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ApPLICATION FOR <br />tMErw�'rwn L�NSTRUCTION <br />an cr <br />everett PERMIT <br />DEPT. OF COMMUNIiY OEVEIOPMENT SERVICE$ <br />CIlY HALL 259-87t5 <br />EVERETT, WA9E201 []�OM6INATION ❑ lUILDING ❑MECHANICAL ❑PLUMlING PERMIT N. <br />Mul nD�x155 J CITv �% /� ii/t/ / PNOrvF <br />�O/w,(NfR / � � /'� ,I� ! �GI�iG %U'�C� J �-S <br />GSL�f.{.11- ��! CZ �/I/ //4 % =J � L'� ��J.tt-�c.ti `` c rr z s VNOME( <br />..,.,,,.�,.� . �,.�� u Mnit nOLRtSS <br />ZIP <br />C1e55 OI «'ORK ' <br />�NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEn10LITION ❑FENCE ❑SILN GARAGE BUILDING RFLOCATION • <br />\'�W�110NOfN'OAR � � I�Y``(J\ T—(J <br />� � q . � <br />DISCRIq1 WORK � <br />f �I $f Pl � PIIO>IMI�NO lOK OR �t1�011^UR COP�I51 <br />'�� CY <br />l01 �BIOCK�O� <br />/2 Y <br />IOP �ODNISS <br />is'—/'1'�1 � (�f�'yi. e <br />�wMsu+c <br />NO. TY�E Oi FI%iURE <br />WAiFR CLOSET IWIIETI <br />PA1HiU9 <br />UVATORY IW�511 B�SINI <br />S��OWLR <br />KIICH[N SINK b OISP <br />DISN'ASMI X <br />tAUM1OR\ 7RAY <br />[lO7HES WASHFP <br />WAiER MIAiEN <br />URINAL <br />DRINKWG FOUN7�IN <br />{LOOR pNAIY <br />VANUM ANkAK[RS <br />ROOF �N�INS—flA�NUA�ERS <br />SINK 6[ RVICI —BAN. L1C � <br />su�rorei <br />►E�MIT � <br />TOT�I�EI � <br />5101 YARD SLTBACK STR[[T SCTPACK NUR Y� <br />�o i="- ZL-> - <br />ANfA <br />fYP[�I,F,�N57 � UCCUPANC�G � UP <br />� N M <br />ilZf Of F,LUG � NO Of STORILS <br />K �� � <br />RR[ ZOY[ BQ�M[NT 111U=0UA <br />�_ r� O <br />A►►tOV�lf <br />1 f NVIRONMENTAI CHLCK 1157 <br />3 6UILDING PUNS <br />) �IRf HYORAN7 <br />� RRF PRO7CQION SYST[nl <br />5 GRA�INUf%UV�TION6ClfARING�GRU91fING <br />6 DRAINA:[ <br />7 FNVIRONM[NTAL IMPACT ST�TFM[Ni <br />E NFAITH DISTRICT <br />AVPUUTION Al'C BY PUNS CHE:KED BY <br />V� �. • <br />� <br />fEE <br />iBACk <br />V�UNT Slil <br />❑VCS �O <br />NO OI OWLLIIN( <br />� <br />MAX OCC IOAD <br />�T � D�7F <br />APPR fON �SSUANCL BY <br />I HEREBY CERTIFY THAT i HAVE READ AND E%AMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />FROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRAN11hG nF A PERMIT DOES NOT PRESUME TO <br />ANY OTFiERORI^TE OR LOCAL L W REGU ATING CONSTRUOCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUNE Of CONiNACiOR OR AUTMORIZED AGENT DATE <br />AIR COND UNI15—H P EA <br />RFfNILIR�TION UNITS—M P <br />ppllfRS—NP EA <br />G�S I IN[D A C UNITS—TOND <br />(ONC[ D AIR SY57[M5-9 i U <br />N'All NEAILRS—B7U <br />UVITHEA1fR$-9TU M <br />f V�VONA7NE COOLERS <br />RANG[MOOD <br />AIR HANDLING UNIT— C f M <br />S70VE <br />MLTAL f IREPUCE 6 CNIMNtY <br />lO1AL <br />'LAN CH[CK NUMtlLR PUN CNfCR �[[ <br />iFF 5 RFCEIPT NO. <br />�(,-D 7 j Y �` .5 // S`!- <br />FIFS V�LUATION i!F <br />eviiou+c 'iCE�.-`-LJ.`= �l.c <br />Pl UMBING <br />Mf CIIANIUI. <br />OTNfR <br />uec <br />PfN1li1 S[C 70A+1 <br />TO1Al r�0 <br />tk�MIT V�L�DATION <br />WNfN PNOPIRL\ V�LIDAT[OIIN 1HI5 SPACE) TMIS �S YOUR PERMIT <br />, . . . .� �' �. . . . . . . <br />�3, 4':=. D«`.. o,� /�`�.. �� <br />��P <br />