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ppPLICATION FOR� ��e <br />�ro'°`"" .;ONSTRI�CTION <br />everett PERMIT <br />DEPT. OF COMMUNITY DFVELOPMENT SERVICES <br />CITY HALL 259�8745 ECHANICAL ❑PLUMBING PERMIT NO. <br />EVERETT. W�99101 ��OMBINATION ❑ BUILDING pHpNE <br />zi> <br />men nonx�ss l <br />own•t■ �� I rY�1 f r� �!C �t�� 9�.%G�� c� J%'_,� t3-�u <br />:-,—I n �� r !A .4�]uc•-' (J :-2� .�.. zir PHONE <br />MAIL AODRI55 <br />� � <br />M�II �DOPE55 <br />Sa �-:, c <br />MAII AD[ <br />� <br />ClASS 0° M'ONK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REI'��IR ❑DEMOLITION ❑FENCE ❑SIGN � ❑GARAGE BUILDING RELOCATION <br />VAW�IIDNjOf wOPK <br />� I��. U C . <br />t)fSCRIfl[ w'ORK <br />_ � _ �e v�c ° c, � - ar.�P <br />vxorouo mF oi eunoivc I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT ALl <br />- LAWS AND ORDINANCES GOVERNING THIS TYPE <br />l[Ul UfSCRIPLIOM n� PROPERLY ISIIOwN B[lON' OR Al�1nCH fOUR COPIl51 <br />Jc L or -r���F) l�f��'..f'�-, " <br />l01 ,�� BlOtv..�. 1 <br />ioe e7oo,a�ia <br />� <br />PIUMlING <br />NO. <br />� <br />TY/E OF <br />N SINK d <br />iHFk <br />RY iRAY <br />70.1NKINC FOUNTAIN <br />FLOOR DNAIN <br />VACUUM BRE�KERS <br />0.00F DR <br />PROVISIONS OF <br />OF WORK WILL PE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GR�NTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURF OF CONTRACTOR OR AUTHO�D AGENT DATE <br />/�y�/�7 /��j1///.11���/�/,/� y�� /O <br />�%%/ / Z F � ' !J\ � rt/, `� 'LC /�' �/ .i"C <br />v -% <br />MECMANIUL � <br />iEE NO. TY�E Of EQUI�MENT <br />AIR COND UNITS—M P FA <br />REFRIGERATION UNITS—H P. FA <br />JOIlfRS—HP EA <br />GAS FBED � C UNITS—TONNALE EA <br />FORCFD AIR SYSTEMS—B T U �' <br />WALIHEAiENS-9T.0 M <br />UNI7 HEATFRS—BT U M <br />pVAppNATIVE COOLERS <br />CIOTHES ORYERS <br />VENIILATION FAN <br />RANGEMOOD <br />........�..�wrnurt_ fFM <br />►FlMIT � <br />TOiAIfFE s <br />IOE YARO SE7BAIX SiRFfT 5[TOACK <br />R[AR YAND SFTBACN <br />bE ZONE LOT AREA VACANT $Il[ <br />�YES ❑NO <br />'YPF OF CONSt. OCCUPAtvCY CROUP NO Of DWEILING U <br />IIZE OF BLOG NO OF $TORIES MAX OCC IOA� <br />'IRE 20NE BASCMENi NF�ROOM1IS RFQUIftEDKLE0.5 <br />!7YF5 ❑NO <br />AnROVAIf �� DATE <br />1 FNVIRONMENiAL CMECK L157 <br />I tlU�LDING 7LAN5 <br />IftF HYDNANi <br />1 FIRE P0.0TFCTION SY51EM <br />5 GRADINGIkRCAVAT10N8ClFARINGGRUBflING <br />6 URAINAGF <br />� fr�V1¢nNMFNTAI IMPAC7 STATFMENT <br />E NFAITH �157RICT � � <br />�� PLANSCIICLKfD tlY � APPR VOA �SSU�^�CI PY <br />MFTAL F <br />AL�EE <br />fEE <br />FEE <br />�f <br />PLAN CHECK FEF <br />� RECEIPI NO. <br />BUIIDINC S <br />PLUMBING <br />MEGHANICAL <br />O�H[R � <br />UBC. <br />PENAITY SK. JONe) <br />iOtAl <br />►E�MIT VALIDAiION <br />WHEN P0.0PERLY ��LID�TED IIN THIS SPACE) TMIS IS YOUR PE0.MIT <br />� <br />