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„ <br /> � , <br /> G�„�,�„ APPLICATION FOR �,�,N, <br /> l..�NSTRUCTION O <br /> everett PERMIT <br /> DEPi OF COMMUNITY OFVEIOPMENT SERVICES <br /> CITY H�LI 259-E715 <br /> EVERETT,WA9E201 ��OMlINATION ❑ lUILDING ❑MECHANICAL ❑�LUMlING PERMITNO. <br /> � OWNIR M�II�D�M�SS CIIY IIP �MONE <br /> � �'VSRiLEN Li �� Ha � 1/5/O $r �t�P�r �-/1ir {7��.;� /.=t_F.r.�lr fF.7��/ 337-��s«' <br /> nR(MITlC10�DILGNIR MnIleD0�155 CIIY 211 INONE <br /> GINI��ICOnIrt�C101 MnIIeDOtl55 ULY ZIV IM�N[ llC[NS[� <br /> � � `Ih L /' �i 1 / F �r� F� 4• � /r c�c..s�i �l S 7cy ?53-7>co <br /> `j Mul Ap0�f35 �� LIY PHONE LICFNSf I <br /> MICN�WUI(ObR�C10R <br /> �luMPrvGCOYlFeC10� MuIAODAl55 C�ir ZIP PHONF I�CFNS[� <br /> CUSSOf WOIIS �/ <br /> ❑NEW ��7�DDIiION ❑ALTERATION ❑REPAIR ❑DEMOLIT�ON ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING REIOCATION <br /> vewaio�.o�wo�A � <br /> + � .J��, %it.- TC /'+n,.-,r P .Z 2.5' <br /> DISCCIq� WOFN <br /> VMO�'0510 USI OI PUIIDMG I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNON'THE $AME TO BE TRUE AND CORItECT ALL <br /> 11Ul UISCIIIVLONOf VI10PlII1VISHOWN PIIOW 011�ti�CN�OURCOPIf51 PROVISIONS OF UWS AND ORDINANCES GOVERNING THIS TYPE <br /> L.v 4r c ia�• S;. ,I� ., � '� OF WORK Wlll BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ior�plIXk��or Oft NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATUN[Of CON1pAC10R OR AUTHOIIIZfD AGFNT DQE ��— G_�, <br /> IOP�ODIII55 � � � <br /> / xl � f- , <br /> 17.:.G , - �•� <br /> ►lUMY1NG MFCNANIUI <br /> NO. TY/E OF fl%iURF iEE NO. TYfE Of EQUI/MENT FEF <br /> WATER QOSFT ITOIIETI AIR CONO UNITS-H P E� <br /> BATM7UB RlfRIGFR�TIONUNITS-HP E� <br /> UVATORY IWASM BASIN) POIIfRS-H P EA � <br /> SNOWE0. - W$FIREO�C UNITS-TONNALE F� � <br /> KITCH[N SINK 6 OISP fONCLD AIR SYSTEMS-B T U M FA <br /> DISWASM[R WALLHfATlRS-BTU M <br /> UUNDRYTR�Y UNITNf�TERS-BTU M <br /> ClO7NE5 WASHlR IVAPORATIVE COOLER$ <br /> WAT[F HU7[R CLOTHfS DRYtRS <br /> URIN�I VkNLUTION fAN <br /> DRINNING FOUVTAIN R�NGE NOOD <br /> FLOOR DRAIN AIR H�NDLING UNIT- C F M <br /> VANUM ARUKFRS S70Vf <br /> pOOf DRAINS-R�INLE�DFRS M[UL fIRFPUCE b CHIMNEY <br /> SINK ISFRVIC(-BAR,FTC I <br /> fU�TOT�t fU�TOThI � <br /> � ►E�MIT � R�MIT � <br /> TOi�IlEF 1 tOi�LiEF � <br /> $ID! Y�MO SCIBACK SiR[R 5[TPACR RUN YAMO 5[7flACH CLAN CH[CN NUMtlFR PV.M CHFIX FEE <br /> ffE AFCfIPiNO. <br /> USE ZONF l0T ANFA y�CANT SITE <br /> ❑YES CNO FFB V�lU�T10M f[E <br /> TYVE OF CONST OCCUPANCY GROUP NO OI DWELLING UNIIS <br /> _ BUILDING s <br /> � SIZE Of BIOG NO Of STORIES M�% OCC LO�O <br /> PLUMAING <br /> . FIR[ ZONE BASEMEN7 PIUNOOMS RfQV RIDN`t�s MfIHA'11UL <br /> ❑YFS ❑NO <br /> ' MMOV�If �l DATE O�MFR <br /> i FNVIRINM[NT�LCHECKL15T VfNSITY UBC. <br /> SEC 30N�1 <br /> ) BU�IOINL PUNS <br /> roui <br /> 7 (IR[ NYDRANT <br /> � flRf PROTFCTION SYSTEM rF�Mli V�LID�TION <br /> WHEN PNOV[RlY VALIDATED�1N TMIS SPACFI TMIS IS YOUR PFRMIT <br /> • 5 GBADINGIfKUVATION6QfARINGGRUBflING <br /> 6 DR�INAG[ <br /> 7. fNVIRONMfNTAL IMPACT STATFMENT <br /> E MFAtTN DIStAICT <br /> APPLIUTION�CC BY PUN$CHECKED BY AVP1l fOR ISSUANCF flY <br /> 9-7 79 <br />