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A�PLICATION FOR� <br />fMEwryn�n CONSTRUCTION <br />cin or <br />everett PERMIT <br />DEPT. OF COMMUNITV DEVELOPMENT $ERVICES <br />CITY HN.I 259�87�5 <br />EVERETf, w�9e2ot I—lrnuw�u�nnN I—I RIll�DING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />evercn <br />e <br />LINIR�I COH�R�CiOR MMl ADDR(55 f.I1V 21P PMON( IICEH$E � <br />J`��i F't � <br />M![�UNIfAI COMqnC10N MAII nUD0.155 UI� LIP PNONE LI[FNSE I <br />PII���PI'.Y.IUNfP�CIO�I iu�IIADDR155 CIIY ZiP PNON[ IICENS[� <br />Q U\ pl NUXR <br />❑NEW ❑ADDITION ❑ALTERATION �REPAIR ❑DEMOLITION ❑FENCE ❑$IGN ❑GARAGE ❑BUIl01NG RELOCATION <br />� uo�unn or wova <br />+ � O�D-� <br />U1ICNINI WOR� <br />�FPL,4C� if".�.�""""'.� <br />rxUh131n1'V UI PU�tu!VC <br />u �. a m x ei. i n,n �, � .���, � , „ ....,. �.,,.,.. .,. .... .. .. ................ <br />101 �flIMR_Of <br />j <br />%�/ �' �s�,L� i.."t'_o <br />, wx�nna�u <br />I <br />i <br />►IUM�ING <br />3 No. rrn o� rixrui <br />� WATFRCLOSETITOUET� <br />BATHTUB <br />ti UVATONY�WASMBAS�N� <br />J SNOWFR <br />� KITCHFN $INK 8 DISP <br />DISwASNFR <br />UUHD0.Y TRA1' <br />{ <br />CtOTHES w�SHFR <br />+ wATER HFATFR <br />i �' <br />DRINKING FOUNTAIN <br />FIOOR DR�IN <br />V�CUUM BRFAKFR$ <br />ROOf DRAINS—R�INLFAOfRS <br />SINX ISERViCF —BAR. ETC 1 <br />Y�RD SI Tfl <br />!pHF <br />Of CONST <br />OF PLDC <br />ZONE 3 <br />►ERMIT f <br />fOTAIiEF f <br />STR[FT 5[TflACK RUR VARD SFTNAfK <br />�RU <br />VAUNi $li{, <br />❑YFS (Y��O <br />OCCUPANCYGROUP NO Of DWfL11NG <br />Q3 <br />NO Of $TORIES MA% <br />Z <br />lUkUUMti flRl <br />BASFMFNT N . <br />�� _�� RFC <br />f1Yl <br />A►►�OVAlS �r <br />7 FNv�^iNMENTAL CNECK lIST <br />7 BUIIOING PUNS <br />) fIRF HYDRAN7 <br />� i1RF 7ROTFCTION SVSTfM <br />5 L0.ADINGA%CAVA710NACLMRINGILNUHHING <br />6 DRAINAGE <br />7 fNVIRONMFNiAI�MPACTST�TEMENT <br />E MFAITN DISTNICT <br />O <br />O�TF <br />AI'IICAIIpn�C( fl1' PUNSl111fAlD111 I AYPRIOHISSU4�ti(IIIV <br />1 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 ORDINANCES COVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER $PECIFIED HEREIN <br />OR NOT. THF GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHFR STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMAh10E OF CONSTRUCTION. <br />SIGNATUHf OI CONiRACTOR OR AUTMORIZED AGENT DATE <br />X�l�.c.C.G�.a,,r•��_��e—e�-�c� 9�-2a -g G i <br />MFCHANIUL <br />NT <br />AIRCONU UNITS—HP fA <br />REfRIGFRATIONUNITS—HP EA <br />POIlERS—HY U <br />GAS FlRED AC UNIT$—IONNAGE fA <br />IORCf D AIR SYSTEMS—B T U M <br />WALt MEATt0.5—B T U M <br />UNITHEATERS—NTU M <br />N'APORATIVF COOLER$ <br />VFNIILATION FAN <br />RANGFHOOD <br />�IR HANOIINC UNIT— C f M <br />SIOVE <br />61F iAl FBFPUCE 8 CHIMNFY <br />SU�TOTAI s <br />�FlMli { <br />AN CH[C1: �UMNEN <br />�w ^ ry fEF <br />4• a 7 <br />RFCFIPT NO. <br />fFF <br />euunir+c s <br />1'1 Ub/01NG <br />Mf OUNIGL <br />OTHIN <br />PENAITV U BC <br />sec �ox+� <br />TOTAL <br />►E�MIT VALID�TION <br />WNEN PROPlRIY VALIDATfO �1N iM15 SPAC[I 7MI5IS YOUN PFRMIT <br />A <br />! <br />0 <br />