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e <br />APPLICATION FOP' <br />eME�+rym^ �ONSTRUCTION <br />CIT' OF <br />everett PERMIT <br />DEPT OF COMMUNITV DEVELOPMENT SERVICE: <br />❑TY HALL 259-8745 <br />EVERETt. W�9BI01 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />ZIP <br />_ Mui �ooetss ..i. � .���� %/) ,..,� � �.. �l 2C'C _ /� <br />:l �SS OI N'OP[ <br />❑NE\Y ❑�DOITION ❑ALTERATION <br />YelUAL10A Ot N' �� d <br />f � <br />OISCNIfl� U <br />cv <br />lu• <br />everett <br />� <br />�� <br />PAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />��— - � � <br />lfG�l Ot5{N�F110'� OF PROOfNtv ISNOwH flFION 00. eliMN IOUR COPIf51 <br />�Q� �BIOCk�U� <br />ION � RI>]/ <br />�` <br />PIUMlING <br />N� <br />� <br />KITCHFN SINK 8 DISP <br />DISWASMFR <br />UUNDNY TRAY <br />ri nTut <br />ORINKINC FO <br />FIOOR DRAIP <br />v�cuUr�n BNE <br />LEA�[NS <br />EICI <br />cTRE[T SUunt a <br />lOT ARE� � <br />nCfuPANCYCROUP <br />A►►�OVAIS <br />� [NVIRONMENTALCH[CKl15T <br />7 BU�I��NG P��NS <br />7 FlX[ MY�NANT <br />� fINF PROT��T�ON SYSTEM <br />5 GRAOINGIL%UV�1�ONbQf�RINGIGRUBflING <br />b D0.AINAGE <br />7 ENVIRONMENiAI IMP�CT STATEMENT <br />s HUIT�� DISiRICi ,i, . • .( !.� <br />— � �, <br />FFE <br />s �� <br />RLAR YAPD 5[iBl <br />VACANT SITE <br />❑Y[5 ONO <br />NO OF DWEIUNi <br />MA% OCC LOAD <br />� <br />�t � DATF <br />I HENEBY CERTIFY THAT I HAVE REA� Arvu cnnm��cu �..�, ..• - <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTIN� 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 />SICNATURf OF CONTNACTUR ON AUTHORIZFD:AGENT i ATE /, <br />MECHANIUI <br />rrr: <br />� <br />MP EA <br />BOILERS—M P EA <br />GAS FIREO �C UNITS� <br />fORCFD AB SY57EM5� <br />WALL HE <br />�iu�i u��TFRt—B7 U <br />VENTILATION FAN <br />R�NG[HOOD <br />�IR M�NOIING UN�T— � F <br />S70VF <br />.�vr�� nuiPUCf 6 CN�MNE1 <br />CM[CK <br />FF[S <br />FFE <br />FA <br />M E� <br />FFE <br />PUN CH[�� roc <br />� 0.ECFIP7 NO. <br />IS <br />BUIIO�v� S <br />PIUMHINL <br />MECNANIUL ,� <br />OTHFR <br />UBC <br />rtnniTv scc �aN+l <br />TOT�L <br />►FRMIT V�IID�iION <br />WHIN VROPFRIY WLIDATFD l�N :MI$ $P�CFI TMIIS IS YOUR PfRMIT <br />