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,�.Ew,p,�� APP'LICATION FOR, <br />CITYOF CONSTRUCTIOf� <br />everett PERMIT <br />D[P7 OF COMMUNITY DEVELOPMENT SERVICES <br />CRY HALL :59�0745 <br />EVERETT,1YA98201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />oWUm m��tnunx�ss cnr i�r c��oNf <br />"ANCM�fIl.-iOPOISIG�IR M1IAIIAODNISS / CIIY 21P YNONE <br />MD��III�f.IO�IR�[lON M1IAllAU0NE55 OI\ ZIP PIION! IICEN5E1 <br />�- <br />cinsi oi �euuR <br />I�NE\V ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑$ICN ❑GARAGE ❑OUILDING RELOUTION <br />e�wnno or �coea <br />, /���, ��o�. � <br />❑IllMllll NON� <br />reuron u rst oi <br />IFUIUISCPIPIIOVOII'XOI'IRI1�511)N�M1NI �/iNAil�(IIIOL'(OPII51 <br />�9 dCC'ii'O� ! <br />�oi �-+ ,niocr._or �� <br />/ <br />iun+unNiss <br />PLUMBING <br />NO. TYPE OF FIXTUPE <br />\vAif R CLOSL T 1101 If il <br />IIA711iU0 <br />L A\'NON 1 1\V A511 IUSIN) <br />SMO��'1 H <br />A1i011� SINK A O6P <br />Il15N'ASHI R <br />UUvURi iNAI <br />QOINU \YASHLN <br />N'AIfN HtAi1R <br />UHIMI <br />UHIn'1,IUG fOU�IAIN <br />IIOOR I)RAIN <br />VACUV�IPHIA61N5 <br />ROOI ON11N5-RnIRLf Af)f NS <br />SWY ISI HV9Cf -IiAR. I iC 1 <br />Slnl 1�1HU cl II1�C�'. <br />us� zohi <br />�— 2/ <br />11P! OI (ON`.1 <br />�) n� <br />SI11 OI 11LU�: <br />.�.,��. ,.f: <br />IINI lUhf <br />� <br />SU970T�L <br />PFRMIT <br />TOiAIIEF <br />SiRf[i 5[TMCK <br />v�� 1 <br />l0T AHf A <br />OCCUPA`N�CI GHOUP <br />IVI <br />NO OF STORICS <br />1 <br />S� <br />RI �R 1NNU SI 111 <br />2�•'f <br />VAGNi SIIL <br />❑1[5 Z:M) <br />NO OF DWfIIIN <br />nux occ �onu <br />AHI{IRI SPflINAlfNS <br />HIOUIHID . <br />__ I .._- I � . <br />APVROYALS <br />1 tNV'IHOFMLhIAI CHLCK lIST <br />: IIUILU�h(: Plnn} <br />] IIHI IIIUNANI <br />J flNf I'XOIfCilUN51ST[M <br />S[,HAl1ruC I A( �\'NIUM1 S Cl I nNINGIGNUBHING <br />n DHAINACI <br />] �N\'IHUNnIlNiAI IAIPAC7 S7ATF�QNT <br />B IIULiM f)6iNl(l <br />APPUCAIIUN ACC OY PLANS CM[CKED OY <br />i <br />ry .' / I . <br />9 7-79 <br />!Y I DATE <br />APPN FON ISSUANCL OY <br />I HERE6Y CERTIFY TH�T I HAVF READ AND ExAMINED THI$ AP- <br />PLICATION AND KNOW THE SAME TO BE TRL'E AND CORRECT ALL <br />PROVIS�ONS OF LAWS �ND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HCREIN <br />OR NOT. THE C.RANTING OF A PFRMIT 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 />SIGNA7UNf Ot COyIAACiQR ON A^THORIZfD nGEI+�-. DATE 7�7 P� <br />/ J / ) u <br />NO. / TYPE OF EQUIPMENT <br />nie co�un uvirs—�+r tn <br />HLfHIG[HAiIONUNIiS-HP [A <br />IIOIlLNS-MP EA <br />GASlINfDAC UNITS-IONNAGEU <br />IONCID{INS\51[AIS-BTU M[A <br />�YA11111ATIH5-Il1U M <br />UhI7111A7fk5-OlU M <br />l�'nPURAfIVI COOLIRS <br />VfYiIUtION fAN <br />RANGI HOOD <br />AIN MANDIING VP <br />STOVI <br />.�tl UL f IREPUCL <br />PI AN CI II Ck NUN11l H <br />0�/���/% <br />FEES <br />17UI1 DINC <br />PLUMIIWG <br />AIICHANIUL <br />Oi11ER <br />PI NnUY <br />- CfM <br />SUB TOTAI S <br />PFMMIT 3 <br />TOTAI iE[ 3 <br />PUN CF <br />ffL � RI <br />VAWA710N <br />SI��O . <br />U11C <br />5[C 30JIa� <br />FFE <br />NO <br />2.Z G <br />fEF <br />� <br />/-7 SZ� <br />��I <br />TOTAL I I /� I��� <br />P[RMIT VALIDATION <br />\VHIN PNOPIRLY VALIUAiFD (IN TMIS 51'ACq 7H15 IS YOUR PERMIi <br />