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AF.�LICATION FOR ��e <br />'"'E""�" CONSTRUCTION <br />cm or <br />everett PERMIT <br />DEPT OF COMMUNIiY OEVELOPMENT SERVICES <br />CIlY HALI 259-6745 <br />[v[aerT.wneeioi ��OMBINATION BUILDING ❑MECMANICAL ❑PLUMSING PERMIT NO. <br />ON'NIII - MMI �DOMI15 OtY ZIP PNOHI <br />r2.,.i Ma���lC - i7aoo �+dl./aE•v:��- ��e.��c��i - iv,�cviU- SiS-zr�s <br />�RCNIi1CfU110151GrvIR M�II�UDR155 Clt�^ nr .,.�..• <br />��H�q���p�����p�J`• MAII�DO�ISS CItY ZIP YHON( lIC[NSf/ <br />�Ilf�q���`�lq C�� M�II�DDFiiS <br />���r tir vHo�[ uc[rvit � <br />PII'NR��ClUv10.\CtOt M�ILAODRI55 CIIY 21P PNONF IICfH5F1 <br />1 I ��� �ll NOP4 <br />❑N(K ❑ADf11TION �TERATION ❑REPAIft <br />�.rt+un.arwoxx �,. <br />� �� �'i <br />UIxNINI N�O0.N <br />,t�f�nooF.c_ �aro.us aF 5"�, �� /� <br />ruaruqurt� or nuuuwc <br />f�t�OA/�7/1iFiv% —SYbQ.� <br />11f.4 OI�(MO'I10Y OI PMOPI0.(f ISHONN fl1tOW OM e11�(N IOUR L01'Iill <br />�p� �RIM��Uf <br />IOM �Uflv�tl <br />'��07� /i.E1'n���� S% <br />►LUM�ING <br />NO. itlE OF FI%TURf <br />W AT[ R ClOSI i ITOLIf T� <br />PATNIUO . <br />LAVATORY (WASH flA51N) <br />SMOWIR <br />KI7CH1 �+ SIHK 6 DISP <br />DISWASNf R <br />LAUNORYTHAY <br />Q01MI5 W�SHf0. <br />w�iFR Mf�7ER <br />URIHAL <br />ORINKMG IOUYIAIN <br />❑OFMOU710N ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOUTION <br />da�: � <br />I HEREBY CERTIFY THAT I HAVE REAU AND fXAMINED THIS AP- <br />PLICAiION AND KNOW TNE SAME TO BE TRUE AND CORRECT �LL <br />PROVISIONS OF LAWS AND ORDINANCE$ GOVERNING THI$ TYPE <br />OF WORK Wlll BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT Tf�c GRANTING OF A PER�11T DOES NOT PRESUME TO <br />GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF <br />�NY OTHER STATE OR LOCAL LAW REGULAi1NG CONSTRUCTION <br />OR 7NE PkRFORMANCE OF CONSTRUCTION. <br />SIGNAIUNI Of CON7i 'iOR OR AUTHORILED AGENT DATE <br />MECNANIUL " <br />NO. TYtE Of EQU�►MENi <br />AIRCOVD UNI7S-HP E\ <br />RffRIUR�7lONUNITS-MP U <br />flOILLNS-HP EA <br />G�S I IRI � A C UNI71-TONNAGE EA <br />IORC(D��RSYS7[MS-9TU ME� <br />'A'Al1 NIATFXS-BTU M <br />UNIiHFAi1R5-P1U M <br />f\'APOR�71VE COOIlRS <br />CI OTIII S DRYI NS <br />VI'+ilU11ON IAN <br />R�NLI HOOD <br />Il WR pRAl4 �IR HANDLING UNII <br />SiOVI <br />VANUM pR1AKEN5 <br />NOOI DR�INS-RAINIEADlRS MIUI IIRfVUCE 6 <br />SINK I51 NVICI -A�R. f IC I <br />SU� TOTAL <br />n�M1T � <br />TOTAL iFE S <br />..�:...��� cto�rtcfTAAfK Rf�RY�8DSf1PACk �lANO1fCKNUMBFR <br />IO�+f <br />trr� ot cor+sr <br />�-I dtz. <br />SIZF OI HLDG <br />£�Jn;o�r_� <br />fIR[ ZOY[ <br />nt�n <br />If,T ARU <br />OCCUP�NCYLRC <br />�. Z <br />NO Of STORIFS <br />fl�SfMFNi NI <br />•nwv�is <br />� {NVIRONNfN1AlCHfCKlISi <br />1 HUILOING ��� ANS <br />1 IIRI MYDPANT <br />� {IRI PRO11C710N SYSTIM <br />S LRADINf.qRCAVAilON6flUNINGGRUNNING <br />6 DNAINACf <br />7 ENVIPONMlN7ALIMP�CT57A1EM[NT <br />e HUITM DISTBICi <br />� ��H� <br />VAUNi SI7f iE[5 <br />❑YFS ❑Nn <br />VO Of DWIIIING UNI75 <br />a������v� <br />M�% OCC LOAD <br />PWMNING <br />flRl SPPINKIFRS <br />RtOUINID . M[CIUMUL <br />nvis tA�aO <br />�r D�iF orH�a <br />P� NALiY <br />U.tD N� � nPFX IUN IStUnA� 1 If� <br />FEE <br />N1T -�� <br />�L iFF � I <br />PL�N CHECK FFE <br />ft[ , � RttfIPT NO <br />:�d <br />V�IU�iIDN IEE <br />'/6Lb0• � 7� d 0 <br />UBC <br />SEC )OAaI <br />TOT�L I f <br />►E�MIT V�LID�TION <br />WMfN PROPLRIV VAIIDAT[D I�N TMIS SPACE) 7HIS I$ YOUR VLRMI7 <br />