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fnsEwrD�^ APPLICATION FOR ���,e„ � <br /> ��TM�F CONSTRUCTIOh e <br /> everett PE RM IT <br /> D[PT OF COh1h1UN�TY DEVELOPMENT SERVICES <br /> CITY HALL 259�8745 <br /> EVERETT,WA9B201 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. � <br /> O\VNI�� q� � /� I� � �L/�All ADDMIS�� / / /UiY / 21P � PIIONf � rC��_�� <br /> J <br /> �� `t - �� a l I��J �`'i 1�3F - i ��_�'G iT- 9��u, � � 7 <br /> ARCIIIIlC10R0[$ICN[R � .UII��DRF55 ❑TY 21P PHONC � � <br /> GfNlR�ICONiR�C10R M�II�ODRF55 CIIY ZIP PHOtiF llC[NSk� <br /> n�fC�UnIUI CO!viR�QOR M�IL�D00.ESS CI1Y LP PNO`�E IICFNSE 1 � <br /> PIR�IPIVGCONiR�C10M MAII�DORE$S ❑IY 21P PNONF UCEHSE� <br /> CUSS Ok 11U0.0 �/ <br /> ❑NE\N ❑ADDITION ❑ALTERATION ❑REPAIR UdDEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑6UILDING RELOCATION <br /> \'AlV�iIONOf N00.a <br /> , �(� o 0 o v <br /> UISCRIIIL\VORN I <br /> renroseo us� ov nmioi+c I HERE6Y CERTIFY THAT I HAVC READ AND EXAMINED THIS AP• <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> ucu uiscairuoy OI PROVINIYIS��OWN11llO1V00.AL1�CN10URCOPII51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> ���/��/ �(�� OF WORK WILL 6E COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> io;IL_�'Gioc� '�1or � ' Sv OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> �NY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATU/RyE OF COYTRACTOR OR AUTHORIZED ACENi DATE <br /> ionnuoztss /�� �� � � / <br /> � vi .- C � X �`�. « <br /> PLUMBING MECHANICAL <br /> Np, TYPE OF FIXTURE FFE NO. TYPE Of EQUIPMENT iEE <br /> R'FTEN CLOSET�iOLIFTI AIR COND UNIiS-H P EA <br /> '+^�„T�� REINIGERATIONUNITS-HP EA <br /> lA\'.\TORYIIYASHOASIN� OOLL[NS-HP EA I <br /> SIIOWLR G�5 FINfD AC UNITS-7041:AGE EA <br /> KI701'.N SIKA A OISP fOHCfD AIR 5157EM5-9 T U ��EA <br /> UI$VVAiMCR 1YALL MEATCNS—B i U h1 i <br /> UUNDMY7RAV UNI7HfATINS—BTU M I <br /> Ct0111[5 WnSMfR LVAPORAiIVF COOLERS ' <br /> �YA7LF MEAT[R CIOTHESURYFRS <br /> VENTILAl10N FAN <br /> VNINnL <br /> pHINA1NG�OU�'7AIN RANGF MOOD <br /> ROOB OHAIN AIR MANDLINL UNIT— C F M <br /> VACUU.�IOH�AKfRS SlOtlk � <br /> HOOF ORAINi—RAINI.FADERS ��1[TAL fBlPLACE 8 CHIMNEY <br /> SINK IS[RVICL—OAN.ETC I <br /> SU!TOTAL s . <br /> SUBTOTAL <br /> PERMI7 S PERMIi s <br /> TOT�I FFE S TOTAI FFf s <br /> PLAN Ct1ECK FEE <br /> SIOE YARO 5[Tf1ACK STR[[T S[TItACK R[AR 1'ARD S[111ACA PUN�H[(A NUMUER `tE pECEIPT NO. <br /> USE ZO"1E LOT ARf� VACAN7 SIIE FFES VAlUAT10N FEF <br /> ❑YES ❑NO <br /> TYP! Of CONST OICUPANCI'GROUP NO OF OWELIING UNITS <br /> BURDINL 5 <br /> SIZC Of 11LOG NO OF STORIES n1A% OCC LOAD <br /> PWMIiINL � <br /> _ (IR[ ZOti[ BAS:MkNI �����HU���S HEQUIRPON�FRS MLCHANIUL <br /> f7VF5 ❑NO <br /> APPROVALS EY DATE OTMFR <br /> 1 [NVIRO�:MENUICM[IX115T PtN��T� UIiC <br /> SEC.]011al <br /> 2 13UILOINC PUN$ <br /> 70U1 <br /> ] IIR[ HYDRANT <br /> � {INE PROTECTION SYSTFM ►ERMI7 VAIIDATION � <br /> N'NEN PROPERIY VAIIDATfD IIN THIS SPAC[)TH1515 YOUR PERMIT <br /> 5 GRADINCfXCAVATIONbCIURInGIG0.U9BING <br /> 6 D4AINALF <br /> �NV10.0NMEKTAI.IMPACT STATUAFNT <br /> 8 F UUH OISTRICT <br /> AP1'LIGTION ACC BY PLANS CNFCKED BV APPR FOe ISSVANCE BY <br /> 9 1 ''1 <br />