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APPLICATION fOR <br />G E��� �ONSTRUCTION <br />everett PERMIT <br />DEP� OF COMMUNITV DEVELOPMENT SERVICES <br />fITY HALL 259-07/5 <br />EVERETT, WA9B201 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />.OWHU n ) �� .MMIAODM155 CIiY �� ZIP YNONE <br />�7i�Ai.._/lPiil�.o�1i.'n7ef/�l,�n.. /030 /9YP� So/�wS/J. ��/�70 ��/SY1f���7. <br />�, <br />everdt <br />e <br />nwinn��oeoia�mx .� mniinwxb> , �n♦ - cir rnone <br />GINfMICONiN�C1011 M�IIA�DR[SS CI1Y ZIP IHONE IICENSE� <br />F <br />MICN�MGI [pMR�CION MAII �DDRE55 C11T LIP IHON[ IICFHSE � <br />PIVMIIMLCONiX�C10R MMIA�DN[SS UfY ZV PMONE l�C[NSFI <br />ClASSOf WOPK <br />❑NE\Y ❑ADDITION ❑ALTERATION ❑F:PAIR �DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑AUILUING RELOCATION <br />YAWATIONOf WOR[ <br />� . !�[�a � <br />, <br />01SCRIBf WORF <br />� v �o,••, L .,iJ;., !�i/od�,r ti <br />PXOPOStO US! OI PN101�+ <br />llGAl pFSCNIPiION Of PROCtR1Y �5110W(�N pllOW <br />r101, a�a�PlOCk�Of ��✓w. <br />� r� <br />Y�o�7as'i �r%n.-�Sy� .�,..�. u�,. <br />►LUM�ING <br />, NO. TY►E Of fIXTURE <br />' WATfRCL05[T�i011Eil <br />flATM7UB <br />UVATORV (WASM BASIN) <br />SNOWFR <br />KI7CNFN SINK b DISP <br />DISWASH[R <br />' UUNDRV TRAY <br />� ClOTM6 WASN[R <br />� WA7fN MfATER <br />URINAL <br />DRINKING fOUNTAIN <br />FLOOR DPAIN <br />V�NUM flRUKfRS <br />ROOf URAINS—NAINLlAOERS <br />SINK ISF RVICI —BAR, E TC 1 <br />SU�TOTAL <br />HRMIT 3 <br />iOt�liFF f <br />SIDF YAN� S[TO�CK STREET 5[TflACK R[ <br />TYPE Of CON51 (X( <br />SIZE Of BLOG NO. <br />fIRE <br />AMIIOVAIf <br />1 ENVIRONMENULCHECNl15T <br />3 BUILOING PUNS <br />) �IRE HYOR�NT <br />� FIRE PROTfCTION SYSTEM <br />5 GPADINGI(XUVATION6ClEARINGCRUBflING <br />6 DRAINAGE <br />7. ENVIpJNMENTAL IMPIIQ STATFMFNT <br />E. MFALTN DiSTNICT <br />APPLIUTION ACC. BY PLANS CHFCKEO BY <br />41�79 <br />VACANT SITE <br />OYES ❑HO <br />JO OF DWftL�NG UNITS <br />MA% <br />�Y � DATE <br />fOR ISSUANCF BY <br />� <br />,J .• .' :✓/�.rid�./$;/,�,T„-rf.M�+,,����� <br />I HERE CERTIF` THAT I HAVE RE D AND EXAMINED THIS AP- <br />PLICATION AND ,CNOW THE SAME TO BE TRUE AND CORRECT ALl <br />PROVISIONS O' LAWS AND ORDINANCES GOVERNINC THIS TYPE <br />OF WORK WIV. BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THF GRANTING OF A PERMIT DOE$ NOT PRESUME TO <br />GIVE AUTHC' �21TY TO VIOLATE OR CANCEI THE PROVISIONS OF <br />ANY OTHER STATE OR LOGL LAW REGULATING CONSTRUCTION <br />OR THf PERFORMANCE OF CONSTRUCTION. � <br />SIGNATUPE OF CONTRACTOR OR AU7HORIZED AGFNT DATE <br />x. /��/�r�,�+^= Y����93 <br />NO. TY►E OF EQUI�MENT <br />A18 COND UNITS-H P. EA <br />REfRIGERAiIONUN175-HP EA <br />BOILfRS-HP EA <br />GAS FlNFD A C UNITS-T� �NnGE EA <br />FORCFO AIR SYSTEMS-B.T l M EA <br />WALL HEATERS-B.i U <br />UN�iHfATFNS-A.7U M <br />EVAPORATIVE CWL[RS <br />RANGEHOOD <br />AIR NANDLING UNIT- <br />STOVE <br />SU�70TA1 <br />fEE <br />FEES <br />iEE <br />PUN CMECK FEE <br />� RECfIPTNO. <br />BUIIDING 3 <br />PWMBING <br />MECHANIUL <br />OiHER <br />PENAITV UBC. <br />SEc. JON+I <br />TOTAI <br />r[�MIT VAIID��ION <br />WNFN PROPERLY VAIIDAiED �1N THIS SPACE� TMIS IS YOUR PFRMIT <br />0 <br />