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APPLICATION FOR � IYCI.Ii <br />�TYOF *CONSTRUCTION O <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 759-01A5 <br />E VERET1, wA 96201� COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNER MAIL AUOII VS 111^Y /' lIV IIIUYI <br />^off 7 n <br />fll\ JII INONI <br />UININAIC �IRACIOR MAIL ADURISS (III JII PHOH�AS/�9fII,7S3�[ <br />Mll-NAh CAI CONIRAC TOR MAR ADONIS% ( 1 JIP IIU 1 IICINHI <br />11UMRtNO CONTRACTOR MAIL ADDIISS OD SR NIOhI OCI NSI / <br />r,�LASS01 WORK <br />DT/,IW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑RIIIEDING RELOCATION <br />VA.W IIOv VI woww v <br />13 c—, <br />DI NRIni WOnK <br />Tl1 �5/ AJQi�1�� <br />IRUN)ND USI Of RUILOVAC <br />LIOAL D� LION OI N1011RD ISII I� 1 I eallolh ON ATTACH Impfor 0 SIMI, �_DIVi <br />JON AUDNI SS <br />PLUMBING <br />YPE OF I <br />11TOt It <br />.0141 IWASH <br />IIII <br />11 N SINK 6 D <br />ASHIR <br />DRY IRAY <br />III% WASHIR <br />DRINKING /OEI iWN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS -RAIN; <br />BACK STRUT'ITB ALK / <br />LOT AREA <br />TYPE OF C <br />ocr: <br />I?Aq4• S.F. <br />TIRE 2ONI` I"ASLMINT I Ill llµl <br />7 <br />APPRO, AI S <br />1 INVIRONMINIAt CHECK LIST <br />E BUILDING PUNS <br />1 FIRE HYDRANT <br />A FIRE PROTICIION SYSTEM <br />S CRAOINC41LCAVAI ION& CEIARINGIGRUBRING <br />6 DRAINAGt <br />Y INVIRONMINTAt IMPACT STATEMENI <br />6 HFMTHDISIRICT <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT THE GRANTING 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 />SIGNA/I l OTC, IRACf�O�UI�IURI2L0 AGENT DATE I/11/d-f- <br />FEE NO. TYPE OF EQUIPMENT <br />ZI AA 1 AIR COND UNITS -TIP to <br />f <br />RI AR UKU St 10AC 1J <br />tea/ <br />VACANT Sill <br />>k1s ONO <br />NO Of DWELLING <br />I <br />MAX OCC LOAD <br />S <br />BY I DATE <br />APPLICATION ACC BY PLANS CHICKIED BY APPLE FOR ISSUANCE FIT <br />�17 qIt",)) I /. c. <br />:AS FIRIDAL UNITS-TONNACI[A <br />OROD AIR SYSTIMS-B I MLA <br />NALI HIAI[RS-B i U M <br />JNII I/EAIIRS-BIU M <br />IVAPORATIVI COOLIKS <br />fIOTHIS DRVIRS <br />VINTIIAIION LAN <br />RANG( HC1OD _ <br />AIR HANDLING UNIT- C F M <br />STOVE <br />AIL IAI IIRI PEA( 1 6 CHIMNIY <br />uu •mu f <br />'1 AN CHECK NUMBI R <br />1'1 AN CII; CK 111 <br />� <br />dy /al7, <br />RKIWI NO <br />11llyo '.2 Q,— <br />IttS <br />VALUATION <br />EEC <br />BUIt DI 'G <br />d <br />00 <br />PIUMBING <br />�?(p2 <br />All (LIANII AL <br />O 0 <br />WHILE <br />- <br />PINAnY <br />UNC <br />sic MXA) <br />TRIAL <br />z <br />PERMIT VALIDATION <br />WHIN PROPERLY VALIDAI(DIIN 71415 SPACO THIS IS YOUR PERMIT <br />O <br />y <br />m <br />-4-n <br />�m <br />vo <br />IYl 0 <br />oI= <br />-1 2 <br />rn 1 <br />m <br />AD <br />c: <br />f y S <br />N <br />AT <br />n D <br />7C F3� <br />rl <br />Ln <br />O <br />sr <br />Cg N <br />T Ix) <br />zn <br />y r <br />a <br />7D <br />zI <br />O <br />y <br />m <br />91.79 <br />