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tM Ev�rprMn <br />an or <br />everett <br />DEPT OF COMMUNITY DEVELOPMENT $ERVICE <br />CITY MALL 259�8715 <br />EveaEii. wn eeiot ��pMSINATION <br />,,,..,,,. wnn soo <br />'�PPLICATION FOR <br />CONSTRUCTION <br />PERMIT <br />5 <br />RSIlUILDING ❑MECHANICAL ❑PLUMSING PERMITNO. <br />m <br />GfN(ReLCONtI1nC1Ot M�IIAD�RFSS CItY 21P YNOH[ IICMSE� <br />NIOI/��+IUlLOM110.nQOM M�II nD��[SS CIIY /.IP tnOMF llCFrvS[ � <br />PIUMqIYGCONiR�QOR M�IIeDURt55 ❑tY ZIF PHONL IICIM5F1 <br />�Of WORK <br />IEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOIITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCAiION <br />wwsuoy or woaa mn <br />f �� QQ <br />OHQINF WOMN <br />L�9iePoieT <br />rROroSIu lHl o� Pu9uwG <br />16�L %OI�SCRIiiIOv OI P0.0P111�IS�MO) N,M 6ILON' UR All�(N IOUII COPII51 <br />IOII�PiOCtiY�i��� � /7c��F'�,�,� l//Ec7,�.-q.t <br />IOfl ADOM65 <br />�36/'`, .�,a✓�E <br />�IUM�ING <br />NO. TY►E OF <br />LAVATORY (W�SH PASIN) <br />SMO\VE R <br />KI7CHFN SINK 6 DISP <br />DISWASHFR <br />UUNONY TP�V <br />DRINKINC FOUNTAI� <br />FIOOR ORAIN <br />VANVM BRF�NERS <br />ROOf DRAINS—RAIN <br />SINk ISFNVKE—BAR, <br />$IOF YARD <br />USE ZONf <br />� <br />TYPf OF C� <br />SIZ[ OF BLDG NO Of STORIES <br />nar +nN[ 6�SFMENT N <br />AM�OVAIf <br />1 [NVINONMENTALCMECK UST <br />7 BUILDING PLANS <br />J FIRE HYDR�NT <br />� FlRE PR07lC7�ON SYSTkM <br />S GRADINL9KUVAl10N6ClURINqGRUBAING <br />6 ORAINAGF <br />7 ENVINONMEN(�LIMPACTSTATEMFNT <br />E NE�ITH DISTRICT <br />APPlIUT10N ACC BY PUNS CHKKED BY <br />i� � <br />94-79 <br />r �/ <br />R[AR Y�MD SEIXnU <br />VAUNT SIT[ <br />❑YFS GNO <br />ND OF DWEILING l <br />MA% OCC IOAD <br />HRf SPMINKI[RS <br />REQUIPED <br />rncs nNo <br />�r DAiF <br />�PPR fON IS! <br />_ c <br />pY <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TR�� AND CORRECT ALl <br />PROVISIONS OF UWS AND ORDINANCES COIRRNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHEiMER SPECIFIEO HEREIN <br />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 />9GNATUN Oi CONTRACTOR OR AUTHORIZFO AGENT DATE <br />Y ,�,.�v,� 7,-��,D�, � -��-�� <br />M[CNANICAI ( <br />i1p. T�/E OF EQUI►MENT <br />AIR CONO UNI75—H P CA <br />REfRIGFRATIONUNITS—HP U <br />BOILERS—NP EA <br />C�5 FBFD A C UNITS-10NN�GE EA <br />100.CID �IN SYSTEMS—B T U M f� <br />W�LLHEATERS—BTU M <br />UNITHUTFRS—Bitl M <br />f VAPORATIVE COOlERS <br />CLOTHFS DNYERS <br />VFNiILATION fAN <br />RANGf MOOD <br />AIR HANDIING UNIT— C f M <br />StOVE <br />M[Ul rINFPUCE 6 CHIMNEY <br />fU�IOT�I � <br />►E�M�T � <br />iOTAI iE[ � <br />PLAN CN[CK NUMBER PLAN CMECK F' <br />FEE _�s � RECfIPT <br />A .. / / 'i l - i i <br />BUILD�NG s <br />PlUM91NL <br />MFCIIANIUI <br />OTNF0. <br />PEN�LTY UBC. <br />SEC N1N+) <br />iOTAI <br />►l�MIT V�l1UAilON <br />WH(N PRUPERLY V�IID�TED (IN iM15 SPACE� THIS IS YOUR PERMIT <br />�CiCIl��L L /�c�-'-+�.i1 � i �L� <br />