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APP 'ICATION FOR <br />" '` C�STRUCTION <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SEP.VICES <br />UTY HALL 259�8745 <br />EVEN[TT,Wr�9B201 �C�MBINATION <br />..�.,�oo .� nlnll nDDI <br />❑ BUILDItvG <br />o !, _ � �. <br />�UI)RF55 <br />❑MECHANICAI. <br />CIIY <br />� <br />❑P�uMB;NG PERMIT NO. <br />evered <br />� <br />GINFNALCONiReC10N A1AltAUON[55 UlY /.IP PHON[ IKFNS[� <br />M[OIANIUI CONIRAClUR .�1AIL ADUN6S CIiY lll' PIIOYf IICFNS[ p ` <br />PWMIIINGCOM1iNAClO� MAILA[)9R65-- CIIY !IP PIION! lIC[NS[M <br />CU55 �f R'OX6 <br />�NE�V ❑ADDITION ❑ALTERATION CREPAIR ❑DEMOLITION ❑FE�CE ❑SIGN �ARAGE ❑L7UILDINC RELOCATION <br />VAlL�110N Of AAONK <br />S ��L �n(1 <br />pESCHll1l \40NK .f. ( „�,^yQ �L�t� <br />1�j � <br />.�G?� �� iY` .U��r�i- or P,1JZ'- 5�.4�.a_ ccJG <br />rkorosrousi ar umiuivc � I HERE6Y CERTIFY THAT I HAVE READ AMD EXAMINED THIS AP- <br />FECT ALL <br />! I GAl OLSCNP'l IOR OF PII � NLY I <br />trt / � ., BIOCKQCL.I�Qd�f <br />;onnuoaiss ;� <br />�i 1,, d 7= <br />OEION' ON AiLACH FOUR <br />PlU'dBING <br />NO. TYPE OF FIXTURE <br />\VATFR fl"JSFT �TOLIET) <br />[1Ai�ITU6 <br />LAVTTORY fR'ASH f1A9N1 <br />RITCH[N SINK 8 DISN <br />DISWASNCH <br />I AUNDBY TftAY <br />QOTNES N'ASHER <br />IVM1TkR HLATFR <br />URINAL <br />GRI'IKING fOUNTAIN <br />fIOOR [JRAI4 .� <br />VnC6UA1 I1REnKCRS <br />NOOf DRAI\5—RAINLfADERS <br />SINK �SERVICf—[1�R, f TC 1 <br />$IUE YARD SLTI'. <br />USt ZONf: <br />TYPE O( CO�ST <br />517.[ OF OL�G <br />PLICATION AP�D KNOW TH[ SAME TO 6E TRUE AND COR � <br />PROVISIONS Of L�WS AND GRDINANCES GOVERNING THIS TYPE <br />OF WORK WILL 13E COMPIiED WITIi WHETHF.R SPECIFICD HEf.EIN <br />OR NOL THE GFlANTING OF A pFRM1T DOES NOT PRESUh1E TO <br />GIVF AUTHORR`! TO VIOLATF OR C�NCEL THE PROV�SIONS OF <br />ANY OTHER STAI E OR LOCAL LAW REGULITING CONSTRUCTION <br />OR TIiF PERFORMAPICE Of CONSTFUCTION. <br />� <br />$IGNA7UHL OF CONiftACTOR OR AUTHORIZE� AGfNT DATE �.i//� � <br />ii %�/� [ <br />MECHANICAI <br />fEE NO. TYPE OF EqUiNmtn i <br />nB COND UNI7S—II P M <br />g[VRIGI HNION UNIT$—II P. LA <br />110RCRS—H.P. LA <br />GAS I IkkU A C UNITS-10�N4�� EA <br />fONCID�IN5V57fA1S—IiTU MCA <br />LVALI.IIfA7lN1—I4TU. M <br />U�RIItnTLRS-11TU M <br />(IVAI'CRn7IVt COOLfRS <br />Cf OTIII S Ui:y'EH.S <br />VfNTII.AIION hrJ: <br />H�NGC HOOI) <br />TIN HANDIING UNIT— C.(.M <br />til0\'1 _ <br />Mf T �I I IRl PI nCL R OIIMNCV <br />SUB 10'AL <br />PERMIT s _ <br />TOTAL ifE s <br />STRF[7�FTIIACK NI.�\R1'AND51. <br />I.OT AktA <br />OO�UPANCY GR� <br />NO OFSTONIF' <br />SASFMfNI I� <br />APPROVALS <br />1 [PVIRONM11fNTAlCHfU:UST <br />. .,�.�. ..�.�� �i ..Uc <br />] FIBI HYUkANI <br />� SUB TOTAL <br />P[RMIT <br />� TOTALFfE <br />I'IAN l HlCK �U.�1f3FR <br />VAG\NT $IlE fEES <br />LYES CNO — <br />NO OF DIVLII.WG UVItS <br />OUILDWG <br />M11A%.00C LOAD <br />PiUAfOi`!G <br />���.��5 FlRf �Y.',INAlIRS <br />N.QUIN'U AtU]InNIUt <br />YIS .'NO <br />6Y DATE O7HlH <br />1't NALI Y <br />TOTAL <br />S (IN:PRO7:C:iONSYSTfht "_ <br />5 GHAOIVCiI%UV'.A710N6(II�dINC'GRVIII1LUG <br />G DNAINAGL <br />1. IN\'IRONMfNTAI. lA1PACT $iATEA�FJ:� <br />N �HEA1.7H DISTRIC7 <br />APP.ICNION \lC ItY PLANSUiLO:lU07' I AI'VH IOR ISSUANCI 11V <br />�i � l'� <br />Fkf <br />5 <br />UI7C <br />Sf.0 IOJ�a) <br />� <br />S <br />5 <br />NLCK FEE <br />ftECEIPT NO. <br />FEF <br />PERMIT VALIDAiION <br />�1'HI ti I'NOPf RI.1' \'AIIDATFU 1�� �Hlti SPA�FI THIS 6 1'OUR FERMR <br />