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] <br />M�Ewrymn APPLICATION FOR <br />°�TM°F CONSTRUCTIOh <br />everett PERN�IT <br />DEPT OF COMMUNITV �CVELOPMENT SERVICES <br />CITY HALI I59�8745 <br />EVERETT, WA98207 ��OMBINATIDN I� Nl11LDING ❑MECHANICAL ❑PLl1MBING PERMIT NO. <br />everctl <br />e <br />GINfFALCOZRA�P� � MMI ApORI55 ��1Y ZIP PHONf UCWSE � <br />SArh � <br />A1ICHAMUllON1RACiON MAII.�DUNfSS C�IY 11F PNOY[ IICFNSE/ <br />PIU.��lll�'GCONI0.�C10R M.UI�ODR65 ❑�Y )IP PIIONE IICENSE/ <br />C1�55pf\\OXK . <br />I�NE\Y ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUIIDING REIOCATiON <br />\'AIV�LION OI N�094 <br />f /A�� <br />❑ISCMIOf NOM� <br />raoms�uosi or owioi�c <br />IIGR DISCNIPIIOv Of PNOVI RIY I <br />�o, 3 R�o��—�� <br />ioe eonetss <br />VIUMlING <br />i �O, TYPE OF FU <br />WAl[N ClOSET ITOIIEiI <br />�q�111TUN <br />: M'A70RYIWASH P�SIN� <br />SiIO�YFR <br />Al1:MtN SINN A DISP <br />oiswnvne <br />U'.irvDRl' iNAI' <br />CLOtMIS\V�SN[R <br />N'AiEN NFAiER <br />URIN�I <br />pRIfJKIhG iOUNiAIN <br />IIOON DN�IN <br />V�CUUA1NRfAKfNS <br />trre or o <br />sizc ov ni <br />FIR[ 20r:1 <br />00. etIM1CH <br />LI�OlRS <br />liC1 <br />SU� TOT�I <br />►E�MIT t <br />iOTAI i[E f <br />lOT ARkA <br />AHlOVALS <br />1 INVIRONMLN7Al CHEIX U5T <br />7 BUUDInG PUNS <br />] RN[ NI'OR�NL <br />� fIRC PNO7ECTION SYSTEM <br />5 GHAU!Nf.q%UVA710N8CLURINGGRUtlPINC <br />6 ORAIN�GE <br />L ENVIRONMINiALIMPACTSTATEMENT <br />E NF�ITN DISTRICI <br />APPIICAiION �CC. BY PLANS CHFCKED BY <br />I �` <br />g-1 :9 <br />I HERE6Y CERTIFY THAT 1 HAVE READ �ND ExAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />y� PROVISIONS OF LAWS AND ORDINnNCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHEF SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHOP.ITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL UW REGULATIIJG CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGN�i_UFE� yO CONiR�CTOR OR AUTNORIZFD AL[NT DATE <br />X ��,L �., s .�.� �0-/9-8� <br />MFCNANIUI <br />RUR 1'ARO Sf 10ACK PIAN <br />2 F� <br />VAC�NT $liF <br />❑Y[S ❑NO <br />NO Of DWEILING UNIT$ <br />1AX OCC LO�D <br />IN[ $PRINKIIRS <br />IEQUIREO <br />IYFi ❑NO <br />�� DAT[ <br />APPR. fOX ISSU�NCE BY <br />�' � . . <br />7YPE OF FQl <br />AIR CONU UNI75—H P EA <br />NI f RIGFNA710N 11N175—M <br />GAS i IRF � � C UNIT$—IONNAGf EA <br />lORCf U �IR SiSTEMS—li T U M fA <br />N'ALINkATINS—tlTU M <br />UNI1HfATERS—f1TU M <br />AIR <br />FM <br />PUN CMECK FFF <br />iFE MECEIPTNO. <br />WIU�TION 1[E <br />uunoiNc s <br />rwMxiNc <br />Mf CIIANIUI <br />0111fF <br />PENAUY UBC <br />SfC. lOJlal <br />TOT�I <br />►EIIMIT VAl10ATION <br />WMEN PNOPERLY VALIDATfD IIN THIS SP�C:! THIS �5 YOUR PERMIT <br />'�1 <br />1 <br />� <br />r <br />