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'1PPLICATION FQ : <br />tMEwr9rN" CONSTFtIJC�ION <br />cin oF <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT $ERVICES <br />CITY HALL 259�8715 <br />EVERETT,WA98201 nfOM81NAT10N <br />BUILDING <br />❑vwMeiNc PERMIT NO. <br />everen <br />e <br />nLLCN�NIUI C6NTP�CIOR M/.Il ADDRFSS <br />❑tY tIP PHONf IICFHSF � <br />PIUnIPIVL CONiRA[l00. <br />M�II eO�P[SS ��It ZiP PHONF IICENSE / <br />C1�550i NORK <br />❑NEW �IADDffION ❑ALiERATION C�REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE BUILDING RELOCATION <br />VAIUAiI�ON JJi WOA <br />f / / 7 �—� <br />CROPO�EUUSf UI flNI�IVG �/ <br />�� qF5[P I��Of PROPFN YI� <br />% <br />��� �f <br />�CeepORF55^ � <br />Pl!1M�ING <br />NO. TY►E OF flll <br />WATER fLOSET ITOIIETI <br />BATHTUB <br />�AyATOpY �WASH BASIN) <br />SHOWER <br />KITCHEN SINK 6 DISP <br />DISWASMER <br />UUNDRV 1RAY <br />CLpTHES WASHER <br />WATER MFATER <br />URINAL <br />ORINKING �OUNTAIN <br />FIOOR �R�IN <br />VACUWIB0.E�KENS <br />ROOF �RAINS—R��NLE/ <br />$INK ISFRVICf —OAR, ETI <br />STR[ <br />UF <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PFIOW Ok ���cH UX COPiE 1 PROVISIONS OF LAWS AND ORDINANCES COVERNING THIS TYPE <br />UF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />i OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO':ISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />— OR THE PERFORMANCE OF CONSTRUCTI�IN. �. C'j/ <br />SIGNAFtlbE OF CONiNACTOR OR AUTHORIZEgALENT DAT� O <br />RE <br />n <br />ARfA <br />NT <br />ARIIOVAIf <br />�� <br />1 ENVIXONMENTAL CMECK LIST <br />7 flUItDINL PLANS <br />7 FINF MY�R�NT <br />� FIRE PROTECT70N SY57fM <br />� Cp!.p!Nfpxf��l710N8QfANINGGRUHflING <br />6 DRAIUAGF <br />_�...._,.....�.uu uu+w�t SiAiEh1CNT _ <br />FEE <br />� <br />0.UR YARD 51 <br />VACAN� $�lE <br />OYFS ❑h0 <br />NO Of DWEI <br />MAX OCC lC <br />Flftt SPRINKI <br />REQUIRfD <br />❑YFS CNC <br />i.T <br />NO. I TY�E <br />BOILERS—H P EA <br />GAS fIRED AC UNITS—TONt <br />FORCFD AIN SVSTEMS—U.T U <br />WALL HEAiERS—B T.0 <br />UNITHfATEftS—BTU M <br />ov�onvenVF fOULERS <br />RANGE <br />SIOVE <br />MEUI FlREPUCE 8 <br />OACK �LAN CH[IX NUMBkR <br />FEE <br />FEES <br />NG UNITS <br />BUILDINC s <br />�D <br />PlUMf11NG <br />RS <br />MFCHANICAL <br />D�TF OTMFR <br />PFNALTY <br />M EA <br />UBC <br />SEC )OJ(al <br />PUN CHECK IEE <br />� NECEIPi NO. <br />70TA1 I I <br />►FI1MIi VAIIDATION <br />WNkN PNOPFRIY VAlIDG1E� �IN TMiS SPACE� THI515 YOUR PERMIT <br />