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�, <br /> '�PPLICATION f0'" <br /> �^E°"�"'" CONSTRUCTIOh `�e <br /> everett PERMIT <br /> DEPT OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 259�87�5 <br /> EVERETT,WA9B201 ��OMBINATION � lUILDING ❑MECHANICAL ❑PLUMlING PERMIT NO. <br /> OWH�R M�II�DDMRS CIIV ZIP PHOME <br /> � . ��r�r v ` ;'� OCc, tie.v� i1 .1� l.Jv_-��.'hr �'c' �. e:e�1 �' ���q"'_'-���� <br /> �IICM�fNlR M�II�DUIIE$$ CI1Y 21P IMONE <br /> CINFF�I CONIRACiOR M�II�D��FA . `n CRY ZIP VNONE IICFNSE� <br /> ��1� `l v-\ !� L <br /> MfCH�NIUI CONip�CiOR M�It ApU0.F55 CIIV LIP PNpNf I�CENS[I <br /> VIUMpwG CONiReC�OR M�II�DDFf55 Uiv ZIP PNONt IiCFNSE� <br /> C1A550f WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION ij�EPAIR ❑DEMOIITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING FELOCATIO+I <br /> \'M1IV���040f WORk <br /> . O C�d <br /> oisunrt woaK � � <br /> � 1 1 � , �. �y ���, <br /> � L '�� \.tSC_ ^�G " � <br /> PROPUSIDUSf Of unuivc I HEREBY CER IFY TNAT I HAVE AD AND ERAMINED THIS AP- <br /> �, S ,. j�„� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> ll WL OISCRI>LIO'�OI YMOVfRIY�SMOWN BlION OM AIIACN IOW COPII51 PROVISIONS OF UWS AND ORDINANCE$COVERNING THI$TYPE <br /> 7 .`I � � OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ioi � eiocK � or �� OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE �UTHORItY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR 7HE PERFORMANCE OF CONSTRUCTION. - ' <br /> , � � ! � � _ ��-`�� `� SICNAIUR[U�CSINTRACTORO�UTNORIZEDAGENi DATE r/../ � ` , <br /> W / <br /> wx+nnx�ss - `- �' � �� � � � <br /> X ��' <br /> /lUMlIHG MECXANIUL <br /> NO. TY►E OF FI%TURE FEE NO. TY►E Oi FQUI�MENT FEE <br /> WATfR ClOSET�TOII[TI AIR COND UNIIi—H P FA <br /> pA7HiUP REFRICFRATION UNITS—MP FA <br /> . . LA\'.1TORYM'ASHEASI!il . AOIIIRc_HPE� . _ .. _.. .. � <br /> SHOWfR CASFIR(O AC UNITS—TONNAGEEA - <br /> KITCMEN 51!1K b DISP fORCEO�I0.S�STEMS—tl T U M FA <br /> � DISH'ASNfR \VALLMUTfRS—BTU M <br /> IAUNONYiRAY UNI7HUTFRS—flTU M <br /> CIOiMLS WASHFR F<'APORATIVE COOLERS <br /> WA7[N MFAIFN ClO7HF5 DRYFRS <br /> URINAL � VEN71UTI04 fAN � <br /> ONINKING�OUNTAIN R�NG[ HOOD <br /> FIOOH ORAIN AIP IIAN�LINL UNIT— C i M <br /> � V�CUUM BR[AKFF$ STn�� <br /> NOO/DNAINS—RAINLFADIRS MFTAL RRfPUCF 6 CNIMN[Y <br /> SINK(SER\9C[—OAR[TC 1 <br /> �J^ x SW TOYAL SW TO7Al i <br /> .... .,R w..�^R.-.rt....,..�.�.—.�...k+rt�+n�V. .wv�s�... .1 �c,`4.. .-.�I�+4�N�Mf�M'�AI'�"iT�^N4'M wr�'MwtAl•qw� •+�H4� <br /> TOTAIfFF f TOTAtf[F f <br /> SIDfMNDS[7f1ACK S7R![TS[TPACK RURYANOSIiOACR PIANCM(CKNUMtlLR PUNCNECKFk[ <br /> R[ R[CEIPTNO. <br /> USF ZO':L lOT ARfA VAUNi SIIF <br /> fEFs VALU�TIO✓. R[ <br /> ryo..:�ro,s �t�.s�:1�w�;aY�nA:Y :R�F++r,i,�ir.�a1►+��i��sxi�aa�P'��v�t aR�.►aKv+^ ��,' %.7�msrmt ,�oQi�IbR'�t+ t�a'+tc:w'#r'atr�f-.A'rs�. <br /> � rrr� oF eousr oeeurnnev e ovv rvo or uwewNe u�uns <br /> �� ounoinc s <br /> s¢[or n�cc no or sToaus Mnx occ iono <br /> rwnmi�+c <br /> RR[ZOti[ B�5[MFNi IfIUNUUn6 IIRlSPRInAlfRS �� A��'Y�T"^ �"`^ "• ••"�•...""w�•�"�� <br /> I REpUIPlO MLCNANIUI <br /> r vt5 7'NO <br /> �►MOVAlS �f ��T[ O7NtR <br /> 1 FNVIRONMLVTALCM[IXU57 UBC <br /> PItiAITY SfC 7011a) <br /> 7 NU�LOIYG PUNS <br /> 7 fIHE IIYONINI TOT�� <br /> � FBk �RUifCiION SVSTEM I[IIMIT VALIDATION <br /> \OMfN PNOP[RlV VALIO�iLD IIN 7H15 SPACII7NIS I$YOJR P[MMIT <br /> •• GRAUING9%CA\'A710NACLURINL:G0.UtlHING <br /> 6 U0.�INAG[ <br /> i fNVIRf1NMfN1�lIMPACT5T�1[MfNI <br /> E L'l��1�iD15iRIC7 <br /> �PPIIUiIUNACC 11Y PlANSCH[CKIDBY AI'PR {ORISSWYCF NY <br /> � ` I .s •.r <br />