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APPLICATION FOR ��e <br /> ryE�"�'" �ONSTRUCTION 0 <br /> everett PE RM IT <br /> DFPT OF COMMUNITY DFVELOPMENT SERVICES <br /> ❑TY HAIL 259�87l5 <br /> EVEFETT,WA96I01 ��OMlINATION ❑ BUILDING MECNANICAL ❑PLUMSING PERMIT NO. <br /> own[t M+n+on«rss crtr zir vnov[ <br /> neenincroeo�iie�u M�neoo�us eirr zir rHowe <br /> ��!aU�ICOVtII�(fOF MM1Il�0�R55 CIIY ZIP VNONF UCINS[I <br /> � 1 ,.ln 1rt�n �l � �l �,� F�1 raN L.1 - <br /> /�ICNANIUL(pu1RAC10M MMl eD011155 C 1 1 P P O F IICIdSI• <br /> �.+� � r f ' c1�i� A � r (�� -t�� i � 'c��� � �7C�3 -S� �nK t. �a�•I�JLC� `{1 �Y_yl Ic�Ln_�0 <br /> rW+�xi�c C ixecIDM R nooa6s ir i v vNo t � l c[ Sf� <br /> aa3 0�-�0• t��-FH ��a�SNw. <br /> C1�550i N09[ <br /> ❑NEW ❑ADDITION ❑ALIERATION ❑REPAIR ❑�EMOLITION ❑FENCE ❑SILN ❑C�RACE ❑BUILDING REIOCAiION <br /> v�twnrn or woxr. <br /> f <br /> oucnin�woxx <br /> vxo ousi oi e uo�. 1 HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP• <br /> PLICATION AND KNOW THE SAME TC BE TRUE AND CORRECT ALL <br /> l6�1015CF1Y�lOYOf1'110PIRiY11NONN11IlON00.�11ACN10l1FCOPl1f1 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> OF WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> tpl�pIIXR�Of OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STAiE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR iHE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATUR[OF CONiRACTON OR AVTHORIZED AGEKT onTe QIa9�F'jl <br /> I^�OR�-`IJ�0.155 X , <br /> J�1 — <br /> �IUM�ING MECM�NIGL <br /> NO. iY►E OF FI[TURE <br /> FEE NO. Tr►E OF FQUI►MENT FFE <br /> W�TIRil05[TITOLIF7� �IRCONO UNI75—HP F� <br /> p�iH1U8 R[iRIGFRA710NUNIiS—MP FA <br /> ��VA10RY�WASHBASIN� POR[RS—NP E� <br /> SNOM'EF G�5 RpED AC UNI15—TONNAGF E� <br /> KITCMEN SINI(6 DISP IONC(D�IR$YSifMS—B T U M EA <br /> DISWASN[R N'ALlMfA1LR5—B7U M <br /> UUNDRYTRAY UNITHfA7ER5—BTU M <br /> ClO1H[S WASMEN FVAP00.ATIVE COOlFRS <br /> W�iFN NEATEN CLOIHfSORYFRS <br /> URIN�I VfN11U710N/AN <br /> ORINKIYG fOUNTMN RANGF HOOD <br /> I IOOR OM�IN AIR N�NDIING UNII— C i M <br /> V�NUM PNUKI RS SIOV! <br /> qp01 ON�IhS—MAIHIE��FRS METAI fI0.EPUCF 6 CHIMNFY <br /> OO <br /> SIHK 6fR�9Cl—B�R.[iC 1 <br /> SU�70TA1 � �� <br /> fU�iOUI <br /> rE�Mli � R�MIT { <br /> TOT�L iE[ f tOlAl i[t � � <br /> pIAN CH[CK FEF <br /> SIDI YARO S[TBeCK SiNf[i 5[TP�CN R[�R Y�0.0 5tT9�[K PUN O/[IX NUMB[R 'tE RECEIPT NO. <br /> US[ ZONE LOT ARU yAUNT 511[ �E�S y�tUATION �« <br /> ❑YES �ND <br /> TYP[Of CONST OCCUP�NCY GROUP MO Oi DWFLIING UN175 <br /> BUII�INC � <br /> SIZ[Oi PIUG NO Of$TORIIS M�% OCC IOAD <br /> PlUM01NL <br /> IIR[20N[ BA$[M[N7 PIUNWMS RFQUINIOK"ps M[OIANIUL OD <br /> fIYFS (lN0 <br /> �r1lOV�LS �f O�TE O7HER <br /> 1 [HVIMONMENIALCHECktIST PEN�l1Y �BC <br /> SEC NIN�1 <br /> 1 BUIIDINL PUNS <br /> TOT�I <br /> ) fIN[ NYDM�RT <br /> � FIRL PROIECTION SY57[M �[IIMIT V�l1UATION <br /> WHIN PROP[ALY VALIOAiED IIN 1M15 SP�CEI7MI5 IS YOU0.PERMIT <br /> 5 GNAOINGII%U\'�110N6CLIARINLIGRUBflINC , <br /> 6 OR�INAGE <br /> I � 7 [NVIRONMENUI IMP�Q STAi[M[Ni <br /> E ME�IiH DISTRIC7 <br /> AFPlIUT1ON�CC BY PlANS CH[CK[D BY APPR fOR ISSU�NCE flY <br /> g4;9 <br />