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0 <br />� <br />MsEwrD�� APPLICATION FOR <br />"'�°F CONSTRUCTIOR <br />everett PERMIT <br />DEP7 OF COMntUNITI'DEVELOPMENT SERVICE$ <br />CITY HALL 259�8745 <br />�^ EVERETT,\VA98201 ❑COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />tirr <br />rHor[ <br />Pll'.MIINL[OViRAC10R AIAII�D�N65 ❑IY ZIP PIIOYE UC[NSEI <br />❑NEN' ❑ADDITION LlY[�LTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SICN. ❑GARAGE ❑BUILDING RELOUTION <br />� �. <br />�vw,no+or "oaGO <br />+ ���. <br />nixuiut ��ox� <br />�uorosi o usi a <br />llGt �lSCRiPliOu Of P0.0ClN11 (SNO\Yn fltlON' OR nlinC�� IOUF COYII51 <br />i01 _ PIOCt � OI <br />ION�D�Nf55 ��/�� <br />V `-vi��c, <br />PtUMBING <br />NO. TYPF Of il%TURE <br />\\'ni[R fLOSti ODLIE7) <br />PAIH7UN <br />UVAIORY �WASN PASIN� <br />SNO�tif R <br />KI7CH[N SINK b DISP <br />�ISN'ASN[R <br />IAU�DNI'7NAY <br />CLOIII[S \vASHER <br />DRINAING FOUNTAIN <br />f LOOR DRAIN <br />\'ACUUM NRI AKLfti <br />ROOf []NAINS—HAINIFAD[HS <br />S�NK 6FRVICI —IlAR. E iC 1 <br />SU! TOTAL <br />�ERMIT <br />TOTAIfEE <br />siorv.�ens�ro�cK sra[�rs�rnn� <br />USl 20n'E LOT A0.M <br />iYPL OI CONSi OCCUPANCY GROUP <br />512[ Of BLOC NO Of STORIfS <br />fIRIZO"+I OASlMENi illUµi <br />M►ROVALS <br />1 [NVINONMLNiAI CHLCK LI51 <br />7 PUIIDINC PUnS <br />J fIR[ M\DRANI <br />� HR[ PNO7fC710N SYFthI <br />5 GNADINLIIxCA\'A110N8CU�RINGIGRUNOINC <br />6 DRAINAGE <br />7 FNVIRONMENTnL IMPACT STAT[MENi <br />C NEAITH DISTRICT <br />APPIICATION nCC BY PUNS CHEIXkD BY <br />9 1�79 <br />«<. <br />f <br />VAUNi Slik <br />❑YE$ ❑NO <br />RI (1iJINF D <br />n�e ❑r <br />!T ` � <br />D�TF <br />�.. <br />R FOH ISSUANC( BY <br />� � 1.�� <br />I HERE�Y CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAN'S AND ORDINANCES GOVERNING THI$ TYPE <br />OF WORK WILL 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 OTNER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. � <br />SIGNATUR[ Of CON7RACTOR OR AUTHORIZED AGENT �ATE <br />MECHANIUL <br />TYPE Of EQUIPMENT <br />AIR COND UNITS—M P EA <br />REFRIGFRATION UNITS—M P EA <br />HOLLERS—NP U <br />GASFINfDAC UNITS—TONNAGEEA <br />IORCFD Alft SY57FM5—H T tl M <br />1\'ALLHIAifNS—IIIU M <br />UNIIHEAT[NS-0TU M <br />1 \'APOHAiIVF COOLERS <br />CLOTMFS DRYFqS <br />VENTILATION fAN <br />RANLFHOOD <br />AIR MANULING UNI7— C F M <br />STOVE <br />MF7AL flRfPl�C! A CHIMN[Y <br />CUN CIIKA NUA1lIER <br />SU�TOTAL <br />►FIIMIT <br />FEf <br />YAlUAT10N <br />� <br />f <br />s <br />�MECK FEE <br />NfCEIPT NO. <br />tlUIlO1NC S <br />PLUMIIING <br />MEUUI:IGI <br />O7MIR <br />PfNAL7Y UU.0 <br />$EC. 101�a� <br />TOTAL <br />►ERMIT VALIDATION <br />WMW i'NOvlNLY VALIDAT[D�1N iH15 SPACf) TNIS IS VOUR PERMIT <br />J <br />