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APF� ICATION FOR <br />'"'E"'°�' CONSTRUCTION ��«�n <br />���o. e <br />everett PERMIT <br />OEPi OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259�B7�5 <br />EVERETT, WAg82D1 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />ON'NI0. /� M�II AOpN115 ❑t1 lIP PNONf <br />�o//v lT.el,�e7�- .,`c�os- S�vrvvi-u„c e;,t�yf� �l'FYaU�, Zs'a-7�sS <br />ARCNIi1C1 pI51GNlq M�II �DDRISS UIY 21P PNONE <br />����•t�/P.,- f�s /s �o a3�v� 5��'��.. i�aa r5 �/�-. ��'c�,v Hrz=i��� aaa-o/-Irsy� <br />GtNIN�lCOY1M�C�OR M�II�nDRI55 UI1 ZIP PMONf l� �CFMS[� <br />NlflqulC�i CONIR410R MUl �DDqI S5 CI1V LIP PHO Q IICFNS[ 1 <br />PIV��qI\LCUN1p1C100. MUI�ODR155 (IfY ZIP Yn�NF llC[NSFI <br />❑NE\4 C�ADOITION <br />�uvnurno� woac <br />' �.'isd�Ov <br />I1INMIN� 1\Oq� <br />rxurn�i n ��q a xunuwr, <br />❑ALTERATION ❑REPAIR ❑UEMOIJTION ❑FFNCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />� <br />� � L V- �n�l1sCN �rt iOr O� rqorl N i� IA�pw 4 PI lOw ON nt t n(N �ouN <Or�1 sl <br />«���1._x�cri�U00p�o� �J)t:S71 �l��.L <br />IOH M1pRl�t <br />,S'�o.r 5 ,d¢r <br />rwMsiNc <br />NO. TY►E OF fll <br />WATkR ClOSET �T011Fll <br />BAIM7UB <br />U\'�TONY �N'ASM fl�51N� <br />SNOWfR <br />NI1CM1 N SINK 8 DISP <br />DISKASNI R <br />UUNDR� iRAY <br />ClO7HlS wASMER <br />W�1fR HU7lR <br />UNINAL <br />pRINKING lOUN7AIN <br />ROOf ONAINS—RAINLfADlRS <br />SINK �SFNVICI —AAR. E7C I <br />fU� TOTAL <br />rF11M1T f <br />TO7AlfE[ f <br />YARpSfTpACN SiR!!15(TOAIX N[ <br />Nt IOlAR1A <br />�/ <br />1 CONSi OCR lANCY GROUP <br />pIOC NO Of 5T RI6 <br />INE BAS(MfNI fl1UN <br />h � <br />�►►IIOVAlS <br />1 [NVIRONM(NT�I CMFCK 1157 <br />� eunoinc ri�Ns <br />] FIpE MYpNANI <br />� /IRf PNO7(C710NSYS7fM <br />5 GR�DING111tCAVA71pN5(.LfANINGIf.NUHNING <br />6 DRA�N�GI <br />7 FNVI80NMENTAIIMPACTSiATEMENT <br />e MFAUH DISiRICT <br />iEE <br />VAUNI 5111 <br />❑YI$ CNO <br />v0 Of OWfIIING l <br />N�X OCC LOAO <br />FIRI SPRINkIIRS <br />NI QUIRI D <br />IIYi 5 f!I�O <br />�Y OATE <br />I HEREBY CERTIFY iHAT I IiAVE READ AND E%HMINED THIS AP- <br />PLICATION AND KNf1W 7HE SAME TO 8E TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK N'�LL 6E COMPIIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT iNF GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY O7HER STAT[ OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PGRFORMANCE OF CONSTRUCTION. <br />SIGNAiUNI OI C041RACIOR OR AUTHOftIZID AGFNT OATf <br />NO. <br />r <br />� /% <br />RIIRILlNA110N UNI15—M P [A <br />xoines-�+r [� <br />GASIIRIUA( UNIIl—IONNAGEEA <br />IORCI� AIH SVSTEM$—P T U M FA <br />N'AIIMI�TIRS—B7U M <br />UNIIHIA1fR5—fl7U M <br />f VAPONAiII'f COOILRi <br />VINIILAiION iAN <br />NANGFNOOD <br />�IR M�NDLINL UNIT— <br />A117�L IIRIPUCf 6 <br />ANUIfC rvU��fllN <br />����� � <br />I[[5 <br />f1Ull1)ING <br />Pl b'.�1I11NG <br />Mf OIANI( Al <br />OTII! N <br />Pf NAl il' <br />CfM <br />SU� TOTAI f <br />�ERMIT f <br />TOi�IiEF f <br />PIAN CMFCK FEf <br />!L[ RFCEIPT NO <br />VALUATION N <br />S� <br />Ufll <br />Skc )oNal <br />TOTM I I � <br />►EAMIT V�LIDATION <br />\VNIN PROi'L0.LY WIIDAi[DIIN 7NI5 SPACFI TH1515 YOUR P[RMIT <br />r I <br />