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APPLICATION FO�t ���� <br />�E�""""' CONSTRUCTIOf� e <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259�E715 <br />EVERETT, WA90i01 ��OMSINATION �I SUILDING ❑MECHANICAL ❑PLUM�ING PERMIT NO. <br />OWNEII MMl �D�Xf55 C11Y ZIP YNON[ ��� <br />i � � �'1 ^ G <br />Lt) � f� r r C i'�' r o r� r� f 3 i'� �t �,� /� L 2� n. �,c� c� c fQ -37n ; <br />M�II �DDII[55 CITY 2R �HONE <br />MICNrtlCT OII DESILNER <br />G(NFll�l CONIII�CtOF M�II AOOIIE55 CITY 11P MON[ IICEHSE I � <br />M[CHeN1Ul CONIII�CTOR MMl �U011E55 �i1Y LIP VNON! IICFNSE � <br />PWMflIYGCONiR�CION MMle0DRk55 CI1Y 21P FHOHE IICENSF� � <br />CUSS Oi WORR <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DENULITION ❑FENCE ❑SIGN ❑GA2AGE ❑BUILDING RELOCATION <br />VAtU�1�ONOF WOR �� <br />� �50 ' <br />OlSCMIB WORIt / <br />�+�/J /j�Llx� /%�C�� <br />%'Lfi{2L't`'Zf,CCi C1` « � <br />reoros[o us� or aunou+c �/ ,�� ' I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />�'�.��., d� _������ ��.�, /'L;.,u.-,l (. ;.. � PLIGTION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />lfG�lDfSC IPIIOHOfAOYfIlIY15 <br />/ <br />ioi 1:L�aioca__or <br />IOB �DDRFSS � / <br />� 3 � Y %jTn.v�Z <br />►IUM�ING <br />NO. TYrE OI <br />WA�ER ClOSEi ITOUI <br />� BATHTUB <br />IAVATORY(WASN BA <br />SHOWFR <br />KITCHEN SINK 6 DISP <br />DISWASHFR <br />LAUNDRYTRAY <br />CIOTHES W�SHFR <br />WATER Nf�TER <br />URINAI <br />ORINKING FOUNTAI� <br />FIOOR DR�IN <br />V�CUUM BRFAKER$ <br />0.00F DRAINS—NAt� <br />SINK fSFRVICF—BAR, <br />YARD <br />CONST <br />B[lOW OM �il•:N {OUII COPIl51 <br />iOTAI iFF f <br />:E[T SETAACK RUR YARD 5 <br />f �REA y�CAnT SRE <br />DYE$ ❑NO <br />CUPANCY GROUP NO.Of OWEI <br />� � � <br />1 OF ST00.1E5 M�X OCC l( <br />� <br />AMROV�IS �� <br />i. ENVI0.0NMFNTAL CHECK USi <br />7 BUILOING PLANS <br />J FIRF IIYDR�NT <br />� FIRE PROTEC710N SYSTEM <br />S LRADINGf%CAVATION6ClE�RING/CRUBflINL <br />6 DRAIN�GE <br />7. FNVIRONMENTAI IMP�CT STATEMENT <br />0 MFAITH OISTRICT <br />BY� PlANS CHE[KED BY <br />PROVISIONS OF LAWS AND ORDINANCES COVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTINC 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 />S�GNAiURE OF CONTRACTOR OR AUTMORI2ED ALENT �ATE <br />Xr! �C��.�,R-11L��1�r /�LG-�4/`z �///� <br />MECNANICAL <br />NO. TtrE OF EQUI�MENT FEE <br />RATION UNITS—HP. <br />D A.0 UNITS—TONN�GE EA <br />AIR $VSTEMS—B.T U. M <br />WALL <br />VENTII�TION FAN ` <br />RANGF HOOD I �i1ViL(/ �% <br />FM <br />STOVE <br />METAI <br />fU�TOTAI � <br />r[�MIT � <br />' TOiAIf[F � <br />iBACK FIAN CNECK NUM9ER PLAN CMECK FEF <br />FEE RECEIPT NO. <br />iE[S � VAWAiION f[F <br />INC UNITS <br />BUIIDING s <br />1D <br />PLUMPING <br />NS <br />MECMANIUL <br />GATE OTHFR <br />APPN iOR ISSUANCF BY <br />PENALTY <br />U.B C <br />SEC. Io31�1 <br />iOTAI I I <br />►F�MIT V�LIDAiION <br />WMEN PROPERLY VALIDATFD �1N THIS SPACE) THIS IS YOUR PERMIT <br />@ <br />` <br />