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AP^LICATION FOR e�e <br />CvNSTRUC�'ION <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPM[NT SCRVICES <br />CITY NALL 259-R745 IT NO. <br />Evea[ii,wnvaloi ��OMBINATION ❑BUILDING ❑MECHANICAL ❑PLUMBING PER�i <br />OW�NIa bUlt nUUetss / O/I� h)�r rHONI � <br />(/aC/� , i � jdr -rn �i� � �C iL' �� /! F ��/'� y�G3GY''Gi o c `/'�Sl��� <br />5l' C'L'✓ <br />ANOIIiICi O0. Dt51GtitR MM! AD�RISS 1 Z P <br />GIVIRMCONiRwC100. MAIIADONf55 (��� ]�� VllOnf lIC[NSLI <br />MICII�NI[AICOYiFAQOR MAII/d)11R14 CIIY ]IP PHO`�I UCCNS[1 <br />�II1Mf1WG COvi0.AClpR <br />M111 �OpP65 ❑lY ]IP PIIOVf UCINS[ Y <br />CLASS OI N'ORK <br />❑NE\V ❑ADUI110N <br />vniunnoa or wonc <br />f <br />DLS(RIPt \YORK <br />❑ALTCRATION ❑RCPAIR <br />J1 � //<�i11 O �i %/ GN <br />raoros�ous� or nvnon+c <br />ltcu olxa�rr�o�+or vaor�a*r 6�iowH nuoH� oe nnnce �oua corns <br />lO1�NLOCA� O� <br />il�lc �� <br />I(lP �D�F[5[ <br />YWMBING <br />NO. TVPE OF F <br />wAtl R CLOSI T I70111 i � <br />NATHIU9 <br />I AVATORY IWASH flASINI <br />SHOWI H <br />KI7CH`N SINI: 61]ISP <br />I)IS\YGSHI R <br />UUNURY iH�Y <br />C1071115 WASHIN <br />WA1L2 HIAI(H <br />DRINKI4f, IOUMAm <br />I IOOR 1)RAIN <br />j \UNUM11(iRFAKIRS <br />pp01 nHA1Y5—RAI41lADIRS <br />SINK �51 NVICI —IUH. I7C 1 <br />�� sioi vnenam <br />� <br />US[ ZONI <br />( <br />i IYPf OF CO457 <br />V <br />� LZI OF PIOf, <br />lIRI ZONI <br />MOIITION ❑FENCC ❑SIGN ❑GARAG[ ❑�UILDING R[LOUTION <br />I HLREI3Y Cl'RTIFY THAT I HAV[ READ i1ND GX�MINCD THIS AP� <br />PLICAI ION ANU KNOW TH[ SAMIi TO 6E T4UE AND CORRKT NLL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYP[ <br />OF WONK N'ILL 13[ COMFLIf D WITH WH[7HfR SPECIFICD Hf.REIN <br />�' OR NOT. THC GRANTING OF A PERMIT DOG$ NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATf: ON CANC[L THE PROVISIONS OF <br />ANY OTHI:R STATE OR �.00�L L�W REGULATING CONSTRUC710N <br />OR iHE PERFORM�NCE OF CONSTRUGTION. <br />SIL4AlUR! O( CO.�'1RACiOR OR AUTfIORIZID AGINT DAT[ <br />X CCi �r,.�; C ��[,�'c. !�—/��i� <br />MCCHANICAL <br />(EE NO. TYPE OF kQUIPMfNT <br />nlv, cOnU UM1�iS—H 1' I n <br />HIIRILINAi10Y UNI1S—HP I� <br />I40111N5—��I' IA <br />t:AS I IRI 1) A C UNITS—lO4NAGt [ A <br />IUNf1i)AIN55S71M;—IIIU �1IA <br />Wnll IIIn11P5—IIIU �1 <br />�NliliI�11N�—fl1U M <br />IIAPr)NnilA'i CU('IIHl <br />flql111ti0H51HS <br />V'i �111 A 11Uti I AN <br />q nv(:1 11� rt )Il <br />AIN IIAAUI I':I. Utill— CI M <br />51OA'I <br />M(1 i I I IHI PI ACl 6 CHIMNI Y <br />SUBTOTAL <br />Y[IIMIi s <br />TOIALfLI f <br />SIBIIISIIRACK RIAftiAFUS11Pnfk PI�NCHICANUMI{IH <br />IDTAfttn A'ACAN75111 f[LS <br />-'tIS f�.b0 <br />OCCUPANCYGHUUP Nf101DWI1L1YGl'�II} <br />VF STONItl I .N4X <br />NI Iql�knnvti IIY.1 <br />NI�; <br />`1 <br />�PPIIOV�IS BY <br />1 fNVIRONMLNIAI CHICK IISi <br />2 flUIIDINGPIANS <br />J IINI HYDRANT <br />� I IR( PROI l f.710N SY571 M <br />5 6NAUIYGq %( AVMIOY h 1 I I nNIY(�,'LNU0111Nf1 <br />6 ORAINAGL <br />7 �NVIFONMLNTAI IMP/.CTS1A71MIN7 <br />E HFAL'H UISTRICT <br />I) <br />NIl <br />D�7L <br />nrl'li(�I�nn,nri i�� r. �I�Ir�ll�ll�� � 41'I'It r���4��•����° <br />SUB IOGI s <br />P[NMIT S <br />TOTrII fLC S <br />PUN CHf CK I L[ <br />ui � ai�uri no. <br />VAW�TION I fE[ <br />11UIIDINf, } <br />I'I UMIITG <br />V I f HnYICAI <br />Ullll N <br />PINAl7Y UI1C <br />51[' inq,V <br />TOTAI <br />Pf8M11 V�IIDATION <br />VA'lll Y I'Nf )PI NI YV'Al ID� i I D I lti t l i ll ll'nt I I 11 US Il IDUft PIRMIi <br />