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fME�+rprMn P-DPLICATION FOR evercn <br />��TM°F ..ONSTRUCTION � <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HAIL 259�B7t5 <br />[vcRErt.wn9ezoi ��OMSINATION ❑ SUILDING ❑MECHANICAL ❑/lUMlING PERMIT NO. <br />��tR (� _p M�n �onNiss, I /I ❑Ir LP vMOHF <br />`1-'.���1��(i��CC7� � i��`i "iC�,��.lii:$E .SIJOHUL(lSl-� cJs�%g%�S <br />AtMlil[t00.O[SICNIR M�Il�OU�lSS CIfY 21P PNOME <br />GINIM�I CONiNM10R M�II nDD116i C11Y ZIP PN�NE UC[NSF � <br />MICN�RIC�I CONIqMIOA � �N�II �0011lSS ���Y LIP VNON[ UCENS[ I <br />�twlpinG CONIRACIO� MAII AD�R[SS ��1Y ZIP PNOHF IICMSF � <br />❑NEW^v^^OADDITION ❑ALTERATION I�tEPA�R ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING REIOCATION <br />Y�I W I ION Of NOMK <br />� �So«' - <br />DISCRIflI WORK � n <br />reorosm..Lus�i, o�i nunowc� <br />'�i�.1 u-`�— il (71.15.� <br />LIGAI Ot5CR1%IOv Of PIIOGf M1Y �SNOWN PlION OR AIiACH fOUR <br />�o��BIOCK�_Oi S� fJiCknl�ts <br />iox �on4ess <br />��� �UfY1d1'1\�" � <br />�LUM�ING <br />No. 7Y/E OF il1fTURE <br />SN�WFR <br />KIiCHEN SINK b DIS <br />DISWASNFR <br />UUMDRY TRAY <br />CLO7NE5 WASHFR <br />WATFR NUTFP <br />URINAL <br />ORINKINC fOUNTAI <br />FLOOR DR�IN <br />V�CUUM BRFAKFRS <br />USF ZONE <br />� <br />IEF � <br />TPACK RUR YARO SFTB <br />VACANT 511E <br />❑YES ❑NO <br />CYCROUP NU Of OWEILIN <br />ORIES M�k OCC tO�D <br />fIRF ZONE BASFMFNT fltUROOMS FIRI <br />RE( <br />❑Y <br />AMtOVAIi �Y <br />1. ENVIRONMENT�LCMF.CKlIST <br />7 BUILDING PlANS <br />J iIRF NYDRANT <br />� FINE P0.0TECTION SYSTFM <br />5 GRAbINUfNCA\'ATION6CLIARINGLRUBflING <br />fi DRAINAGF <br />7.FNVIRONMENTAIIMPACTSiATEMENT <br />E. MEAIiH �ISTRICT <br />APVLICATION ACC BY YlANS CHFI'KED BY <br />91 79 <br />D�7[ <br />f00. ISSUANCE BY <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES COVERNINC THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SVECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMI7 DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATF OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAIUR[ Of CONTRACTOR OR AUTMORIZEO AGFNT DATE <br />Y��o lilu o� I IJ+-L�-{� � J�1 � Q� <br />MFCMANICAL <br />NO. TY►E OF EQUI►MFNT <br />AIR COND UNIT$—H P [A <br />NFFRIGER�710N UNITS—MP. EA <br />BOILFNS—MP fA <br />GASFBFDAC UNITS—TONNAC[EA <br />fORCFO �IR SYST[MS—B T U M <br />WALI MEAiERS—BSA M <br />UNIT MEATERS—B T U M <br />EVAPOR�TrvFCOOlFRS <br />CLOTMFS DRYERS <br />VFNTIl�T10N FAN <br />qANGFM000 <br />AIR M�NDLING UNI7— C f M <br />S70VE <br />MET�L FBfPUCE 8 CHIMNFY <br />PUN CNFCk NUMBFR <br />FEF <br />9UIlDING <br />PIUMBING <br />MFCHANIUL <br />OiHFR <br />PENAtTY <br />TOTAL <br />f <br />UBC <br />SEC.'. <br />FFF <br />CM[CK iEE <br />RECEIPT NO. <br />MRMIT VAIIDATION <br />WHEN P[OP[RlY VAIIDATFD �1N THIS SPACE� TNIS IS YOUR PERMIT <br />