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_� . �, . . ' �. ' 1 <br /> a <br /> � <br /> ,�,E„,ro,,,� APPLICATION FOR ���rc„ <br /> everett ��NPERMIT��ON �p <br /> L� <br /> DEPT OF COMMUNITY DEVELOPMENT$ERVICES <br /> CITY HALI 259-8745 <br /> ev[tteii,wnveZm ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMITNO. <br /> OWNIR MAIIA�DN155 CIIY ZIP PNONF <br /> ; Cornelia Peters 1309 Broadway Everett 982G1 252-0118 <br /> APCNITlCi OR OISiGN(R MML�000.f55 CIIY ZIP PHONE <br /> �."ae`r`ett"�uilders , IRCM�IIAgo��sb Evergreen Way `"�verett 9���103 35���'�`161 ���ENSE� <br /> MICN�MCRCGNiRAC10N MMt��UR65 ���Y LIPZZ'3'�1��i V"�R-ER 30Y"PH <br /> PIUMPi�+CCONipnCiON MARnODRL55 Cllv LIP PHONf U[ENS(I � <br /> . 1 <br /> CtA55 Ot 1\ONY, <br /> ❑NEW ❑/.f791TION �ALTERATION ❑REPAIR ❑OEMOLITION ❑FENfE ❑SIGN ❑GARAGE ❑BUILDING REIOCATION <br /> rnwnnoN or woxa <br /> . 2375.00 <br /> OISCNIBI N'ORK <br /> Reroof residence . <br /> reovoxoust or nwmi�,G I HEREBY CERTIFY THAT I HAVE READ AND EXAMWED THIS AP- <br /> res ide nt ia 1 PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> IIG�l06CRIP110Y Of PROP(0.IYISMONN 9FlOW OR�II�CN IOUX COPIISI PHOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL 8E COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> �ot_aixx_ov OR NOT. THE GRANTINC OF A PERMIT DOES NOT PRESUME TO <br /> POW2YS ZRd Ada BLK 251 D- oo LOCS S $� GIVE AUTHORITY TO VIOLATE OR CAtJCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATINC CONSTRUCTION <br /> OR THE PERFORM NCE OF CONSTRUCTION. <br /> 5474-251••005-0000 SICNATUREdFCONJ � ONOftAUTM9R1 DAGFNi DAT��I <br /> . �� <br /> IOP eODRtSS / <br /> 1309 B oadway Everett , Wa 982�1 X�� �t t//v� (G <br /> ilUM61NG MFCNANICAL , <br /> HO. TYPE OF FI%"UIIE FEE NO. 7YPE Of EQUIPMENT FFE <br /> WATEflClOSLT�IOLlfT1 AIRCONn UN:TS—MP U <br /> ftAl11TUB HEfRIf,ERA710N UNITS—HP.U <br /> LAVATORI�WASN BASIN) HOIlIRS—H P EA <br /> SIIOWER WSRR[D�C UNITS—TONNI.GEEA <br /> 'JICHEN SINK 6�ISP IORC[O AIR SV.TCMS—BS U. M EA <br /> DISWASMLR K'ALI.HL�I[NS—IiiU M <br /> UUNDf.Y 70.AY UNIT HU7lft5—U T U. M <br /> (lO7HL5 WASH[N (\'APORATIVF COOLENS I <br /> N'A7LR NUTER ClO7HL5 DNYIRS <br /> URINAL VLN71U710N fAN <br /> DRINKING fOUN1AIN RANGE HOOD <br /> lLOORDRAIN AIRNANDUNGUP:IT— CFM <br /> VACUUM PRUKEPS STOVE <br /> ROOF URAINS—RAIi'tEADE0.5 METAL FINfPUCE BCHIMNCY <br /> SINK ISfRVICE—OAR,E iC 1 <br /> SU�70TAL SU�iOTAL f <br /> ►FIIMIT f �FtMIT ! <br /> TOiAI IE[ f TOT�I iEE f <br /> S�Of YARD SCTOACK STR[FT S[TflACK RUR YARD SLTOACK PUN CH[CK NUMO[0. PLAN CMCCK Ff[ <br /> fEE RECEIPTNO. <br /> USE ZONt LOT ARU y���Nt SIT[ <br /> �YES ❑NO iEES V�IUAiION iFF <br /> TYPE OF CONST OCNPANCV GROUP NO Of OWELtING UNITS <br /> BUIIDING s <br /> $IZL OF NIDG NO OF$TORIES MA% OCC IOAD <br /> PWMOINC <br /> fIRF ZO4E 6A5[MENT flfDHWMS iIR[ SPRI4KLfN5 <br /> RfQUIR[� MKNANIUI <br /> ❑YFS ❑NO <br /> � A►f�OVAl3 er DATf O7N[R <br /> 1 FNVIRONMtNTAL Cf1ECK LIST U.BC. <br /> PINAITV 5[C.JONr) ' <br /> 2. BUILDING PUNS <br /> 7 fIR[ I/YDNANT fOTAI <br /> � FINC PROTFCTION SYST[M HRMIT VALIOATION <br /> WHEN PROPfRLY VALIDATED(It!THIS SPACF)TMI515 YOUR PFRMIT <br /> 5 GRAOINGIL%UVAi�ON6ClURINGIGRUBBING <br /> .� • <br /> 6 ORAINAGf <br /> Z [NVIRONMENTAL IMP�CT STATEMENT <br /> E. NFALTM DISiFICT ' <br /> APPLIGTION ACC.9Y PU�NS CHEIXED BY APPR.FOR ISSWNCF BY <br /> � <br /> � <br /> 94 79 <br />