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A�LICATION FOR �' ��«<n <br />'"'E»"'"" CONSTRUCTION e <br />cm oF <br />everett PERMIT <br />DEPT OF COMMUNITY UEVEIOPMENT SERVICES � <br />CITY HALI 259-0715 � <br />EVERETT, WA9B201 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PWMBING PERMIT NO. � <br />OWNlR M�II AUf1Ml4 U1Y ZIP PNOHE <br />w�� �ra r� � M�� 6/' � i� i� M�/K/L7"�Z� B���o �c�,e�rr 98ao.' <br />�R[NILIti01101SILMR nulL���R155 UiY 21P pHON[ <br />�,,..., .� D1S9 - 3 7a' <br />GINIF�ICONiRnCIOv mnunouuo� -... _.. <br />n11CNANlCelCOY1RARON M�IleOUPISS CIiV LIP PMONF IICEHSEf <br />PII���Pm�tNHiR�[lOR MAII�ODRISS CIIY 21V PNONE IICENS[1 <br />l I �S\ OI NpXF <br />❑NEW ❑ADDITION <br />\ V I��110N OI WOPR <br />+ �G`D - (a B'D <br />OI�CNINI W0R6 <br />A-pn�r�oN f?-t <br />r�uMwni�a o� nui on+c <br />�ALTERATION �REPAIR I7DEMOtITION ❑FENCE ❑SIGN ❑GARAGE ❑BUIIDING RELOCATION <br />r.� <br />/-l-O H� - 5 iAi G c.F F�sa r�i r Ly <br />lIL\1 OfSCRIP110H Oi VROPINII �S��OWN pIION' ON nlleC111011R [OPIISI <br />l01 �flIOCA�01 <br />$�� ��eH/T � 07� 8,9 <br />� IOP�DPPISS <br />�IUM�ING <br />NO. TYrE OF FI%TURE <br />BATNTUB <br />SMOWFR <br />KITCMFN SINK b DISP <br />UUNDRY 7RAY <br />CtOiHES WASMER <br />URIN�I <br />DRINKINC fOUNTAIN <br />FIOOR DRAIN <br />VACUUM BREAKFRS <br />ROOf DRAINS—RAINlFA0.0.5 <br />SIHN �SFMVICf —fl�0. FTC 1 <br />20NE <br />� <br />FEE <br />o P ,�Fo us� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINnNCES GOVERNING THIS TYPE <br />OF WORK WIL� BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT 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 RECULATING CONSTRUCTION <br />OR TNE PERFORMANCE OF CONSTRUCTION. <br />SIGNATVRI OF CONTBAC70R OR AUTMORIZED AGENT DATE <br />X ��.�s-e��-�.,, ����,� R� 7- ��- �-� <br />MECHANIUL <br />OFEQUI►MENT <br />niR <br />REfRIGF0.ATIONUNITS—MP EA <br />POILLRS—HP U <br />G/�i FBFD nC UNITS—TONNnGE fA <br />fORCf D AIR SVSTEMS—B T U M F� <br />1VAllMfATERS—BTU M <br />UNIIHIATFRS—NTU M <br />fvAPORAIIVE COOLERS <br />VlNilUiION FAN <br />RANGEHOOD <br />AIR HANDIIYG UNIT— <br />STOVE <br />nIFTAL FIREPUCE 8 CI <br />fU� TOTAL <br />rE11MIT f <br />iOTAIIFE s I � <br />SETfl.�CK $TNEEiS[T11ACK RURYAROSIi0AC1. PUNCII[CI. <br />FB[ ZONE <br />� <br />lOT ABU <br />JpANCYGROUP <br />� -3 <br />Jf STOFIfS <br />7 <br />o.. <br />MFNI NIUNi <br />AM�OVAIS <br />i ENVIRONMENTAL CMECK IISi <br />7 BUILOING PLANS <br />7 FlRF HYDRANT <br />1 FIRE PROTFCTION SYSTfM <br />5 GNAUING1111CAVAlION6CLfARINGGRUNNINC <br />6 ONA�NACF <br />7 fNVIRONMFNTALIMPAC157ATFMFNT <br />E MFALTH DISTRICT <br />r.im.��rr er OI�N(fH4Ct111 <br />WUNT 5 11 <br />❑v[s �io <br />JO O{ DWIIUNG l <br />� <br />UAX OCG IOAD <br />IINI SPRINKIfNS <br />NEQUIRf <br />I1V15 iN0 <br />�r D�iE <br />r�a <br />iOTAI f <br />MIT f <br />fAl FEE : <br />VIAH fMECK iEF <br />fff RECI Y7 NO. <br />VAIUAiION FEF <br />HUIIDINC s <br />PLUh101NG <br />MlCMANIMI <br />OTIIFR <br />PENALTI' U PC <br />SEC lOJlal <br />TOTAI <br />�EIIMIT VAIID�TION <br />WNf N PNOPLRLY WlIDA7FD (IN THIS SPACF� THIS IS YOUB PERMIT <br />tl <br />` <br />