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ApPLICATION FOR <br />�ryE�"�""' �,�NSTRl;CTION <br />everett PE RM IT <br />DEPT OF COMMUNITY OEVELOPMENT SEPVICES <br />CITY HALL 259�E715 <br />EVEHETT, WA9E201 ��OMSINATION ❑ OJILDING ❑I <br />OWNI II. ' M�rt AOfDX'�I55 b �I �/' //�� <br />_ %.-%1/{��� /�%� il��iJ//!A\')L�IL/ <br />LINIRAI <br />Meneoo�as <br />CIIY <br />CIIY <br />❑PLUM!!NG PERMIT NO. <br />rn� <br />��� <br />e <br />� <br />MICMANIUI CO lReC10 Mnll �0011155 C�1Y LIP IMON! IICFNI[ I <br />PIUMRIVG CONiRnC10R MMl �DDPISS ���V 21p PNOHF IICENlf / <br />C1�5501 R'011C <br />❑NEW ❑�DOITION ❑ALiERATION .�kFPAIR ❑DEMOLITtON ❑FENCE ❑SIGN ❑GARAGE ❑BUILOING RELOCATION <br />\'AW�i1040! WOR Gi <br />�C s ' `S C�(J' �— <br />DISCRIB�I WOJ4N r /� <br />I� !. //J 6,f!•/i v/_ % /�`� <br />uv Dr nunowc <br />IfGM UISCIIIPIIOY Of FIIOPIRIY �SNOWN pItOW ON nII�CM i0U11 COPII51 <br />ioi _ e:oca _ or <br />ica eooeess/�C�/ � <br />� <br />�IUM�ING <br />NO. TYrE d <br />WATfR ClOSFT (Wl <br />BAiHTUB <br />lAW TGRY � W �SH Bi <br />SHOWER <br />KITCHFM SINR 6 DIS <br />DISW�SMFR <br />LAUNDRv i0.�Y <br />CIOTHFS wA51/ER <br />WAiER MEATFR <br />VRINAL <br />DRINNING FOUNTAI <br />FlC10R ORAIN <br />V�CUUM BRF�KfRS <br />XOOF DRAINS-RAI <br />SINK ISFRVICF-BAP <br />LOT ARU <br />TYPF OF <br />fIRE <br />I HEREBY CERTIFY THAT I HAVE READ AND EICAMINED THIS AP- <br />PLICA710N AND KNOW THE $AME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES COVERNING TF115 TYPE <br />OF WORK WIIL BE COMPLIED WIiH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STA1E OR LOCAL LAW RECULATING CONSTRUCTION <br />OR 1HE PERFORMANCE OF CONSTRUCTION. <br />SIGHATUN[ Of CONT CTOR OR AUTHORIZEO �LFNT D�TE <br />Y �/,'. / I �� �C./n-I /D —�.�r'�f� <br />MECHANIUI <br />fEf NO. TY►E OF FQUI�MENT <br />�Iq [OND UNII =H P E� <br />XFiRIGfNATIONUi�ITS-NV U <br />BOILERS-NP U <br />WS FlRFD A C UNITS-TONNAGE E� <br />fOFCF� AIR SYttEMS-B T U N <br />WALL HFATERS�-87 U M <br />UNI1M[ATFR$-BTU M <br />f VAPONATIVE CWLERS <br />NMR YARD 5[TBACK PUN <br />vAUNT AT[ — <br />❑YES CNO <br />NO Of OWFLLING UNITS <br />5 MA% OCC <br />flL�kWMS FIRF SPRII <br />MMOVAIS <br />1 ENVIRONMENTAI CMECN lIST <br />3 BUIIDING PUN$ <br />1 fIR( HYCAANT <br />� HNE PROTI[IIpN SYSTFM <br />5 GRADINGILRUVe710NbQEARINGlGIIUBflINL <br />6 DRAINAGE <br />7.ENVIRONMENTAI�MPACTSTAtFMENT <br />E MEALTH OISiRI�T <br />APPLICATION 1[� pY PL�NS CM[CK[� RY <br />�t � D�iE <br />ISSUANCF B1 <br />RANGf NOOO <br />�IR N\NOIING UNIT- <br />MF UL <br />F <br />SU�iOT�I <br />Fff � RfCE1YTN0. <br />BUILDIN� t <br />PIUMBING <br />M[CNAMUL <br />OTMER <br />PENALTY UBC <br />SfC lONa) <br />TOTAI <br />►ElMIT VAIID�TION � <br />WMEN PAOPERIY VAIIDAT[D�1N 7M151C�CE) 7NI5 �5 YOUA PfRMIt <br />