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AP.�PLICATION FOR,._, ��e <br />cirrEo �m� ,_. � N S T R U C T 1 O N <br />ever'ett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259�8715 <br />EVERETT, WA98201 �COMBINATION � BUILDING ❑MECHANICAL �PLUMBING PERMIT NO. 7� � <br />CIL7 2iP PHONE -- <br />OWNER �� MAII AOONF55 G 4/(p /-Vr;�� .�.l.^ TtiCf. ` <br />� � �n .c�t.-c�7 ?��..-. %.Y?�'3 3�`'s—g:U:: <br />'N.:: T U�^^i v. ! ZIP PHOHE <br />�R[HIRCT OR 061GNFR <br />MAII ADDRf 55 �iTY <br />LII <br />zi� <br />MAII <br />�]IICENSE � <br />- i - 2�`l�C(o <br />1A550f WORK <br />f�I.�cw I—I�nnlTION ❑ALTERAT�ON ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGi ❑BUILDING RELOCATION <br />r _ <br />V�IUAiIbN OF WORN <br />S <br />O[/SCj0.18F WORK �J <br />(_ DI✓S%/�r C7 io./ �// <br />PROPOSEDt15 019VIlDING <br />z �'.� , / <br />IEUI DFSCRIVLION O VROYEPtY 1 <br />�p� � BIOCN��Of <br />1 <br />� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS A• <br />pIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />pq �TTACH fOUR COPI[ PROVISiONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />3J� OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />�J j .CST��rS OR NOT THE CRANTINC OF A PERMIT UOES NOT PRESUMf TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR IOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR 00. AUTHORIZED AGFNT DATE <br />io� �cs� T� S-T J (.�! <br />3.5 <br />�IUMlING <br />dNK 6 DISP <br />R <br />TRAY <br />FLOOR DRAIN <br />VACUUM BREAKER$ <br />0.00F DitAINS—RAIN <br />uue (CFRVICE—BAR, <br />DE YARD SE <br />OF <br />StRFET SE <br />t0T ARFA <br />NT <br />�MlOVAIS <br />1 ENVIRONMENTALCMECKLIST <br />2 BUILOING PlANS <br />J FIRk ��YDP.ANT <br />1 FIRk YROTECTION SYSTEM <br />5 GRADINGIE%CAVATION6ClEARINGIGRU9AING <br />6 DN��NAGE <br />7. ENVINUM1MtNTAI IMC1( i $UiF �IINT <br />MECHANICAL <br />FEE NO. T1'►E OF FQUI�MENT <br />AIR COND. UNIT$—M.R EA <br />REF0.IGERATION UNITS—M.P. EA <br />801LER5—HP EA <br />GAS FIRFD A C UNITS—TONNAGE EA <br />FORCE� MR S�StEMS-87L. M E� <br />WALLMEAiERS—BT.U. M <br />UNITHEATE0.S—BTL. M <br />EVAPORATIYE COOLE0.S <br />CLOTMFS DN'�ERS <br />VENTIUTION fAN <br />RANGEHOOD <br />AIR M�NOLING UNIT— C.F M, <br />STOVE <br />METAI FIRFPUCE 6 C.1IMNEY <br />SU/TOTAI � <br />f ? � /ERMIT..' t <br />2[AR YARD St 1 tlnln <br />yACANT SITE <br />❑VFS ❑NO <br />'�IO.Of DWCLLING U <br />MA% OCC IOAD <br />FIRE $PRINKLERS <br />REQUIRED <br />❑YES ❑NO <br />�f D�iF <br />FE[ I RECEIPT NO. <br />iFFS <br />BUIIDINC S <br />PLUMBING <br />MECMANIUL <br />OiHE0. <br />UBC <br />PEN�LTY $EC.JONa) <br />TOTAL <br />►FRMIi VALIDATION <br />WMEN PROPERLY VALID�TFC I�N THIS SPACE) THIS �5 YOU0. PERMIT <br />