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everen <br />"TMo'°'�° ` �CINSTRUCTION u <br />c�verett PE RI� �'� <br />UePT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259�8745 <br />EVERETT, WA9B201 ��pMBINATlON ❑ BUILDING ❑MECHANICAL ❑PLUMDING PEi2fV91T <br />O\SNER <br />AUIIA��Nf55 CIIY 21P PNON[ , <br />/ //�,/1 ��/�f3 �vevr�rle,�...U.�ay �en�e7f <br />,/� ( / %� LL I � [ITY ZIP PHONE <br />ARCIIIIECT OF ODIGN{R Mell A��RE55 <br />G[HH�ICONiqACLON M�ILApURE55 <br />Cllv 21P PMONE LIC[HSE 1 <br />n1All AO�RE55 CILY LIP PHONE IICENS[ I <br />M[CMANICA. CONiRACiOR � f �/ Ql�/ _ C/V/� /�//�II �// 3 <br />%;1�1.. S' �/ �"K o r S �. 9 u 7 �a r�r ti <br />,.�✓ E� J( i Z�p pMONE ���FNSE � <br />PIUNBI!c(' OhTR�C10R <br />MAIL AOD0.F55 CIIY <br />CU55 Oi N'OXK <br />❑NEW ❑ADDITION ❑ALTERAT�ON ❑REPA12 ❑DEM7LITION ❑FENCE ❑SIGN ❑GABAGE BUILDING REIOCATION <br />v�wnriar+orwoaa �L4f�Q � Il�.�STL�I_J1�1"1 �' <br />, <br />.S oo •`�'� � -ro-r�c� c-o�-r �- � 1 <br />D6CRIIIE WOR'. � � � �� / i� S,e, / 1' <br />�� o v..c� V o— <br />aaoros:o �se or emmi�e <br />l[GM OiSCRIPIIOrv OF PPOPERLY �SHOWN 9ELON' OP �TiACN fOUR COP16) <br />�pJ BIOCK��� <br />ioe �ooarss G veY ��c eh. wAl� <br />�L��F 3 � �— <br />PIUMBING <br />NO. TYPE OF fIXTURE FEE <br />WATER ClOSFT (TOLIE71 <br />OATHTU6 <br />LAVATORY lWASH BASINI <br />SHOWER <br />I:ITCMfN SIhK b DISP <br />DIS\VASHFR <br />LAUNORY TRAY <br />CLOTMES\VASHER <br />WATFR MFATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />VACUUM BREAKFRS <br />ROOF ORAINS—RAINLEADERS <br />SINK �SfRVICE—O�R. ETC I <br />SUB T07AL <br />/ERMIT f <br />� TOTALfEE s <br />���� �.on ccrn�re STRFET 5CT8ACK RUR YnRD SET <br />USE ZONE � lOT AREA <br />TYPE <br />Of BLDG I NO OF <br />FIRE <br />APPIIOVALS <br />1 ENVIRONMENUL CHECK 115T <br />dUIIDING PUNS <br />J fIRF MYORANT � <br />.1 FIRE PROTECiION $YSTEM <br />5 GRAOINGIf%GVATIONLQEAHINGIG0.UBAING <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />E HFALiH DISTRICT <br />APPIIUTION ACC BY PLANS CMECKfO 0Y <br />�,.� � /';. <br />9-1 79 <br />VACANTSRE <br />DVES ❑NO <br />VO OF DWELLING <br />ET <br />APPR FOR <br />,�, � � v <br />I HEREBY CERTIFY T AT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND URDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIfIED HEREIN <br />�IVE OAUTHOR TYATOIV O�FTE OR CAN D� THE ROVISIONS OF <br />ANY OTHER S7ATE OR LOCAL LAW RECULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTO�Oft AUTHORIZED AGENT �ATE <br />MECHANICAL <br />Np, TYPE OF EQU <br />AIR COND. UNITS—H.P. EA <br />FRATION UNIT�—HP EA <br />��� <br />:5—HP EA <br />RED AL. UN�TS-TONN�� <br />D AIR SYSTEMS—O.TU <br />M EA <br />��L-((a ��b <br />1yALLNEATCRS—OTU M <br />UNIT MEAiFRS—P T U �� <br />EVAPORATIVE COOLERS <br />CIOTHES DRYERS <br />VENTIUTION FAN <br />RANGFHOOD <br />AIR HANDIING U��IT— C.F.M <br />S70VE <br />MEUL FlNEPUCE 8 CNIMNEV <br />SUliOTAL s <br />ovwlr 3 <br />��N fHECK <br />9UIlDiNG <br />PLUMOING <br />VU�10ER PL�N CNFCK FEE <br />FEE RCCEIYT NO. <br />FEES VAlUAT10N fEF <br />S <br />MECHANIUL <br />DATE I OTMER <br />BY <br />Pf NAITY <br />U.e C. <br />SEC. 1011a) <br />TOTAL I � _ <br />�ERMIT VALIDATION <br />WHEN PAOPE0.LY VALIUATE� (IN TMIS SPACEI TNIS IS YOUP �ERMIT <br />(Z.. (u� c�c� �Ql ,� <br />