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4PPLICATION FOR ���,�„ <br />�r�ro`"° `�CONSTRUCTIOh"� e <br />everett PE RM IT <br />DEP7 OF COMMUNITY DEVELOPMENi SERVICES <br />CITY HALI 259�B745 <br />EVERETT, WA9B201 �COMBINATION ❑ BUILDING ❑MECHANICAL OPLUMBING PERMiT NO. <br />OWM1(R M�II ADOXI55 CI11' ZIP PNOV[ <br />��0 54 i�,xy 5�02. S 3�ci Fuc�:�1 752c3 2S2 7ASS <br />AqU1111C100.DE51GNIp M�II�OOPISS CIiY 21P PNOH[ <br />i�uc H 3 Id«s Sbob G��n< �-��� 1z�,:c�i1 3s3-7iii <br />GIY[MI COYIN�C1011 MAII eD�1165 CIIY ZIP PMONE lIC[HS[ I <br />�rtCHA\IUl COYtR�C10R M�II �D00.I55 ❑lY LIP PHONL IICWlI � <br />M�v�OUGCO�ixeCtOR M�I1n000.155 Clit LP PNONE liCtNl[1 <br />1'u(E 1..7..x��� r�lo�,ht..� 77oF i•wl.��.�..�� �..Zyi2 (wxc{ •1d10 3 ,35)-I5�'� R�;-uc-i'�oc>ts� <br />f 1 �SS OI N'OFK r��, <br />❑NEN' ❑ADDITION 4yALTERATION ❑REPAIR ❑DEMOL�TION ❑FENCE ❑$IGN ❑GABAGE ❑BUILDING RELOCATION <br />\�lb'�IIO40f NOMR <br />S <br />OtSCFINt WONA <br />PNbI'O5I0 GSI OI PWIDIUG <br />IIUI OfSCFlit10`10i OXOV(RIYISIIONN OfION'ON A1t�U110UX (OYII51 <br />LOi _ B�IXc _� Of <br />iax �nnuiss <br />�q�z 5 <br />PIUMBING <br />NO. TYPE <br />WA7FR CLOSLT Ii <br />PAlllt�P <br />1 �VA70FY f W A511 <br />t�r� <br />F�. <br />OF FIXTURE <br />OLIE11 <br />NRCMfN SINK A ORP <br />UR�t �SMf R <br />IAUNONYINAY <br />[� n111! 5 N'�SHf 0. <br />\VA71 R MI Ai[N <br />URIti 1L <br />ORIN/:ItiC fOUNTAIN <br />lLOOR �RAIN <br />VANU�� OFUKf RS <br />ROOf DRAINS-RAINIFAULRS <br />5�'+A �SE RVICE - NAR L1C 1 <br />SU�TOIAL <br />I[�MII f <br />ZOtiI <br />rne« <br />c�rn�cK � atnR <br />LA <br />ANCYGFOU� <br />STONIkS <br />[Ni Nluaous,s <br />A��RO W lf <br />1 CNVINONAlIN1AL UI[CK L6T <br />7 nunuiNc ru�s <br />) IINI NYDHANI <br />1 fINEPRO7fC710N$YSTFM <br />5 GN�U WG I l( A\'AiION 6 Cl f AFINC.CRUHBING <br />6 DRAIY�GE <br />1 �N\'IRONMFH1Al IMP�CT $fA7fMfN7 <br />E Ht�lill UI51FIC7 <br />AVPUU110Y�1C pY PUtiSCH�CRIDNY <br />9 1 7^ <br />\'AUNi 51TI <br />CIFS �':O <br />NO Ot DW(l <br />MA% UCC LC <br />�iuE sruinKi <br />RLf7UIRf U <br />f'�YIS ��NO <br />�T <br />I HEREBY CERTIFY THAT I HAVf READ AND E%AMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF �AWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPl1ED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THF GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEI THE PROVISIONS OF <br />�YY OTHER S?ATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAIUR[ OF CONiRACTOR OR AUTNORIZEO AGENi DATC <br />�.L1'"'V� <br />MECHANIGL <br />�: <br />FI10.1GlRATION UNIIS-M <br />lIOIL[NS-M P U <br />WS fIRED AC UNITS—TONNACE EA <br />fORCfD AIR SVSi[AIS—B T U N <br />WALlHfA7LR5—OTU M <br />UNR MIA7lR5-17 T V M <br />Vf Y71UI IDN <br />RANGI HOOD <br />— CfM <br />S10VE <br />s1[TAl fB[PUCf 8011MNEY <br />ri�v artc� <br />eun oir+r <br />rw�+nivc <br />fU�IOTAI � <br />�ERMIT � <br />TOtAtifF � <br />NUn�11lR PL�N CH[CK FE[ <br />FF[ RECtIPT NO <br />fE[S �AWATION f <br />s <br />M1II OIANICA� <br />DAT[ O7MfR <br />PWAl1Y <br />TOTAI <br />APPN fOH ISSU�'+CI PY <br />UflC <br />SfC JOJIaI <br />RRMIT VAIIDATION <br />NMtN 70.0PIRl� �'ALIDATED �IN iN15 SPAC[I TM1515 YOUk PfNMIT <br />,� <br />� <br />