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APPLICATION FOR <br />'"'E"""'" CONSTRU�CTIOf� <br />CITY OF <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPME'�T SERVICES <br />❑TY HALL 259�8745 __ <br />EVERETT. WA98201 ��pMBINA'iiQN ❑ BUILDING ❑MEtHANICAI ❑PLUMBING PERMIT NO. <br />OWNtR , Mnll AOf1x155 i Cliv ZIO PNONE ^ <br />/ /' � . / , �. � �.. �. r.� _ . � ..- .�rG I�l=�G � r� 5 . <br />GINfReICO�+IRACiOR -/� M�IL�00Rl55 CIIY ZIP PHONE IICENS[1 <br />n�ICNnnIUI[O�+1NnQON M�Ile0UFf5S U1Y iIP PHONt IICFN5E1 <br />PlU�1Pl'�G COMR�CIOR MAII �UOXf55 U1Y LV VNON! UC[NS! 1 <br />S � <br />Cl �55 Of N'OMK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLIT�ON ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />Y�1U�110401 NORk � <br />s .=��ii /GCl_ .�GI <br />rAorosto �st or gei i�c/ <br />l�/. n.s�_.�= <br />llG�l DISCRIPIIOv Of VYOVI IV ISNONN <br />LOI � B� LfL <br />--� <br />IOP �0�0.(5�, i _ / <br />rwMeiNc <br />NO. TY�E OF FI%iURE <br />WATER CtOStT ITOl1CTl <br />SMOwf R <br />KITCMEN 51hA 6 UISP <br />OISwASN[0. <br />UVNDRV T0.AY <br />ClO7Mf5 H'�SN[8 <br />\YA7ER HUTtR <br />U0.1Nn1 <br />DNINKING fOUNTAIN <br />f LOOR DRAIN <br />VACl1UM ARf AKERS <br />ROO� DRAINS—N��NIFADERS <br />S�NK �SFNVICf —PAR, f iC 1 <br />YARD <br />Of CON9 <br />OF BLUG <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PL�CATION AND KNOW THE SAME TO BE TRUF AND CORRECT ALL <br />fOUM COPR51 PROVISIONS OF UWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIE� WITH WHETHER SPECIFIED HEREIN <br />� �� OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY ?O VIOLATE OR CANCEL THE PROVISION$ OF <br />ANY OTHER STATE OR LOCAL LAW RECULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CON5IRUCTION. �_ s � <br />SIGNATURE OyTONTHACTOI�ON AUTMOR�ZED ACFNT OATE �� <br />TOTAL <br />�17 s <br />�I fFE s <br />S7REFT SllllnlR <br />lOT nNU <br />OCNPANCY LRC <br />NO OF STORILS <br />BAS[M[NT fll <br />A►►IIOVAIS <br />1 LNVIRONMFNTAL CMECK 115T <br />7 6UIlDING PUNS <br />J FIR[ l/YDRAN7 <br />� iIRE PROTfC110N SYS7EM <br />5 GRADING�I%CA\'MION6CLtARINUGRUNPINC <br />6 DRAINAGE <br />7 ENVIRONM[NTAI IMPACT ST�1lM[NT <br />s NEMI��DISA�C1 <br />FEE NO. 'fY�E OF FQUI�MENT <br />AIRCOND UNITS—MP EA <br />REfRIC[R�TION UNITS—H P EA <br />NOIlCRS—NP FA <br />CAS FlXEO AC UNITS—IONNACF EA <br />fORCt�AIR5V51FM5—BTU MEA <br />WALL MEATERS-0 T U M <br />UNITMLA7FR5—NTU M <br />tVAPORAiIVE COOlEHS <br />CLO7Ht5 DNYERS <br />VLv11U710N {AN <br />R�NG[HOOD <br />AIR NANDLING UNIT— C F M <br />S10V! � <br />61fTAL fIH[PUC[ 6 CHIMNEY <br />R! nR YAND Sf T17ACK <br />VAUNT SIIE <br />❑Yf5 CYO <br />40 OF �wf ILING Ui <br />HNL SYNINRI[n� <br />RlQUIR[D <br />�7TI5 C?NO <br />�Y DATF <br />FFE <br />---- SU�iOT�I � <br />►EIIMIT � <br />TOTAL FEf f <br />OI[CK NUMBLR PLAN CMECK FEE <br />iEE RfCEIPT NO. <br />srrc V�lU�T10N iEF <br />uuuoinc s � <br />PWM[IINC <br />MICHANIUI <br />OTNE0. <br />UNC <br />PLN�ITV SFC JOAa� <br />TOiAI <br />►ERMIT VAIID�TION <br />\VHLN PNOP[RlV VALIDATLD�IN iM15 SPACFI TH1515 YOUR PEMMIT <br />