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tMEverpmn APPLICATION FOR <br />°�TM°° ZONSTRUCTION <br />everett PERMIT <br />DEPT OF COn7MUNITY DEVEIOPMENT SERVICES <br />CITY HAIL 259�87i5 <br />EVERE7T, WA98201 ��OMBINATION ❑ BUILDING <br />❑MECHANICAL ❑pLUMBING PERMIT NO. <br />Slh ZIP PNO':f <br />{ � <br />I t; ,.�, � , � 9a � ,. : � S � � � <br />�r <br />everelt <br />e <br />eNC1111KtONOISICtitN MeIL�DOXIS� � ❑f� tlp PNONE <br />G(NINelCO41R1C1pR n�e�l ��DR(55 ❑fY ZIP PHON[ UCFVSE 1 <br />+UC��e��(pl COc�ReCiOc _ n�en nDDR155 ���� LiP PHONt ����NSI � <br />A1r�ll r�V VXI)) <br />1U15Of 1\ON[ <br />QNE\V ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLI710N ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />V'qU V ION Of 1A'ONR <br />f <br />DISCNIXLNOXA . • � <br />NOI'U51 U l�' N W lI]IVC <br />unw Q _ <br />l I Gl OI SCRIPI lOti O! PROVI q 1Y �SIION'N PI lON' ON Al1 �O1 1 pUR COPII51 <br />101 � III OCN � O! <br />iox �nus�ss � <br />�'n�_ n <br />►LUMBING ' 1J <br />NO. TYPF OF FI%TURE <br />I�WTORY �NU511 flAllNl <br />SMOKIN <br />I:IICMLN 51l.A 6 DISP <br />1)I}W�SMf R <br />UU�DHY it;Ai <br />(IO1MI( 1YASH[R <br />N'�IfN IIIn11H <br />UNIN�I <br />URINNIhG IOUNtAIrv <br />1100H �HAIN <br />V�NUM NRI AKI RS <br />ROOI DN�INS—RMr:LUOLHi <br />SIrvR �SI X\9Ci —I)Aft. f iC � <br />5101 YnHf) SI iR1CK <br />�5! 7.Oh1 <br />TYPf OI CONSI <br />siu or nioc <br />flHl ZON( <br />LO7 �Rl� <br />NO OF STORII S <br />OASLMENi IIII)NUU�H <br />A��IIOVAlS <br />1 LhVINONMINULO1fCKlIST <br />: euuomr, runs <br />J IINI IIiDR�NT <br />� 110.! YHO71C110N SYSIIM <br />5 GNADINGI %CACA710N A CLI AHING;LNUNNING <br />6 DRAINAG! <br />7 [NVIRONMLN7AL IMP�CT SUTLMENT <br />E MUL711 DISiNICI <br />I HEREOY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PftOVI510NS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL 8E COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THf GRANTING OF A PERMIT DOE$ NOT PRESUME TO <br />GIVE AUTHOHITY TO VIOLATE OR CANCEI THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THF PERFORMANCE OF CONSTRUCTION. <br />SIf,N�TUN[ Of CON7HAC70R OR AUTMORIZED AGENT ✓onTc �L —/� - 82 <br />1 . <br />MECMANICAL <br />FfE NO. iYPE Of EQUIPMENT <br />niu cor+o unns-n r tn <br />NIINIf,��.NAiION UNI7S-11 P U <br />NOILFRS-HP U <br />GASfIR(U AC U�RS-70NNAGEEA <br />IUHCI D AIH 5\'S7LMS-H 7 U M EA <br />N'AlLHU7LR5-IITU M <br />UNI7HUilFS-OTU M <br />VI N11LA110Y I AN <br />NANGI HOOD <br />AIN HANp�ING UM7- C f M <br />$70Vi <br />MIiAL IBlPUCL A OIIM1W[Y <br />RIANYARpS1ilUCK � PUNCIIICANVMNIN <br />VAUNT SIl[ <br />❑YlS CNO <br />NO p{ ON9lUM1G U�11S <br />MA% OCC IO�I' <br />er I oer[ <br />APPLIUIIOhACC BY PUNSCt11CKID1IY � AV7N IONI$SUANCf HY <br />97;7 <br />HL <br />5 <br />� <br />s <br />t <br />P�AN CML(K f l L <br />� FCCFIP7 NO <br />11UIIUWG S <br />riunn+�r.c <br />MI CNAMUI. <br />OTHfR <br />PfNAl7Y VIiC <br />5IC bl1a� <br />TOTAI <br />►ERMIT V�IIDATION <br />WM[N PROPlRLY \'AIIDAIEUIIN 71U5 SPACII iN15 �5 VOUR P[RMIT <br />� <br />