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r- <br />APPLICATION FOR <br />'".E"'°"°" CONSTRUCTIOh <br />CITY OF <br />everett PERMIT <br />D[PT OF COMMUNITV DEVELOPMENT SERVICE$ <br />CITV HALL 259�8745 <br />evEaEir,wnae�ot ��OMBINATION ❑BUILDING ❑MECHANICAL ❑PWMBING PERMITNO. <br />�t .un +oouns .1 cm� nr -vt�wv� <br />nw// %� ��� �./�4 �! � C..��s„� .�[1��� %� � <br />ORpIPGti�q NAIIAODF155 ���� <br />everctt <br />e <br />Pll'MNI4L N4IPACIOR M�II AD�RISS O�\ ZIP PMONf IICINSF Y <br />CUSS OI NORK <br />❑NEw ❑ADDITION ❑ALTERATION �REPAIR ❑DEMOLITION ❑FENCE ❑$IGN ❑GARAGE ❑BUILDING RELOCATION <br />V�1V�110`. pl NONF <br />1 �j <br />UISINIIII �ORA <br />C'H.i P .L.,��� . <br />reuvusioiai � nunni�.c HE Y CERTIFY THAT I HAVE READ EXAMIN THI$ AP- <br />Lm -� PUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />����i ���. �,ouov or nan uroa� xiioa�oa.�rno� roua mrnsi PROVISION$ OF LAWS AND ORD�NANCE$ GOVERNING THIS TYPE <br />� , � y � .p� OF WORK WILL liE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />�oi iG�// x�ocr.�oi OR NOL THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />Q GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />� ��/ ANY OTHER STME OR LOCAL LAW REGUUTING CONSTRUCTION <br />A OR THE PERFORMANCE OF CONSTRUCTION. <br />./ iJ . i /:'� // '� . i 1/� SIGNAIUH[ Of CONiRALTOk OR AU7HORIZFD AGENT DATE <br />Ild1 �OONI55 <br />PWMBING <br />NO. 7YPE <br />N'AIIN ClOSLT �71 <br />pA7M1UP. <br />U\'AIONY (W ASII <br />SIIOW I F <br />KIl( Mf N SINK F[ <br />DISK'ASMEN <br />IAUNDNYIRAY <br />CLOIHfS WASMfI <br />N'AI[R IIIA1fF <br />UNINAI <br />DNINKING fOUN' <br />i 1 OON URAIN <br />VANUh111NUK1 <br />—OAR. 1 iC 1 <br />SID! YnPDStilfntR ima� �. <br />USE ZOM1t lOT ARU <br />7YPf Of CON57 ORUPAN <br />pLDL � �� <br />MECHANIUI <br />FEf NO. 7YPE OF EQUI►r.�en� <br />nix couo unrts-�� r u <br />NLIRIGfRATIONUM1IIi—��r :. <br />HOILIRS—HP U <br />GASfIPfDAC UNIiS—IONNAGEU <br />� fONCIDAIRSY5iLM5-67V MEA <br />\\'AIlHIA1LN5—OTU M <br />O UNILMfA7fNS—[iTU M <br />� 1\'�PORATIV[ COOLERS <br />CI.O7HlS DRYIRS <br />YlNilU110N FAN <br />s <br />s <br />�CK R[ AR YARD 5 <br />VACANT 5171 <br />❑VES GNO <br />GROUP NO Of OWLI <br />�itC MAX �1CC l( <br />� llRf 7.0Yf IOASEMfN1 I 1111)XOOMS <br />I <br />L' <br />ArIIIOVAlS <br />1 ENVINONMIN7Al CHtCN 115T <br />3 BUIIOING PI��S <br />J fIN[ MYUBANi <br />� {BL PRO7FCTION SVS7EM <br />S GNADING!I%CAV�TIONbCL1ANINGGRUtlAING <br />6 DR�INAL[ <br />7 ENVIRONMkNTALIMP�CTSTATFMENT <br />E. HEALT1171`-.1p1C1 <br />�Y I D�TE <br />APPLIUIION �CC BY PLAN$ CMFIXFO BY I AVPR FOR 155 �ANCE HV <br />9-1 79 <br />RANG( <br />AIN 11� <br />$IOVL <br />b <br />NUMOFR <br />i[ES <br />— C�M <br />ftk <br />FEE <br />PIAN CH[CK FEE <br />� NFCfIPT NO. <br />IIWIDING f <br />PWMBINL <br />MICHANIUI <br />O1HFR <br />PfNALTY UBC <br />5[C N1Na� <br />TOTAL <br />�ELLMIT VALID�TION <br />WH[N PROPERLY VAIIDATFO pN 1MI5 SPACE) TM1515 VOUX PERMIT <br />W <br />