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i <br />r <br />L <br />L <br />APPLICATION FOR ��e <br />��TM�ro"°° �ONSTRUCTION O <br />everett PERMIT <br />D[PT OF COMMUNI7Y DEVROPAI[NT SER\'ICES <br />CITY HALL 259�B74i <br />EVERET7,\v�qg2D1 ��OMBINATION ❑BUILDING ❑MECHANICAL ❑PLUMBING PERMlTNO. <br />owHix nuu euoxres air i�r r�wNc <br />S�iq2� r� t7�Hi5 �i��� /70f�'�A� �,.rh•ri7. <br />AMCIII11C1O0.plSIG�IR �ullAUpN�55 ❑1V 21P PIIOV[ <br />GNINAICONiPn(lOR N�IlAp00.65 CI�Y LIP PNON[ lICWSE� <br />p �v� lu %S'ini �-$'1-�� /Yr.vz•'R <br />y1�cJ /yt � -C %/ � /h�N�rTS% k�rw•✓i1 9� �q>cS.. <br />n�IC11�u1G1 CO.+1R�C100. ��Vl cJUNlfS CII� LIP VNON! llC[NSf 1 <br />PIC�1PivG COtitM�QOP ����1 e0�NI5f CIIY ZIP CNONF UCIN$[ I <br />❑NE�V ❑ADDITION <br />\'�lV\f10\OI \\ORC <br />� �/ S'S <br />UlSCR101 NON1. <br />rxOroslu eN oV Ru�loi�e <br />❑AUERATION �REPAIR ❑DEMOLITION ❑FENCF. ❑SIGN ❑CARAGE ❑BUIIDING RELOC�TION <br />ucu oi scximiov a� rxor�air isrw�.� xi io�r ae niuoi iaue mru si <br />im _oiocr:_o� <br />IOR MIONbS <br />C: �l�o �'70 4'y,9�• <br />^LUMLING <br />NO. 7YPf OF f17(iURF <br />PA1MiCN <br />lA\'�tONY1WA5H <br />SMOWER <br />UISWASNfN <br />IAUNURITNAI <br />VACUIIAI BMEAI. <br />ROO� ORAINS— <br />SINN 6[R\9C1 — <br />USE ZO'ef I �Of <br />IYPE Of CON51 <br />Oi HLOG <br />$fTMIX NUNI�NU) <br />�� VAUNI Slll <br />❑YIS GNO <br />�NCYGHOUP NO OI DWII <br />STONI[S MAX OCC LC <br />AR�OVAlS <br />1 LNVIROk�1fNTAlCHfCKtIST <br />2 PUIIOINGPL\NS <br />] 71R[ MYONANi <br />� {INF PNOI[C710N SYSTtM <br />5 GNAUWG'IItUVAlION8Cl1ANINGCNUNNING <br />l URnINAG[ <br />]. (NVIRONMENUI IAIPACTS7A7[M[N7 <br />E NF�llll UISTRICT <br />�r <br />DA/[ <br />APPLICAiION ACC BY PUNS CMFCKEO BY I APPR �OR ISSUANCE HY <br />g.1 ;9 <br />I HEREHY CERiIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICAT ION AND KNOW THE $AME TO BE TRUE AND CORREi.T ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK �Y�LL BE COMPLIED N'ITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE CRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY Tp VIOLATE OR CANCE: THE PROVISIONS OF <br />,4NY OTHER $TATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONS7RUCTION. <br />9GNAiUR[ OI COviRAI'lOR OR AUTIIORI2ED AGENT O�TF <br />v i�t � . / /7.Q � .� ' % g '" ('J' j <br />MECNANIGL <br />iYPE OF FQUI�MENT <br />AIRCONO U!�IiS—MP EA <br />FIfkIGINAIIONUNITS—HP EA <br />ItOR[NS—MP [A <br />GASRNfOAC UVIT$—IONNACFEA <br />fOXC1UAIH$\SiFMS—BiU N <br />\\'ALI.Hf�i[PS—IIiU N <br />UM1It11fn7fNS—fl7U M <br />N�Nf,E HOOD <br />AIR MANOUNG UNIT— C( M <br />SIOVt <br />MFUI fIRLPUCI 6 CIIIMNEY <br />PUN CII(O: <br />iEES <br />PLAN CIIECK ftt <br />IlF I RECFIPT NO. <br />BUILDINL s <br />rwn�an+c <br />MLCHANIUI — <br />O7M[0. <br />PfNAlil' UBC <br />S[C. JOJIa) <br />TQTAI <br />r[�MIT VAL•A�TION <br />WM[N P0.0PfNLV VAUD�T[D IIN 7HI5 $PACq TIII$ I$ YOU2 PfRMIi <br />�■ <br />1 <br />� <br />J <br />L J <br />