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A�PLICATION FOR ���n„ <br />�TME°�� L�NSTRUCT�ON e <br />everett PE RM IT <br />DEPi OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-87�5 <br />EVERETT, WA 98201 '�]�OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNFII M�II �O�MI55 CIIY 21P PHONE <br />_ ,.� n.. . . i.i . r ..."'" �v.. _, il.—il —/9190 <br />Ci OP O SIGNIR ' M�IL �DDPLSS .. . CIT1 ZIP <br />MU�IPWGfONi0.�CLON M�I1�000.(SS CI:\ ZIP PHON[ UC[NSE� <br />C1�15 Of N'ORK <br />❑NEW ❑ADDI110N ❑ALTERATION ❑REPAIR ❑DEMOLIT�ON �FENCE ❑SIGN ❑GARAGE ❑PUILDING REIOCATION <br />����iunrio�v woaa '� <br />%. o Ci (i . l � � ' <br />Dl5CRl01 <br />PUIlU1nO <br />IFGM OISCRIPtION OI VROPIRiY �SNONN <br />l01 ��_BIDCN�_OI � <br />n i i i '1"� � � <br />�o� <br />rwMeiNc <br />TY�E OF FI%TUIIE <br />N'ATER CLOSFT �TOIIFTI <br />8A7H7UB <br />IAVATORY�WASH BASIN� <br />SHOWER <br />KITCHFN SINK A DISP <br />DISW�SMER <br />UUHORV TRAY <br />CL0INIS W�SHER <br />WA7ER HUTIX <br />URINAL <br />pRINKING fOUNTAIN <br />f IOOR ORAIN <br />VANUM NRf�K[RS <br />ROW DRAINS—RAINIfADE0.: <br />SINK 6E0.VICf —O�R [ TC � <br />sini <br />VSf <br />TYPF Of CONST <br />5R1 Of PIDL <br />FIP[ ZON[ <br />:'� L <br />SU� TOT�I <br />►l�MIT <br />TOUI f{F <br />srrt��r s[rn�cK <br />l0T A0.[A <br />pCCUPANCY GNOIIP <br />n0 Of ST00.1LS <br />AAS[M[NI III UXUOM5 <br />A►►�OVAIS <br />1 fNVIqONMLNI�L CN[IX L151 <br />] BUILDIHG PUNS <br />] flRf MYDRANI <br />� HRf i'R07LCTION SYqFM <br />S GRAOING�1%UVATION6CtlARINGILNUBB�NG <br />b DRAINAGE <br />] INVIRONMENUI IMPACT STATIMENT <br />E MUITM DISTRICT <br />O � � G � �I ` � E � ��� <br />I HEREBY CERTIFY 7HA7 I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE S�ME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND OR�INANCES COVERNINC THIS TYP"e <br />L� OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRAN7ING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL iHE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATINC CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />ALNAIURF OF CONTRACTOR OR AUTHORIZED AGFNT DATE <br />,-r,_, i ., ��%/���� ,����1-�-, !�3/i�/ <br />f <br />VAUNT $I7L <br />❑YfS ❑NO <br />VO O{ UWILLING UNI <br />MAX OCC LO�O <br />110.L SPNWKURS <br />�1 � D�TF <br />APfIJU710N ACC BY PL�NS CHFIXID BY I APPN IOR ISSUANCf flY <br />94-79 <br />NO. TY►E OF EQUI►MFNT <br />AIRCOND UNI75—MP FA <br />REFRIGERATIONUNITS—IIP F/1 <br />OOIlfRS—��� fA <br />GAS HNE� � C UNI1S—TONN�CE E� <br />lORCED AIR SV57EM5-0 T U M <br />\1'All HLATENS—B 1 U M <br />UNIIHUTLRS—O7U M <br />lVAPONAiI\9 COOLFN$ <br />CIOiNfS ORYfRS <br />VINIILA710N FAN <br />R�r+GI NOOD <br />AI0. MANDUNG UNIi— C F M <br />S10V[ <br />MfTAL IINfPI�Cf 8 CHIMN[Y <br />ruN <br />SU� TOTAI • <br />►[IIMIT � <br />TOTAIFEE � <br />VUMBLR PLAN CMFCK iCE <br />FlC RFCFIPT NO. <br />il6 V�W�TIOH iFE <br />OUILDIM1C f <br />PLU��PING <br />MICHANIC�L <br />O7Hf R <br />PfNnUY UPC <br />5[C )OJIa) <br />70TAL <br />YEIIMIT V�lI0AT10N <br />WMEN PROPfBLY VAIID�\1ED IIN TH6 SPAC[I THI515 YOUR PfRM1T <br />