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� - <br /> APPLICATION FOR ���,�„ <br /> TME�'°'"° CONSTRUCTIOn e <br /> everett PERMIT <br /> DEPT OF COMMUNI7Y DEVELOPMENT SERVICES <br /> CITY HALI 259-B7a5 <br /> EVERE7T,\NA98201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> pµ'Nlq M�II��DN151 CIIY 21P VNON[ <br /> �/Ps- ,g�l '7is.— ellu�CN /G/� 9� �Fi� ELr�'r-rr ��.�oi �s95"i« _ <br /> ARCMIIIRONDISIGMR MeILA0UAt55 UiY ZIP PNONf <br /> .�ill CD�� v (/AN(H/.� �G717T�� <br /> Cfhf 0.�l COe1NeC10N �M�It A�DR65 CRr ZIP PHORE UCEA4[/ <br /> 71 G�it�G-'� <br /> r UI.N�nIUI CONiRACtOR M�II�DDP[55 ❑LV 11P PMONF UC[NS[I • <br /> I <br /> PICMPi�L COhtRAQOR M�II�DDR(A CIIY ZIF PNONF UC[AS!/ <br /> R�SS O!NORN ,-,, � <br /> ',]NEw ❑ADDITION L7JCLTERAlION ❑REPAIR ❑OEMOL�TION ❑FENCE ❑SIGN ❑GARACE ❑BUILDING REIOUTION <br /> �Y1U�110]OI N/'O7NKy� <br /> s � J!N <br /> oixRix� �war: <br /> �7�1DOGL' D.c'C L <br /> rxovos�uca or x�nui�+c I HEREBY CERTIFV THAT I HAVE READ AND EXAMIMED THIS AP• <br /> CNu�C E�Cd PUCATION AND KNOW THE SAME TO BE 7RUE ANO CORRECT ALL <br /> u n�nucai.:�a�o�raovieir�srw io ��nno��ou rnsi PROVISIONS OF UWS HND ORDINANCES GOVERNING THIS TYPE <br /> � �j -�� Of WORK WILI BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> �'l'oJ�mocs�a OR NOL 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 /> /1 �.�/L. SIGNA RE/Of CONTRAC OR OR AU7HON12[D AGENT DAIF <br /> a �l {� <br /> IOPAI)UNI55 �5 9�717� <br /> 7( 'lue ti 9�s�L <br /> PIUMPIHG Mfl'NANICAI <br /> NO. iY►E OF FI%iUIIE FEE NO. TY�E Oi EQUI�MENT FfE <br /> N'MtNClOSU170UF71 ABCOND UNITS—HP IA <br /> PA1117Uf1 REFRIGI RA710N UNI75—H P f <br /> U\'A70RY IWASM NASIN� flOILFRS—H P LA <br /> S���µ,�q GAS fBEO AC UNITS ONNALE E� <br /> KI1C111 N SInK A 01 (ORCI D AIR SVST[ 5-81 U. M EA <br /> DISN'ASMIN N'ALIMIATLRS �TU M <br /> IAUNDRY iR UNIi HUTL —37U M <br /> ClO7Hf5 ASH{R IVAPOBA FCOOLERS <br /> N'A7t IATIN CIOTMf �DRYIRS <br /> VHI l VIN7 �110NIAN <br /> p INKWGfOUN7AIN R Cf HO00 <br /> IOON UN�IN IR MANDI ING UNIT— C f M <br /> \'ACUUM NNI AKI RS S70V1 <br /> ROOI ORAInS—NAINI.f A0f NS Mf UL/IRf PUCI 6 CNIMN[V <br /> SINN�StR\9C1—11AH,11C 1 <br /> SU�T0T11L SU�tOUL � <br /> R�MIT f ��M�T � <br /> TO7AL fEf f TOI�I fff � <br /> SIDI Y�RD 511AACK 51HEIT SL7flACN RfAR YAR�SI7BACK PUN CH[CA NUMH(R PLAN CMFIX fEE <br /> FfE � NfCUPTNO. <br /> US[ ZOr+f l0T ANU VAUNi Sllf /I�� �� � <br /> ❑YLS ❑NO �E[S ��LWTION iFF <br /> 7YPI OI CON57 OCN�ANCY GROUP NO Of UWILtING UNI75 <br /> �: r ��4.' � � "" tlUIIUING s r� <br /> yll.( Of NLOG NO Of STORI[S MA% OCC LOAO G� � �� <br /> ___ —_ PWMNING <br /> � IIRCZON[ OAS[MFNT OIUNUOMS 11NISPNINKLINS — <br /> RLQUIR O MIO/ANIUI <br /> `_ . —. . f1Y15 dK(r <br /> �►►�OV�lS �t OI1TF OTNfR <br /> � [N\'IHONMINUICMICKLIS" P�N���Y UPC <br /> SCC 1071a1 <br /> j HUIIUING PUNS <br /> 7 {IRI NYDXANT TOTAL 7� � <br /> L I IIRf VHO1LCilON5Y57EM fISMI7V11LID�iION <br /> WNW PROVERLV VALIDAiFO ON TNIS SPACq TMIS IS YOUR PERMIT <br /> ° GNADINGtXUVATIONbCl1ARINUGRUBflING <br /> 6 URAINAG[ <br /> 7 ENVIpONMfNihLIMPACTSiATEMEN7 <br /> ! HEAtTH DIS7NIC7 <br /> AVPI ICAItON�CC 9Y VUNS CHECKEO BY APPR FON ISSUANCE flY <br /> #�G �f ::- ,;;; �-' c' " <br /> 94-'9 <br />