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.APPLICATION FOR ��e <br />'"'E"ro'"" CONSTRUCTIOf� 0 <br />CITV OF <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SENVICES <br />QTY HALL 259�8715 <br />EVEREiT, W�9B201 ��OMBINATION �BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />nN,H�R Melt n�ON65 CI1Y ZIP /y}2O/ PHONF <br />r � �7 __, , �, r�,� `7 i ST C t �z-vs�r-r- . In /A�a � ri.7-.f 1�6 <br />GINIRM COvtR�C10N <br />Mnll ADONF55 liiY l.IV YNOn[ I�CFNSE � <br />♦IICH�u1CAl COH1q�C10R <br />M�II �000.[SS C�1Y LIP >MONF UCFNSF I <br />PIU+�flIUGCOtitPAC100. MAII�DOR�55 <br />ULY ZIP PNONF IICENSF � <br />❑NEW �AD�IiION <br />V�lW1iONU1 WORIt <br />� 5�s'� <br />UISCRIIII WURK � <br />ERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑S�GN ❑GARAGE ❑BUILOING REiOCATION <br />vaovosm us� oi xmiou+c <br />��/L�inf12- <br />-�r-y <br />ll Wl 01$CRIPIIOv Of PNOVFRIY 6��OW N R(tON OX <br />l '/� <br />101I1aJZ BlIX[�OI <br />/ �A�ninoA� <br />�on�nh / 7 � �`�•_� E�!/E <br />PLUM[:4G <br />NO. TYtE OF FI%TURE <br />WAiER CLOSET �TOLIETI <br />PAiNiUB <br />UVATORY (WASM BAS�NI <br />SMOWFR <br />K17CHfN SINK 8 OISP <br />OISWASMFR <br />LAUNDRYTRAY <br />utF 20Nf LOT ANEA <br />TYPE OF CONST OCCUPAN <br />crn nr ni nf. NO Uf 5' <br />I HERE6Y CERTIFY THAT I HAVE RE�D AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />rouz;ovnsi PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />/ OF WORK WILL BE 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 LOGL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />Vf.NeiHR60F CONTR�CTOR ON AUJi�Q0.1ZED ACFNT D/.TE <br />��g p[�RYAXU)tlu, <br />VAUNi SRE <br />❑YES ❑NO <br />GROUP NO OF DWELIIN� <br />�.If[ n1AX OCC IOAD <br />M►IIOV�lS <br />1 FNVIRONMfNiALCHEIXUST <br />: auaoiNc r�n�s <br />) RRF M��RANT <br />� fIRE PNOTFCTION SYSTEM <br />S GXAnINGIt%UVA710NbQURINLlLRUNPINL <br />6 OPAINAGE <br />7 FNVIRONMENTALIMPACT STA7[MENT <br />E HFALTH DISTNICT <br />fIRF SYN�nRien� <br />REQl11RF0 <br />❑Y!S ❑NO <br />!T D�TE <br />�VPLICA710N ACC BY PUNS CMFCKfD BY I APPN fOR <br />94 ; 9 <br />tlY <br />0011ER5 -M�Y tn <br />�AS RXED � C UNI i i—TONNAGE EA <br />FORCIO AIR SYSTEMS-0 T U M <br />WAIIHFATFRS—BTU �H <br />UNIiHEAiFRS—BTU M � <br />EV�PONAirvk COO!:FS � <br />CIOiNFi URYERS _ <br />VENTILATION FAN _ <br />RANCF HOOD <br />uo u.uni ir�c uNIT— 'C f M <br />METAL FIRfPIACF 6 <br />PUN <br />FEE <br />PIAN CMeCK FEE <br />fFE � RECEIPT NO. <br />_. f�j� .�.� <br />�UIL�ING S �}iJ�/ <br />P W n101NG <br />MKMANIUI <br />OiMER <br />UBC. <br />PENAl7Y SEC.707:a) <br />TOTAI <br />��IIMIT VAIID�TION <br />KHEN PROPENIY VAI��ATFD (IN 7HIS SPAC�'� THI515 VOUR PERMIT <br />r� <br />Iq�UO <br />