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r ..� <br /> APPLICATION FOR. ���,�„ <br /> '„.E""'"° CONSTRUCTIOf� <br /> cm oF � <br /> everEtt PERMIT <br /> DEPT. OF COMMUNITY DEVELOPMENT SERVICES . <br /> CITY HALL 259�8715 .' <br /> EVERETT,WA98701 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> ��yry�q M�IL�DDNF55 ,� CITY ZIP PNON[ <br /> 2,�w M. ����,���- /5 !9 /.Si�,rnd«,�, ��-tf ��i �l�9 D iY' � <br /> APOIR[CT OR DILGnl0. MAR ApDRE55 U� 21P PNONE <br /> GtHERMCOH�R�CiOR M�IIeDORESS UTY ZIP PMON[ llC[HSE� <br /> � M(CN�NIUI CONIRACLOR MAII�OpPES$ ��TY LIV PNONI I�ClNS[� � <br /> PIUMBInGCONTP�CLOR M�IIeDOR[5$ ❑iY ZIV PNONE I�CENS[■ <br /> CU55 Oi N'ORK <br /> ❑NEW �ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGF ❑BUILDING RELOCATION <br /> W WAiION Of N'OR[ <br /> + '� .�L � O C7 <br /> oiscei i wo�/pK,.y� Q , r' �L ,. . <br /> a�C=1 Lu��+-- 0 �- tm., Lv� � `f- Li c r�Gt��-.l ? rCe /H�[ n <br /> raor o si ov emmi�c 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> S 1 Z C ' PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> ucei oiscnir IOH Of PROPlR1Y�5HON'N B[lOW OR�IIACN fOURGOPIl51 PROVISIONS OF LAWS AND ORDINANCES COVERNING THIS TYPE <br /> 5-(; OF WORK WILL 9E COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> iorl�t�� eiocx3-�or � , i 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 /> SIGNAT E C CTOR UTHORI D ACFNT DATE <br /> �OB nDD�6�� � r�� � � y � <br /> IJ X u <br /> PLUMBING � ME HANICAL <br /> NO. TYPE OF FI%TURE FEE NO. TYPE OF EQUIPMENT iFE <br /> WATER ClOSkT�1011E71 (`� AIR COND UNI75-H P.FA <br /> RAIHTU� R[fRICCRATION UNITS-H P CA <br /> IAVAIORYfWA5HNA51N1 �O BOR[RS-MP E� <br /> SHO\41R GASHRED AC UNITS-70NNAGEfA <br /> KIiCHE�I SINK 8 DISP fORCID AIH SVS7EM5-B.TU M EA <br /> DISN'ASN[R \WLIHfATLRS-9TU M <br /> UUN�RYTRAY UNITNU7lR5-9TU M <br /> CLOTHLS�.'ASHFR tVAPORATIV[COOlERS <br /> 1vAT[R HEA7FN CIOTNES DRY[RS <br /> URINAL V[N7IUTION MN <br /> ONINKING FOUNT�IN NANGE HOOD <br /> f LOOF DFAIN AIR NANDLING UNIT- C F M <br /> VACUUM PRUKLRS S70VF <br /> ROOF DRAINS-RAINIfADCRS MfUI fIRfPUCF 6 CHIMNCY <br /> S�NK�SENVICL-6AR,EiC) <br /> . y <br /> SU�T07A1 � Q�J SU�70TA1 <br /> ►FlMIT i R�MIT f <br /> TOTAIiEE f iOiAIFEF � 3 <br /> SID[ YAR�[781CK Si8[[TSC��CK RU0.i;RDSETOACK PlANC11CKNUMBCR FkE /�/= RECEIPTENO. J <br /> '�� '� � l/9� <br /> L'SE 7.OH[ LOT ARU VACANT SITE IF6 VAlUA710N fFF <br /> "'p_�Z ��' `� ❑Yf5 G�1PG <br /> �J <br /> TYP[ Of CONST OCCUVANCY GROUP NO OF DWELIING UNRS <br /> Y- ��I ���- �_ BUILDInG �z�+ �'JOZQU <br /> 512[Of 6LOG NO.OF STORIES MA% OCC IOAD <br /> ' `. � �- PWMBING ¢ � <br /> i <br /> flRE ZON[ BASFMfNI IILUNOOMS FBL SPNINNlFRS � � <br /> RIQUINLD ,� M[CHANICAL <br /> _� �� -� C1YR ILNO <br /> �MIIOV�If tt DATF OTHF0. <br /> 1 [NVIRONM(NTALCH[CKLIST P�N��T� UBC. <br /> SEC.70JIe1 <br /> 1. BNLOING PUN$ ^ <br /> TOfAI L Q� <br /> � J fIR[ M1'DRANT 1 <br /> i � IINL PkOTlC710N SYSTfM ►F�MIT V�IID�TION J <br /> WHCN PNOPCRLY VALIDAiEU�1N IHIS SPACf17N1515 YOUR P[NMIT <br /> S GRn�INGII%C�VnTIONSCIURiNLIG0.UflflING <br /> 6 DRAIN�G[ <br /> 7 ENVIRONM[NTAI IMPACT ST�T[MENT <br />� E. MFAUH DISTRICT <br /> APPLIUTION A[C BY PLANS CMfIXCO BY AVPR iOR ISSUAN[F BY <br /> I� ��g �{Ulil L ' G. <br /> 9�1�79 <br />� • � <br />