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APPLICATION FOR <br />CITYOf '^ %.,ONSTRUCTION <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVERETT.WA95201 COMBINATION BUILDING ❑MECHANICAL El PLUMBING PERMIT <br />OWNIR MAIL ADDRI55 <br />I, n <br />7 % hr PHONI <br />uMlil[l OR OISIGNfA <br />AIL ADORISS CITY <br />evefen <br />--�'-- LICINSI 1 <br />PIUMRING CONTRACTOR MAIL ADDRISS <br />CITY TIP PHON[ <br />[LASS Of WORK <br />❑NEW ❑ADDITION ❑ALTERATION <br />VALUATION Of WORK <br />+ �JnO1nn <br />OISCRIBI WORK <br />PROPOSI0 us[ OI BUILDING <br />LIOAL UISCRIPIIONOf PROPIRIY <br />LOl/3±�lJ BLOCK dyl O <br />,as ADORISS <br />PLUMBING <br />NO. TYPE OF <br />TRAY <br />NASHIR <br />BACK <br />LOT <br />IMCN7 7- <br />PAIR ❑DEMOLITION ❑F[NCI ❑SIGN ❑GARAGE 0 BUILDING RELOCATION <br />Y CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />Buow OR AnecN rouR cONEH19—— <br />ONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />K WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />(/ r •r U J THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />THORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />HEL STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />PE tFORMANCE OF CONSTRUCTION. <br />E OF CONTRACTOR OR AUTHORI2FD AGENT DATE <br />,1l ze /. _ _ � 9--/ - it l <br />APPROVALS <br />1 ENVIRONMENTAL CHECK LIST <br />2 BUIIOING PLANS <br />I FIRE HYDRANT <br />A TIRE P0071CTI0N SYSTEM <br />S GRADINGIIKEAVAIION I _ t.IRINGIGRUBRING <br />B DRAINAGE <br />7 INVIRONMENTAL IMPACT SIATIMINT <br />B HEALTH DISTRICT <br />f <br />f <br />VACANT SITE <br />OYES ONO <br />RY <br />MECHANICAL <br />NO.MR(FRIG[RATION <br />TYPE OF EQUIPMENT <br />UNITS -HP EA <br />ATION UNITS -HP EA <br />HP EAAC UNITS-TONNAGEEA <br />IR SYSTEMS- 'U M <br />ATERS-BTU M <br />TERS-BTU M <br />TIVE COOLERS <br />CLOTHIS DRYIRS <br />VINTILAIION FAN <br />RANGE HOOD <br />AIR HANDLING UNIT- C F M <br />STOVEP_ <br />METAL FIREPLACE B CHIMNEY <br />FEE I RECEIPT NO <br />aRs <br />LDING f <br />MBING <br />CHANICAL <br />HER <br />UBC <br />MIV ME IORRI <br />TOTAL <br />PERMIT VALIDATION <br />WHEN FROM RLY VALIDATED TIN THIS SPACE THIS IS YOUR PERMIT <br />AYPLICA110N ACC BY PLANS CHECKED KY APPR I, IR lSSUANCI BY <br />9-1 79 <br />