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e <br />tMErapn�n APPLICATION FOR <br />��r�F CONSTRUCTION <br />everett PERMIT <br />DEPT OF COMMUNITV DEVELOPMENT SERVICES <br />CITY HALL 259-87�5 <br />EVEREl7, WA9R201 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />� � '. <br />zm r�o�E <br />r-i� 1 � � �:��� �� ' � . � <br />eveftlt <br />e <br />GIM1IR�I CONIR�Ci M111 �000.155 C11Y 21P VNON[ IICINSE 1 <br />�1> > \���C���� � �� l� (' l�� 1 1 � i � - T��� �('� � V�' tr`� � , .� �'i� . ,�� -' �:'-Ir�7.:� l.�f'-C 'L- j <br />��II���NICMCO41N�C10R M�II�DDRISS CIIY 11P PHOvf IKfNSE1.��..`iF.� <br />PII'��Pi��1(Oniq�C10R iuAIIADDR155 (IIY ZIP PIIONF LICFNSF/ <br />�11��/� tli NOqK\/ <br />fR..... f'7..,...�..... I-1........�...� no�nuo nncunimnu nc[NfC nVf.N <br />\\IC�IIO\OI WN09A �.�^ <br />S �.lJ,�� . W <br />I11KN�bl ��ON� <br />u <br />ruuroii n r�i or <br />�1cu 01sCx�rt�0� O� rR(art�il� �sr�oN'N Pilow oR �n�0� rouR cor�151 <br />� <br />ioi�e�oc��or ��4-t,\-t-l�' ,���.�e.(� <br />IUN 4111)RItS <br />� � <br />PWMBINu <br />N� <br />TY►E <br />1 A\'AiORY IN' �511 flA51N) <br />SHON'IX <br />KIICHIY SItiA 8 DISP <br />p6N'ASMI N <br />I�UtiDN\ iFM� <br />CLO1H15\4'ASHIR <br />WAllX Hf A7LR <br />VRIN�L <br />DNINAInG IOUNUIN <br />I IOOR OR�IN <br />l'ACUU�l111FE AKERS <br />HOOI pF�IrvS-R�INLUD(RS <br />S�M1K ISI NVICI -flAR. 1 IC � <br />sini �.ao si �n. <br />usi zo�i <br />�� I <br />trrr o�4�+5�� <br />�v <br />SIRfII SROACN <br />io, nau— <br />p,' <br />NO ( <br />Ca [. <br />.� r <br />L, (" <br />�N[,'�� FNHI� <br />nY�I�IIIINf. QRfIfATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO DE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND OR�INANCES GOVERNING THI$ TYPE <br />OF WORK WILL 6E COMPLiED WITH WHETHER SPECIFIED HEREIN <br />OR NOT THF GRANTING OF A PERMIT DOES NOT PRESUME Tn <br />GIVC AUTHORITY' TO VIOLATE OH CANCEL THE PROVISIONS OF <br />ANY OTH[R STATE OR LOGL UW REGUUTING CONSTRUCTION <br />OR THC PkRFORMANCE OF CONSTRUCTION. <br />SIGNATURI 01 CONiRAC70R OR AUT��ORI2E0 AC[NT OATf <br />� � . J 1 ��. 1 1 <br />X I � � - ,. - l <br />MECHANICAL / <br />NO. TYPf OF FQUI►MFNT FEE _ <br />AIHCONp �N175-HP U <br />Ni l RILf RATIpN UNIiS-M P[ A <br />HOIL[RS-HP EA <br />G�5 I INf D A C ll`11T$- 10NNAGf EA <br />IONUDAINSYSiLMS-P1U MEA <br />\UllH1�7LX5-B1U M <br />UNIIHfAiINS-OlU M <br />1 \'APORA iIV[ COOIf RS <br />C1011115 ORVI RS <br />�y vilUilON i �N <br />X�NGt NOOD <br />AIR M�NpLING UNIT- C f M <br />SIOVI <br />ntlUL {B[PLACL b CMIMN[Y <br />SU� TOTAI f <br />y �ERMIT f <br />S TOTAIiE[ � <br />IMR V�PO SI111ACK PU4 UIfCA NUMOEN PIAN CMECK f[C <br />vncnrn sn <br />CiYlS . O <br />)��p NO Of D�'l IIING UNI7$ <br />_� <br />MA% OCC IOAf) <br />flNl 20NL� I flA$IMINi IIIUH_=p1M5 IINI >YN�ro <br />RFQUIFI D <br />C]Y[5 P�1C <br />�„�OVAIS �Y <br />1 (NVINONMfN1ALCHLCKlIS1 <br />7 flUI1DINC.PUNS <br />] flRf 11\nRANI <br />� FIRf�ROilC710N5Y5TfM <br />5 GR�OINf,�I%CAVAl10NAClIANIHGiGRVflflINL <br />6 D0.AINAGf <br />] [NVIRONMEN7ALIMP�C151AT[MENT <br />! NM171/ D67RICT <br />APPIIUTION �CC BY VUNS CHfCkE� BY APPR FOR <br />D�T[ <br />9Y <br />���� � � ru � a �� � eccc;rJ�U 6 <br />Y <br />iE[S V�WATION F[E <br />nuiioinc s� QC <br />rwnn{iNc <br />M1C11�MUL — <br />OTNFN <br />PINAIIY �fl� <br />SIC NIHA) <br />iOT�t : h <br />►ERMIT V�IIDATION <br />WMf N PNOPLNIV VALIDATLD IM TMIS SPACq TMIS IS YOUR PfRMII <br />� ��u5 /� �' �%-� : <br />