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� <br />�.E,,,,�.� A PP � i CATI O N FO R �,,,�,�„ <br />""°` CG,�STRUCTION e <br />everett � PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL Z59-B7�5 <br />ev[iterr.wnvexot ��OMlINATION ❑lUILDING ❑MECHANICAL ❑►LUMCING PEkM1T NO. <br />ownte <br />p M�II �UDMISS [�TY 21P IXON[ <br />�_s>�,E �. ��.L!�-o�-.. /0 707-`% �.� S f- e''�:zz �4' �� 2� �- �L 3 9 <br />RtNitCiOI1DISG fl1 l D011t55 <br />��1� ZIF �X(�Nt <br />vluNRl�f.COYiqeCiOt MuIADORISS U�T ZIV PHONE UC[NSF� <br />R�fSOf WOI1k <br />❑N[W ❑ADUITION ❑ALiERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUIIDING RELOCATION <br />\'�Ll' V ION Of N'ORR <br />f <br />DlSCRIB! WORK <br />� n /.' /7 � . , <br />rAoros�o usi or p�nowc <br />l[Gl D6CRIV11pN Of PqOVI41Y ISMOWN p[lON OR �IUCN IOUM COPII51 <br />l01 �� gIOCK � p� <br />;OR 1DDq151 <br />✓ <br />rwMsiNc <br />N� <br />WATEP CLO51T (TOLIFT� <br />PATNiU9 <br />UVATONY (WASN flA51N� <br />SHOwfR <br />KITCM(N SINK 8 DISP <br />DISwASMf R <br />CIOIH[5 N'�SNfR <br />N'A7fR MFA7LR <br />URIN�� <br />DRINKING �OUNTAIN <br />f LOOR URAIN <br />VACUUM pNUKC0.S <br />ROOF DRAINS—RAII:lEAOlRS <br />SINK �5lRVICL—IIAR. E iC � <br />su� roui <br />�[IIMIT <br />TOTALIF[ <br />)5[7p,lCK STRf[i5R0ACK <br />l0t ARIA <br />7VPE OI CONST <br />OCCUPANCYGROUP <br />NO Of STORILS <br />BAS[M[NI IIIUNOOMS <br />Afl�OVAlS <br />1 WVIRONM1rtN1�LCH[CKl15T <br />7 OUILDING PUN$ <br />7 flRl M10RAN7 <br />� IIRE PROTlC71ON SYST[M <br />5 GN�DINGI%UVA710NbClUNI4GIGRVB9ING <br />6 DRAINAG[ <br />I ENVIRONMfN7AL IMPAR STAT[MENT <br />E HULTH D151plCT <br />I HEREBY CERTIFY THAT 1 HAVE READ AND E%AMINED THIS AP• <br />PLIC�TION ANO KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES COVERNINC THIS TYPE <br />OF WORK WILL BE COMPLIED WIiH WHETIiER SPECIFIED HEREIN <br />OR NOT. THE GRhNTING OF � PEkM1T DOES NOT PRESUME TO <br />GIVE AUiHORlTY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATINC CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUPC O{ CO47RACTOR OR �UiNOR11ED �GFNT DATF <br />HFCNANIUL <br />NI nN YARO 5[ IBAf.K PUN [I <br />VAUNI Sli! <br />❑YES GNO <br />vp 0( OW[IIING UYIiS <br />�r I n�t[ <br />AVPIIUTIO�+ACC BY FUNSCM[CK[DflY � APP0. 10RISSUA4Cf BY <br />9-1 79 <br />Of <br />P <br />BOIlLRS—MP EA <br />GAS FIpFD AC UNITS—TONNAGE EA <br />fORClDAIRSYST[MS—BTU MFA <br />N'AlL MUif RS—B 7 U M <br />UNI7MU7fR5—flTU M <br />IVAPORATIVF COOI[NS <br />CLOIMFSDNYfBS <br />VlN71LAT104 MN <br />RANGf N�D <br />AIN HANp�INC UNIT— C i M <br />METAI f IR1 VLACC 6 <br />!U� tOTAt <br />►[�MIT <br />�ft REC[IPTNO. <br />VAtUAT10N {F <br />euno�Nc s <br />PIUMAING <br />MfC1/ANICAI <br />O7Hf R <br />PIN�L7Y UBC <br />SfC JO)fq <br />TOUL <br />tl�Mli VAUD�TION <br />WHfN PRO�IFU \'ALIUAIfD pN THIS S�A[!� 71U5IS YOU0. P[qMIT <br />fEE <br />