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P-pPLICATION FOR- ��e <br />��TM�`°`"" i3ONSTRUCTION 0 <br />everett PERMIT <br />DEPT. OF fOMMUNITY DEVELOPMENT SERVKES <br />CITY HALL 259�0745 <br />EVERETT, WA9B201 ��OMBINA?ION ❑ BUILDING ❑MECHANICAL ❑PLUMBIIJG PERMIT <br />MAII ADCk[55 CIIY Z�F YNONE • <br />O14N1P 2 sio ic1�-r ,Gv c�a `7 SZa, z s�, - ti s�-�_ <br />L F� /i�l �(�C C�� G' C iY 1 P HO f <br />iuMlA000.6S ❑ir ZIV YNONF UCkNSF/?���* <br />G(NEN\LCONiRAC10N � <br />/`l _ 1 i�rf�,-i�•,.s'�' �'fi�i15 h�wY �ll�l/ /v%$L�� �k2,%v ���SIc�G�O .ny��./L�cc. <br />❑CENSF I <br />Pll'��No.0 CONIMCl00. <br />MAII ApON[55 PT� ZIP PHONE IICFNSE I <br />CUSS Of �VORN <br />❑NEW ❑ADOITION ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />\'AlU�1�ON Of �%00.t <br />� S�� OCJ <br />UlSCNiBI N00.F . � � 1 <br />� �lCYLLclJ <br />�Ul.'��t�[ ��CM lJi��Ct— P+'LSy%'�-c+.T_ <br />reovonouse or aunowe I HEREBY CERTIFY THAT 1 HAVE READ AND E%AMINED THIS AP- <br />��, � PLICATION AND KNOW THE S�ME ?O BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />1[:AlOtSCRIPlIOHO{V0.0Y���si�ownsEiowox.�recHwuaeories� OFWORKWILLBECOMPLIEPWITHWHETHERSPECIFIEDHEREIN <br />i�� �J' L�O q�pCK <0 7( o� Pr c� n�I Co �� OR NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW RECULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURF OF CONiRACTOR OR AUTHORIZED AGFNT DAiE <br />I�>tl �DDRUS �'� <br />�,Sip /�/ � <br />PIUMEiNG <br />NO. TYPE OF <br />WAIER ClOSET ITOLIF <br />IiATMTUB <br />UVATORV IWASN BA' <br />SMO�.'FR <br />KIT[MfN $INK A DISP <br />BAR. <br />ZONE <br />E q�Hsr� <br />v— <br />�- <br />L Of OLDG <br />F ZOni <br />)7 AREA <br />�CCUP�NCY GXOUP <br />R -� <br />IO OF ST' RIES <br />�ASF MF N7 11! ORIX <br />�— �� <br />AR�OVAlS <br />1 fNVIRONMENTALCMECKlIST <br />1 BWIDINGVL�NS <br />) R0.[ HYDRANT <br />� FIRE PNOTEC710N SYSTFM <br />5 GRADINGIL%UVA710NbQURINGGRUtlPING <br />6 ONA�NAGF <br />T FNVINONMENTAL IMPAQ $TATEMENT <br />p MUITM �ISiNICT <br />�pp��[ATION ACC BY PUNS CNECNEO BY <br />V G. <br />g.7 79 <br />x `, ". (, � �.�— <br />MECHANIUL <br />F!E NO. TY►E OF FQUIPMEHT <br />AIR COND UNITS—HP. EA <br />'•IGFRATION UNITS—H P FA <br />,� � ,�i��VS—HP EA <br />�LAS FleFO A C UNITS—TONNAGE EA <br />FORCED AIR SYSTEMS-87 U M <br />�y��� MEATFRS—B.TL M <br />�wrtureT[RS—BTU M <br />VAUNT IiF <br />❑Y6 �O <br />vo or o � uiNc <br />MAX OCG LO�D <br />�� <br />�r <br />�PP0. <br />���N CHCCK N <br />f <br />OUIIDING <br />^l'JM91NG <br />MECHANIUL <br />DA/E � OiNE0. <br />NY <br />PEN��TY <br />-�/�a/8( <br />FEE <br />fERM:f � <br />TOT�L F!: � <br />R pLAN CHECK FEE <br />F[E RECEIPT NO. <br />VAW�710N fEE <br />s.7.7oi� � <br />uec <br />SEC N171a1 <br />7DTAl I I <br />�EIIMIT V�l�DA71JN <br />WMEN PPOVCRIY VAf IUATCD UN THIS SPAiFI TMIS I$ YOUR PERMI7 <br />