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- - . <br /> 4� <br /> � <br /> AP�IICATION FOR ����„ <br /> '"'E"ro�'" C�. NSTRUCTION e <br /> cin oF <br /> everett PE RM IT <br /> DEPT nF COMMUNITV DEVELOPMENT SERVICES <br /> CITY MALL 259-0715 <br /> EVERETT,WA9L201 ��OMSINATION ❑ SUILDING ❑MECHANICAL ❑�IUMlING PERMIT NO. <br /> OWNft MAII�DOXhS QiY Z�P IHONE <br /> �'�,d/ln d�(31E� .w�.vs�/ /E�9 %�ETM,n ^ L'/�4/S7? 9�`��i <br /> •II�HIi1Cf0 DISIGNl� MAIIADDRl55 CITY ZR �NONF <br /> GINIMI CONIII�CIO� MMl�OURI55 CIiY 21F �NON[ lIC[NS[1 <br /> a���i _fs _ <br /> �G'�cd 3f����-^ �/.1A,u�y,,q.t� �l ���=9"r ea�oNc.�cr,�' 9�5�9'6 �/`l8-3i97 t z rc /3 v <br /> nRCNAWCM CONipqi 11 MUl�DOtISS Uir LP PMONF IICFNSE� <br /> PIW�PrvCCOt+IP�[t011 M�RnDDNt55 Cllr 21F PMOM UCENSEI <br /> Q�,�51�Of WO�F <br /> L4MEw ❑ADDITION ❑ALiERAiION C'�1ff'�A�R ❑DEMOLITION ENCE ❑SIGN ❑GARAGE ❑BUIIDING RELOCATION <br /> l�W�ilOYOi WOtk <br /> , y5,o 00 <br /> o�sccie�woeK , <br /> G� ' i <br /> '�n <br /> vaovosmus� o� XWIDIVG 1 HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT AlL <br /> IIG�lO15CM1%IOHOIP�OPfRfY15NOWNP M'ON�1t�CH10UI1COPllSI � PROVISIONSOFLAWSANDQRDINANCESGOVERNINGTHISTYPE <br /> /I � p OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> iui y_� eioca ��or '�`�' � " 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 LOCAI LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATVRF OF GONTRACTOR OR AUTHORIZF��GFNT DATEY—�[—(�O <br /> ion•oouss <br /> � X f�. <br /> . �WM�ING � MECNANICAI <br /> NO. TYrE Oi fIRTURE fEE NO. TI►E OF EQUI►MENT FFE <br /> W�TkRCIOSFT�TOLIFp �IRCOND UNITS—NP [A <br /> BATHTUB REFRIGFRATION VNITS—H P fA <br /> � UVATORY�WASH B�SINI BOIlFRS—H P U � <br /> + SHOWER GASFIRfDAC UNITS—TONNACEEA <br /> kITCNFN SINK b DISP fORCFD AI0.SYSTEMS—B.T U M EA <br /> �! �ISWASHFN WAIlMEA7ER5—BTU M <br /> 1 <br /> UVhDRV TRAY UNIT MEATFRS—B T U M <br /> � ��' CLOiMES WASHfR fVAPORATIVECWLERS <br /> WATER MfA7FR CLOTNFS DRYFRS <br /> �� URIN�L VINTItA710N F�N <br /> iI DRINKING�OUNTAIH RANGF HOOD <br /> ���I iIOOR DR�IN AIR H�NDLING UNIT— C F M <br /> 1 <br /> VANUM BRF AKf R$ 570Vf <br /> 1 ROOf ORAMS—IIA�NLFAOENS METAL FIRFPUCk 6 CNIMNlY <br /> S�NN(SERVICF—BAII.EiC I <br /> � fU�TOTAL fU�TOUL f <br /> K�MIT { K�MII f <br /> TOTALif[ 1 TOTAI�EF � <br /> SIDF YARD SRflACK Si0.EFT 5[TBACK 0.UR Y10.�5[TBACK PIAN CN[CK NUMtlER PUN CMfCK iFE <br /> FEF RECEIPT NO. <br /> � USF ZONE LOT�BEA y�UNT Sllt � <br /> GYIS n":J iE[S V�IU�TION �EE <br /> � TYPF Of CONST OCCUPANCY GNOUP NO Of DWELLING UNITS <br /> BUILDING f <br /> 1 S�ZE Oi PL�G NO OF SiORIES MAN OCC lOAO <br /> PWMflING <br /> {BE ZONf BASfMFNT BLUROOMS pEQU RIU�ItRs MfCI1�NIUL <br /> ❑VR ❑NO <br /> ArMOVALf �1' D�T[ OTHFP <br /> 1 FNVIRONMENT�LCHFCKL157 PFNALTY U.BC. <br /> scc wx.� <br /> 7 BUIIDING PLAN$ <br /> 70TA1 <br /> J FINF MYDRANT <br /> � {INF PNOTEC110N SYSTFM ►lIIMIT V�IIDATION <br /> WHEN PqOP[RLY VALIOATED IIN TH�S SP�CF)TH1515 YOU0.PERMIi <br /> 5 GNADINGf%UV�TION6CLIARINGIGRU9flING <br /> 6 DNAINAGF <br /> 7. fNVIqONMENTALIMPACTSTAiEMENT <br /> !. MFALTN DISfRICT <br /> APPUUTION ACC BY PUNS CM[CKED BY �PVR {00.ISSUANCF BY <br />