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APPLICATION FOR <br />« E�"F°�" �ONSTRUCTION <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVEIOPMENT $ERVICES <br />CITY HAII 259-0715 <br />evEReTT.w�9B20t I-'�rnue�u�nnu I—Ix111lDING ❑MECHANICAL ❑PLUMBING PERMITNO. <br />�� <br />e <br />S � M111A0�RF55 CIiY ZIP PHONE LICE SEI <br />G[NIR�tCONiRAC10R <br />M1IICN�YtUI CONTR�CLOR M�II AODRF55 CIiY LIP PHONF IICFNSE � <br />MUMflIYf. CONIRAQOR M�IL ADDR(55 CItY ZIP FHON[ lIC[HS[ I <br />CUSS Of NORF <br />❑NE1V ❑ADDITION ❑ALTERATION ❑REPAIR �DEMOLITION ❑FENCE ❑SIGN ❑GARAGE �BUILDING RELOCATION <br />v\W�iIONUf N'O0.N <br />1 <br />�lSCqiBI WOIy(/ � _ _ __ _ �� � <br />USI OI OUIIOIN� <br />ll GL 015CRIP110Y OI PNOVI Rir �SHOW N <br />lC 1 � P10.. �� Of �,�, <br />IOPAOpRl55 <br />rwMsu+c <br />HO. TY�F Of <br />WA7ER CIOSkT �TOIIE <br />SID! YAI <br />USE ZO� <br />TYPk OF <br />SIZf OF <br />FB[ ZO <br />��VATORY IWASM flA51N1 <br />SI/OwF R <br />KIiCHEN $INK 6 DISP <br />LAUN�RY TNAY <br />CLOTMfS WASHfR <br />iIOORDRAIN _ <br />VACUUM NRUK[RS <br />ROOI pRAINS-0.AINLlADENS <br />SINK ISERVICE-AAN, ETC ) <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />oa ni ncn roue ovrts� PROVISIONS OF LAWS AND ORDINANCES GOVERNINC THI$ TYPE <br />� OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEkE1N <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL 1NE PROVISIONS OF <br />ANY OTHER STATE OR LOCAI LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. � <br />SICNATURE OF CONTNACTON O�ZFD AGFNT DATf <br />SU� 707AL <br />►FIIMIT <br />T6T�LfEE <br />:D S[IAACK STR[[T SCTflACK <br />If LOT AREA <br />CONST OCCUPANCY i:Rl <br />BLDG NO.Of STORIES <br />��►lOVAlS <br />1 fNVIRONMENTAI CHLIX USi <br />]. AUILDING PL�NS <br />J fIRF HYDRANi <br />� fIPE PN07ECTION SYSTEM <br />5 GR�DINGI FUVA710N 8 ClU0.INGIGRUBNING <br />6 DR�INAGF --' <br />7. FNVI0.0NMfNTAL IMPACT STATfMENT <br />E. HFALTH DISTRICi <br />RUR YAND SII6ACI <br />VAUNT $lif <br />�Y[S ❑NO <br />NO Of DW[ILING l <br />MA% IXC IOAD <br />flRf SPNiNKlLRS <br />REQUIRfO <br />❑YIS ONO <br />�Y DATE <br />!�VV� IfATION ACC. BY PUNS CHfC[[D B° I APPR. fOR <br />41�79 <br />TY�E Of EQUI►MFNT <br />�IR CONO UNITS-M P. EA <br />REfRIGER�TIONUNITS-HP EA <br />POIlFRS-MP EA <br />GASiINE�AC VNIT$-TONNAGEfA <br />fORCFOAIR5Y5TEM5-B.TL M <br />WAILHfATENS-BT.0 M <br />UNITHFA7fR5-BiV M <br />NANL[MOOD <br />AIR NANDIING UNIT- <br />METAL fIRE <br />PLAN CH[CK <br />SU� TOTAL � <br />r[LLMIT � <br />TOUL iFF f <br />PLAN CHFCK FEF <br />FfE NKEIYTNO. <br />v�111�T1oN iFE <br />BUILOING f <br />PLUMBING <br />M[CM�NIUI <br />OTH[R <br />U.B C <br />PEN�LTY 5[C.JON+) <br />TOTAI <br />►FRMIT VAl1U�TION <br />WIifN PItOPfRLY VALID�TED (IN TNIS SPACE) THIS IS YOUR PERMIT <br />� <br />_-! <br />