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A.RPLICATION FOR-- <br />��E�'°'"" ..ONSTRUCTION <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICE$ <br />CITY MALL 259-8715 <br />EVERET7,WA90201 ❑COMBINATION <br />MAII <br />❑ euuoiNc <br />a�ss <br />,—�'l � SS)t <br />Ic�� ❑PLUMBING PERMIT NO. <br />ziv <br />�J :�— <br />GFNEMCICOMiR�C10R MAII�DOPE55 CIIY ZIV PNONF IICFH5E1 <br />� JQ'H'1 L QS � u/'YI P/ <br />MfCH�N1Ul CONiR�ROR mAll �D011[SS CIIY LIP PHONE LI[ENSF � <br />PWM9WGCONiP�CfOR MMlAD00.F5S UIY ZIP PHONE lL'FN$[I <br />C1�55 Of N ORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR C�DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING REIOCAtION <br />VAW�110NOf WOPC <br />! O <br />DlSCRIBf WONR , <br />K I_ _1_ Il ..,.,..J Ci:..r„ <br />PROVOSIO USF Ot pUIlO�NG <br />IFGM OFSCNIPIION Of VROPERIY ISHOWN BFIOW OR �11�CN fOUR COPIl51 <br />�or _ eiocK�ov <br />ioenooAEss <br />x �/3-50�` S''• <br />�LUM�ING <br />8 DISP <br />LAUND0.Y <br />FII(iU�E <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 GOVERNING THIS TYPE <br />Oi WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTINC OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STAiE OR LOCAL LAW RECULATINC CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATU0.E OF CONTRACTOR OR AUTHON�ZED �CENT DATE <br />MECNANICAL <br />NO. TY►E OF EQUIPMFNT <br />�IR COND UNITS—HP. EA <br />REFRIGERATION UNITS—H.P. EA <br />BOILERS—MP EA <br />CAS fIREO A.C. UNITS-10NNAGE EA <br />FORCFD AIR $YSTEMS—B T.0 M <br />W�IIHEATERS—BTD. M <br />UNITHEATf0.5—BTII M <br />E��PORATIVE COOLERS <br />CLOTHES DRYFRS <br />VEN7ILATION fAN <br />RANGF MOOD <br />AIR HANDLING UNIT— C.F M. <br />STOVE QO <br />MfTAL FbiEPUCE 6 CHIMNEY <br />1 TOTAI <br />IMIi f <br />T�IIFE f <br />T SETBACK RUR YARD SETBACK PUN <br />:ONF LOT �RFr y��Ar+T SITF <br />OYES ❑NO <br />pp �aqg7 OCCUPANCY GROUP NO. OF OWFI <br />DF 9LDG NO OF STORIES MA% OCC LC <br />-snur BASFMFNT fllOROOMS FIRE SPRINKI <br />AMIIOV�If <br />1 ENVIRONMENTALCHECKLIST <br />7. BUIL�ING PLANS <br />J FINE HY�RANT <br />�. FlNf YNOTECTION SYSTEM <br />5 GRADINGf%CAVATIONBQfARINGIGRU6flINL <br />6 DPAIN�CF <br />7. BNIRONMENTAIIMPACTSTATEMENT <br />E. MEALTM D6TRICT <br />APPLIUTION ACC. BY PLANS CMECKfD BY <br />9-1 79 <br />�Y I D�T[ <br />fOR ISSVANCF BY <br />iEES <br />BUILD�NG <br />PlUM81NG <br />MECHANIGI <br />OTHER <br />PENALiY <br />fEE <br />S <br />UBC. <br />SFC ION+I <br />RECEIPT NO. <br />TOTAI I I <br />►E�MIT VALID�iION <br />WHEN PROPERIY VAIIDATE� IIN THIS SPACEI THIS IS YOUR PERMIT <br />/� <br />