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0 <br />G <br />� <br />4PPLICATION FOIR �,��„ <br />'"'E"'°'� CONSTRUCTIOP . 0 <br />Gitt OF <br />everett PERMIT <br />DEPT. OF COMMUNITV DEVELOPMENT $ERVICES <br />CITY HAIL 253B7t5 <br />EVERETT.KA9B201 �COMBINATION ❑BUILDING ❑MECHANICAL ❑PLUMBING PERMITNO. <br />OWNIR MMl AppMf55 CIR ZIP PNON[ <br />�C GL-y� A J����i��� Ji's %G 3Y S�qLuns7 i- ;._�c77 95�._j ..2ss ? 95'.S', <br />�qCHll[C1 OR Of51GNfN MAIIADOP155 CIiY ZIP VNONF <br />G[NIRAlCON1RA/CiOR MML �ODRl55 CIIY ZIP PMON[ UC[HSF� <br />'\ .JC�/ <br />MfCM�NIGICOMP.AQOR MAII�DOM!$S UiY LIP PNONE UCEHS[I <br />%UMqWf.CONIR�CIOP M/.II�DOR[55 CIR ZIP PNONF IICENSFI <br />CUSS Of N'ONF IS� <br />❑NEw UADDITION ❑ALTERATION .r�2EPAIR <br />\'A1U�110NOf W00.N <br />pn <br />> � Es�: --- <br />UISCRIflIKONR /1//4Ja'AA� :,/ i�AJ /INA'(` /��'�F'� <br />� Fr�f:.a,.'g..-s ��F /^•r�i �3nr��. �r,�e% ?a'd , <br />e , f /.�,�+P/ �t � :7i lO:2 iYo � ' S <br />rxorosious� or nunm�+c <br />�an�E <br />llGel Ut5C0.1PllOv OI VROVIRtY ISNOWN PIION 04 AIinCN IOUn COPIl51 <br />� l01 ��fl10CK�01 ��/ C- r�c� �F .s..wt� <br />�orsz; ,x�:nr4.i.r<r.,f• ��.rs3 �.y; 7d� n <br />of_Il+e, �qST d�o r�cT �'•ne� �•u� �ro�rT-T/, <br />❑DEMOlIT10N ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />T�i� J/��r�F A�rr- n'nv Gu; �En:S' //<no.-.tv •.� <br />°f� %"�' .iry/�di; A7� .'reR �b^'C/, ,. Fc'✓.e5!f <br />/ I HEREBY CERT�FY THAT 1 HAVE READ AND E%AMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND 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 THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />��s � ����sr 3�y. »F�ef �F sy� t�•T S,L i�'_ � OR THE PERFORMANCE OF CONSTRUCTION. <br />II7pJ�/N /���yi,T� /Ujt/� R��Copt(�l �n� G:'/• /0 •'i/�d��/ SIGNATVREOFCOHTRACTORORAUTHOR�ZEDACFNT OATf <br />� q �. <br />ion.00aus �� � � ' ' <br />� ,:ii S V 5�,a/.ur:s�" c�: n•C%S l�,�,!'. • h-�:�� x.�G;.� �� '�,,._ .�'�� <br />PLUMl�NG <br />NO. TY►f OF FII <br />WnTER ClOSET IIOIIFTI <br />flATM7U0 <br />LAVATONY �WASH flA51N� <br />$HOWfN <br />KITCMfN SINK 8 OISP <br />DISWAT��FR <br />LAUNDRY TRAY <br />ClO7H15 WASMEN <br />FLOOR ORAIN <br />VACUUM pREAKERS <br />ROOf �NAINS-RAINLfA0ER5 <br />$INK ISFNVICL-BAR, fTC � <br />$IDE YARD SEl <br />USE ZONE <br />T1PE Of CONS <br />SIZ[ OF BIDG <br />FIRF ZONF <br />SV� TOT�I <br />rEI1MIT � <br />TOTAIfEE � <br />STNf[TSRflACK RUR <br />LOT AREA <br />STOR16 <br />AM�OVAIf <br />1 [NVIRONMENTAI CNECK LIST <br />3. BUIIO�NG PlANS <br />) RNF MYDRANT <br />1 FINF PROTECTION $YSTEM <br />5 GRADINGIt%CAVATION6CLfARINqGRUBRINL <br />6 DR�INAG[ <br />7.ENVINONMfNThLIMPAQ STATEMENT <br />E. HFALTN OISTRICT <br />APPUCATION ACC.BY PLANSCHECKEO <br />41�;7 <br />MECHANIUI <br />FEE NO. TY►E Of EQUI�MENi <br />AIR CONO UNITS-M P. EA <br />REFR�GIRATIONUNITS-HP EA <br />f1011[NS-HP E� <br />GA$ FIRED AC UNITS-70NNAGE EA <br />FORCfD AIR SYSTFMS-8.T U N <br />WALIHFAilRS-BTU M <br />UNI}HFA7[0.5-PTU M <br />VACANT SITE <br />❑YFS ❑NO <br />NO O! DN'f IL�NG ! �NIT$ <br />M�% IXC IOAD <br />�r <br />BY I APPIt. <br />D�TE <br />BY <br />0.ANGFMOOD <br />AIN HANDUNG UNIT- C.F M <br />STOVL <br />MfUL FINFPLACf 8 CHIMNFY <br />SU� TO7Al <br />RRMIT <br />TOT�IiEE <br />PUN CMLCK NUMB[R <br />FEE <br />iElS VA <br />CMECK FFE <br />RfCEIPT NO. <br />BUIL�ING s�s�'1*�•� <br />(ti/ <br />PlUM01KG <br />MfCHANIC�I <br />OTHEN <br />PENAUY UBC. <br />SEC 70Nq <br />TOT�I <br />rE�MIT V�LID�710N <br />WHEN PROPfRLV VAL�DAT[D (IN TMIS SPACE� TMIS IS YOUR PEAMIT <br />"7 <br />