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4PPLICATIUN FOR <br />��TM�"'� CONSTRUCTION <br />everett PERn��T <br />DEPT. OF COMMUNITY DEVEIOPMENT SERVICES <br />❑TY HALL 259-8715 <br />FVFRFTT WA9fl201 n��u�w�t�e�u nYt1111f11JG <br />t <br />I-IMFfM�NICAL ❑rwMeiNc PERMIT NO. <br />n1101�M11U1 COM1TMCIOR Mnll eDDM6$ CIIY LIP PMON[ IICENSI t <br />PIC��flI�GCON1R�ClON M�IlAO�R(55 CRY 21P iNON( lKENS[1 <br />R �15 OI N'ORF <br />❑NEW ❑A�DITION ❑ALTERATION <br />V�IpR�110NOf W00.R <br />1 V ��J BI _ <br />OISjNIPI WOR� � ` � - . '. <br />,l' � <br />uv oi <br />11Ul DFSCMIVf104 O� P0.0VIMiY ISNON�rv BI lON ON AIIA(N IOUR COVIf 51 <br />i01 ��BLOCR�Of <br />/ J / ,+� — <br />IOH �UORf SS <br />PIUM�ING <br />NO. TY�E <br />WATFR ClOStt IT� <br />IAWTONY (N'�5�7 9ASIN) <br />SNOWfR <br />NI7CIIf N SINK b DISP <br />DISWASMiB <br />UUNDP.I iRAY <br />CLOIHES\4ASNER <br />pRINAINC fOUNTAIN <br />f IOOR ORAIN <br />VACUUN flRf AYLRS <br />RWF U0.AIN5—A�IN' <br />SINK 6ERVIC[—tlAR. <br />YARD 5[TC <br />ZO�! <br />O� CO'+Si <br />TOiAIiEE <br />SiR[[t S[ln� <br />lpi AREA <br />occurnna � <br />r�o or stoa <br />— �L <br />UHOUn1S <br />AMROV�IS <br />� �NVIRONMENTAI CM[CK USi <br />7 OUILDING �'l�N$ <br />) (BEHYDNANT <br />� RRf PNOTLC710N SV51[M <br />S GNADINGtaU\'�710N8ClUNINGCRUNHING <br />b ppAINACE <br />] ENVIRONMFMIALIMPACTS7A7LNlNT <br />E ME�li11DRiNl�1 <br />❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />FEE <br />I HEREBY CERTIFY THAi I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALl <br />PROVISIONS OF LAWS �ND ORDINANCES GOVERNING THIS 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 TNE PROVISIONS OF <br />ANY OTHER STATE OR IAGL LAW REGUUTING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIChATURL O! WNTNACTOR OR AUTNONI2ED ACFNT DATE <br />MECHAHICAL <br />AIRCOND UNI75-HP FA <br />RfFRIG[flATIONUNITS-HP [A <br />BOIlERS-N P EA <br />WS IIRED �C UNITS-TONNAGE fA <br />fORCkD AIR 5\FEMS-PT U M EA <br />WAIlHkA1fR5-BTU M <br />UNITHEATfNS-BTU M <br />V(NiIlA710� MN <br />RANGf HOOU <br />�IR I/ANOLING UNIT— C F M <br />S70VL <br />M[TAL fIFEPUCE 8 CHIMNEY <br />Sll� tOTAI � <br />S <br />f TOUI <br />RUN YAND SLIO�CR PIAN CM[CA NU.��11EN <br />Ff E <br />VAUN7 SITF F[ES <br />❑Y[S CNO <br />YO Oi ON'FLLING UVI75 <br />tT I D�TE <br />APPIIUiiO� n(� BY 1'UNSCMECKfD BY I AVFN ION �51UANC! R� <br />CHECK F:[ <br />RECEIPT NO <br />NUILDIhC y� ���" <br />i'. <br />r�wnmi.c <br />MIOI�NIUL <br />O7HER <br />UBC <br />rtr+nir� s[c wn+� <br />TOTAL � <br />�[IIMIT VALIDATION <br />NHf N 1'RO�ENI� �'�IIDMFD Ilrv 7M15 51'ACE) 7M15 6 VOUR PERMIT <br />a <br />� <br />