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APPLICATION FOR cve <br /> tlr�Ernpmn CO N ST R U CT 1 O h <br /> CITY OF <br /> everett PERMIT <br /> DEPT OF C0�IMUNITY DEVELOPMENTSERVICE$ <br /> CITY HALL 259-8745 <br /> eveaerr,wn9szot ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT N . <br /> OW'+IR MnILAODN[SS CIIV ZIP PNOVE <br /> ��nICS Ci�12��r� ?i`�l � �11IN1. �l'E �L1)�cU,Y�1� �F�7_U � <br /> �FCNIIlCi OR�f51L'�LR <br /> Mnll�DD�155 ❑1 21P VHONE <br /> G`NI,MI COY1R�Ci0R MAII ADDN[55 CIiY 21P YNDN[ UC[NSE/ <br /> lJ+�Wlhf.bD CC�1-ST CO 1 0 �L'�-� ct�`�-�"��' 2Z3-�i• �•t6wi_ �C- <br /> MICNeNIUt COHIReCLON Mell e�ORE55 UTY LIP VMO ! llCf S[� <br /> '4,.C,tsLl,� 2ti�1 '`1 t`1 ( 3`�3�-U ��« 5E� <br /> PIU��,PI1L1 C�O-y!+iNl.Q00. <br /> Al�ll ADOR[55 ❑LY Z F PHO E <br /> I��K� <br /> ClASS OI N�ONK <br /> ❑NEW ❑ADDITION LTERATION REFAIR ❑DEMOLITION ❑FENCE ❑$IGN ❑GARAGE BUILDING RELOCATION <br /> W W Al lOh Of KORR <br /> + Z` oG <br /> O(SCR10I NO0.t <br /> rcoPosmm�oi nwm��c I HEREBY CERTIFY THAT I HAVE RE�D AND ERAMINED THIS AP- <br /> ��� �s-l-t�(,.5� , PLICATION AND KNOW THE S�ME TO BE 7RUE AND CORRECT ALL <br /> ur,ni oiscu�ouo�or raov�eiris�wwr.nuow oa�n�cn�ouacovnsi PROV�SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> S` � �,t� OF WORK WILL OE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ior�P1IXK�o� �VE OAUTHOR TY TOIVIOLOATE OR CANCEOL iHE PROVISIONS OF <br /> �' Tl�ifrC�;'S ANY OTHER STAiE OR LOUL LAW REGUUTING CONSTRUCTION <br /> OR THE PE ORMANCE OF CONSTRUCTION. <br /> � ��� (� S I � S� NATUR[OF C Y7RACTON �UTHORIZ G[NT DATE <br /> CY \" � I � <br /> ion.00aiss 1� I�i 1� �v'4{l<c � X �—_='- c� Liu ��.'1.-�-�: � `�.�'.'�,�. <br /> MECHANIUL <br /> PIUMlING iEE <br /> NO. TY►E O� FI%TURE F[E NO. iYPE OF FQUI/MENT <br /> WA7ERClOStT�iOlilll AIRCONO UNI75—HP U <br /> REFRIGFRMION Uti175—MP FA <br /> nniM7uo <br /> nowHs-Nr en <br /> LM'AIORY�wASN OASIN� <br /> GAS IIRED AC UMTS—TONNACC U <br /> S��ON'L R <br /> IORCEU AIB 5151FM5-171U M EA <br /> KI7CMFN SINK 8 DISP <br /> 1YAllhlLAifRS—NTU M <br /> D6N'ASM E R <br /> UHITHU7ER5—H1U M <br /> �AUNOR\7NAV <br /> FWPORAiNF COOLCftS <br /> CL071115�YASNI R ClU1Nf 5 DNY[RS <br /> W A7i R Id A71 R <br /> \'IN71tMl0Y IA4 <br /> URINAL <br /> DRINAIYG IOUN7AIN RAYCf MOO� <br /> , AiqNANDLWf.UNI7— CffA <br /> f LOOR DRAIN <br /> S10V[ <br /> VACUUM flRf AKLRS <br /> e00F DR��'�5—RAINLfADERS M[TAL fINEPUCf 8 CHIMN[Y <br /> SINK IS[NVIC[—OAR.liC 1 <br /> SUlTOTAL s <br /> SU�TOTAL � <br /> ►IlMiT f �E�MIT <br /> t IOTAt F[f s <br /> TOT�IFEF <br /> S�DI YANf15lTB.�CK STRlfTS[ipACK RIARYAPUSfiBACK PUNCHCCANUMOfR ttE �j`AN R��EKPTENO. <br /> N�i� N�� N�/� S� ��� <br /> USf ZONE l07 ARU y�[AN7 Sllf �E�g VAIUATION FfF <br /> c g'L�o �,Y�S � <br /> TYPL Of CONST OCNPANCV GROUP NO OI OWfILING UNIIS <br /> ,Tjj—nl �Z —� euno�nr, sZ7�.`D /?[7 S�J <br /> SIZ[O� PIOG NO Of STONIES ���% OCC loA� <br /> �oC00 $•F � 1v PIUMpING <br /> fIR[ ZONC B�SFM[N7 0lDY.00�1S ��RL SPNINklLRS <br /> 6CQUIR{D�� MfCHANIUL <br /> _--• -- — ,^YIS I�HO <br /> M���OVALS �Y OATE OTNIR <br /> 1 (NVI0.0NMINTALCMLCKlIST pfNAUY UPC <br /> SEC JOlfel <br /> 3 PWLOING PUNS /�!� �f <br /> TOTAL �� <br /> ) fIRE NYDRAYT <br /> �[IIMIT V�lIDA710H <br /> � IB[ �RniLC110N5VSTLM �y�qNPHOPERLYVALIUAT[DllNi`IISSP�Cf)TIIIS�S�OURF:RMIT <br /> 5 GRAUING�I%CAVATIONBQURINGIGXU9flING <br /> 6 DR�INAGE <br /> 7 fNV10.0NMfNUIIMPACTSTATEMENT ' <br /> E H[AL7H DISTRICI <br /> APPUCA710N ACC BT PUNS CNECKED 6Y ��'PR fOR ISSVANCE 9Y <br />