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� <br />_ , <br /> APPLICATION FOR ���,�„ <br /> f�sEwrprse^ C O N ST R U CT�O f� e <br /> CITY OF <br /> everett PERMIT <br /> DEPT Of' COh1MUNITY DEVELOPMENTSERVICE$ <br /> CITY HALL :59-8745 <br /> EVERETI,\5'A90201 ��OMBINATION ❑ BUILDING �1ECHANICAL ❑PLUM8ING PERMIT NO. � <br /> ��[(��.iR n�ui euox�ss 1 ` nn I ' zir r�wni <br /> i VaVO' I nU�Y✓�� � I 7 �1 NI�lp�\ SI�rC 'l� ��lf.'CT1� 2���'I G 7 � <br /> ARCMIfIRORDtSI N!R M�IIADpqlSS GIIY ].IP PHOYf <br /> G!!:I0.Al COv�0.ACIOR nlut ADpR(5S CI1Y ZIP VMONE IICEHSE I <br /> n11Cl1A�lUlCONi0.�C100. AqllAppRl$5 ❑t1 11P PIION[ IICENSE/ <br /> � <br /> PIC�1111sL CONIRnCf00. nNll nDDRl55 Cliv ZIP P110v1 llC[HSE I <br /> �NCU OIIYOPI: <br /> E\Y ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑IIUILDING RELOCATION <br /> \'1lU�ilOti Of NONN <br /> f <br /> I1fR1111 NONA <br /> -, << p��; P <br /> x ruoravuusi or ia�nuwc I HERE6Y CERTIPr THAT 1 HAVE READ AND EXAMINED THIS AP- <br /> �� `�Jh,�� PIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> uc.i otscuirno�or reoriwn iva�+�.mmw oa niuo�roue mrits� PROVISIONS OF LA\NS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL 8[ COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> �u� _moc�_ur 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 REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. � �G�� <br /> SIGNATUR[OF CONIBAQOk OR AUTHORIZFD AC[NT DA � <br /> �C��,�,iw,2 �, I � , <br /> X � �- <br /> PIUMBING MECHANICAL <br /> NO. 7YPF OF FI%TURE FEE NO. 7YPE OF EQUIPMEI:T FEE <br /> \V�7(HClOSl7110L�f71 AIHCONU UNITS–MP fA <br /> BA7H7U0 REfRIG:NAiIONUNITS–NP FA <br /> LA\'AIORI'IK'ASM NASIN� 11011LR5–M P fA <br /> $MOU'I H CAS f IRLD A C UNI75–TONNAGE [A <br /> KI7CMIr+51M11:A D151' IORCI f)AIN SYSIGIS-117 U A/kA <br /> U6N'ASHIN N'AllH1A71.H5–IIiU M <br /> UU�DRI'7HAY UVII NUiLNS–It i U AI <br /> -CIO1R(S\vASNfR !\'nPOHAII\9 COOttHS <br /> N A1 f R ML A1[N CIOTMf 5 ONYI RS <br /> URINAI \'1 N11U710N FAN <br /> [lNIN1:INC IOUNiAIN RANQ MOOD <br /> f LOJH DNAIN AIR IIAkDLING UNIT– C F M1/ <br /> \UCUU+t 11Hf AAE HS 510VF <br /> NOOI ORAIhS–NAINItADfHS MLTAL FIRIPLACC A CMIAINLY <br /> SINA ISf R�9Cf–HAH.I7C I � <br /> SUB TOTAL SUB TOTAL s �� <br /> PELLMIT S PERMIT S /U �"� <br /> TOTAI FEF S TOTAI FfE f � � <br /> SIDI \AHD 5[TIIACK 51RfF7 SLi11�CK R[AR YAR�5[L17ACA PUN UI[CA NU.NII[N PIAN CHkCA FE[ <br /> FtE ftFCCiPT NO. i <br /> USE ZONf l0T AREA VAUNT Lif F[f5 VAlUAT10N iFE <br /> ❑Yf5 CNO <br /> TYPI Of CO'+ST OQGPANCY GROUP NO Of UWELIING UNIIS <br /> OUIIUWG s <br /> SIZ[ Of OIDC NO OF STORIES ���% �« <��U <br /> PWh1BINL <br /> �_ flRl 70Nt �AR 'N7 NIUHUUn1S IINf 51'XINALlHS � � J <br /> RLQUIXLO M[CMA4ICAL <br /> r1Y1S fINO <br /> APPROVALS !Y OATE OTHER <br /> 1 CNVIRONMfNTALCM1IXl15T �th,��� UBC <br /> s[c �oxa� <br /> : nNloinC vinns <br /> TOiAL <br /> 7 llHf MYDRANI <br /> � {IH[ PRO1fCTI0Y5Y57EM �E�MIT\'ALIIIATION t <br /> — NHtN PNOi'ERtY VALIOAT[�ON TIIIS SYACE�TMIS IS YOUft YERMIT J <br /> 5 GRAU�NGIAU\'AiIONAC�iAf.INGILRUBflINC <br /> 6 DNAINAGF _�__ <br /> 7. fNVIROM1MR.IAL IMPACT STATFMENT <br /> 9 MMUI'OISiNIC1 <br /> ApP:ICAiIOh ACC DV PLANS CN[CKCD BY APPR.fOR i55UANCE 0Y <br /> 9 b77 <br /> � <br />