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m. ewro�� everen <br />��TM°F �.�NSTRUCTION � <br />everett PERMIT <br />DEPL OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-87�5 <br />EVERETT, N'A9B201 ❑COMBINATION ❑ sUILDING ❑MECHANICAL C�PLUMlING PERMIT NO. <br />OWNEM M�II �00M155 _ „ �IIY 21P PHONF <br />OFUISIGNlP MAlt�0011fS5 � IIIY 21P �NON( <br />GW[IIAlCO4lRsliOR M,111A0011[SS ❑iY ZIP PHONF IICENSE� <br />MFCN�HIUI COMiR�ROR M�R ADOR[SS [I1Y LIP PNONE IICFNSE 1 <br />PtUHp1�C CONt9�QOR M,111 �OOR65 CItY ZIP PMONF IICENS! / <br />Cl�SS Of NOpK <br />❑NEW �ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILOING RELOCATION <br />V�IU�IION Of NORK <br />� <br />OlSCNIfl( WURt AD� JO/LFl �/�{//f>DQV� sy4u/�� F_� J'/A�v � D OF/:/0 <br />i <br />USF 01 BUIl01rvG � <br />IECAI Df SfRIPiION Of PXOP[RIY �SNOWN B[l0\V OP AIf�CN fOUl1 COPi[S� <br />tOi � BIOCK � 0i <br />IOB �DDR[55 ��,1 <br />�— <br />rwMeiNc <br />NO. TY►E OF <br />WATFR CLOSET (TOLIE <br />BA7MTU8 <br />(� UVATORY�WASHBA! <br />� SHOWER <br />KRCHEN $INK 8 DISP <br />DISWASMER <br />UUNDRY TRAY <br />CLOTHfS WASNER <br />WATER HEATFR <br />URIN�L <br />ORINKINC FOUNT�IN <br />FLOON DRAIN <br />VACUUM BAFAKERS <br />ROOF DR�INS—RAINt <br />Y�ND SFTBACK <br />ZpNF <br />STRFET SCTBACK <br />AMROVAIf <br />1 ENVIRONMfNTAL CHECK lIST <br />2. BUILDING PUN$ <br />J iIRE HYDNANT <br />� FIRE PqOTECTION SYSTEM <br />5 GRADINGIf%CA��ATIONbfIEARINCiGRUBflING <br />6. DRAINAGF <br />7.ENVIRONMFNTAIIMPACTSTATFMENT <br />E. MEALiN DISTRICT <br />APPUCATIUN ACC. BY PLANS CMECKED BV <br />9�1�79 <br />f <br />VACANTSRF <br />❑YFS �NO <br />I HEREBY CERTIFY THAT I HAVE READ AND EXA�IINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PRO\'ISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE CRANTINC OF A PERMIT DOES NOT PRESUME TO <br />CIVE AUTHORITY TO VIOLATE 6R CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF COt�lSTRUCTION. <br />$IGNATU0.F Of CONTRACi00. OR AU1H00.1ZED AGENT OATE <br />TY�E OF EQUI�MENT <br />�IR COND UNITS-NP. EA <br />0.fFRIGERATION UNITS-M.P. FA <br />BOILERS-MP FA <br />GAS FIRED A C UNITS-TONNAGE EA <br />�ORCED AIR $YSTEMS-BTL. N <br />WAtL MEATER$--81L M <br />UNITHEATFRS—BTU. M <br />EV�PORATIVE COOLFRS <br />CIOTMFS DRVF0.5 <br />VENTILATION FAN <br />RANCfMOOD <br />�IR IIANOIINC UNIT— C.F M <br />STOVF <br />MFi�L FIREPUCF 6 CHIMNEY <br />3U�TOTAI <br />rFlMIT <br />iOTAIF[E <br />FCK NUMBER <br />FEf <br />t[ES VAWA <br />BUILDINC <br />IA%.00C IOAD <br />PWMBING <br />IpE SPRINKlERS <br />IEQUIRFO MFCHANICAL <br />]VFS ❑NO <br />�� D�T[ OiMER <br />PENALTY <br />TO1Al <br />APPR FOR ISSUANCE BY <br />f <br />LLBC. <br />SEC. IOHa� <br />RECEIPT NO. <br />rE�MIT V�IIDATION <br />WHFN PROPERIY VAIIDATE� lIN TNIS SPACEI TNIS IS YOUR PERMIT <br />FfE <br />