro�.� AP--pLICATION FOR � <br />��TM�F (,JNSTRUCTION ' <br />everett PERMIT <br />DEPT, OF COMMUNITV DEVELOPMENT SERVICES <br />CITY HALL 259-0715 <br />EVERETT, WA90201 �tOM/INATION ❑ lUILDING ❑MEtHANICAL ❑�IUM�ING PERMIT NO. <br />pIUMBING [ONfII�CTOR MAII AD�M[55 CITY ZIP PMON! ll'ENSE � <br />[USS Oi WO�K <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARACE ❑BUILDING RELOCATION � <br />vniuerww or woec <br />f <br />ouceia[ woeK �� <br />or eunou+c <br />�EGM D[SCRIPTtOH Of FlIOP(Rif ISXOW N lFtOW O� �t1eCM fOU� COFlI51 <br />�oT _ eiaa _ or <br />�oe <br />►IUMtING <br />SHOWfII <br />UUNDIIV TMY <br />V�CUUM <br />SINK <br />:ONf LOT �RU yAUNT SIiE <br />OVFS ❑NO <br />OfCON51 OCCUPANCYGROUF NO OF DWEI <br />Df BLD: NO Of STORIES MA% OCC lC <br />�rntov�u <br />7 ENVIRONMfNTAL CHECK lIST <br />7. lWIDINL FL�HS <br />J RRE MYDII�NI <br />1 FlRE PROTEC110N SVSTEM <br />5 GR�DINGf%CAV�TIONLCLf�IIINGLRUERINC <br />6 DIIAIN�Cf <br />7 FNVIIIONMENTAL IMPACT StATEMENT <br />! HF�LTH DISTIIICT <br />�r <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAM�NED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND COIIRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES COVERNINC THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED MEREIN <br />OR NOT. THE GRANTINC OF A PERMIT DOES NOT PRESUME TO <br />CIVE AUTHORITY TO VIOLATE OR CANCEI THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SICNATWIE Of CONTRACtOR OR AU7MORIZED �GENT DATE <br />MECMANICAL '� <br />NO. TttE Oi EQUI►MENT <br />Alll COND UNI15—M P EA <br />0.EfRICFR�TIONUNliS—HP E� <br />BOIlERS—M.P fA <br />GAS FIRFU AC. UNITS—TONNAGE EA <br />FORCEU �IR SYSTEMS—B.T U. M <br />W�LIHEATfRS—BiL. M <br />UNIT MEATE0.5—B 1 U M <br />EV�POR�TIVE COOLfUS <br />CIOTHES ORYfRS <br />VFNTIL�TION F�N <br />RANCE HOOD <br />♦I� M�NIl11Nf. IINIi� C F M <br />MFTAL <br />L <br />fBACK PUN �NECK NUMBER PU1N CXECR iEF <br />iFF RECEIPt NO. <br />fEES VAlUAT10M p <br />ING UNITS <br />BUIIDING f <br />1D <br />PWMflING <br />RS <br />MECMANIGL <br />D�iE OTMER <br />BY I ►LANSCHFCKFDlY I APPII FORISSW <br />l/`-� <br />PEN�LTY <br />UBC <br />SEC ]O]Ial <br />TOTAI I I <br />�EIIMIi V�IID�iION <br />WHEN PIIOPERIY VALIDAt[U pN THIS SPACF� THIS 15 YOUR �[RMIT <br />