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V <br /> � �� <br /> i <br /> f ApPLICATION FOR <br /> � '"'E"`°`"° ..ONSTRUCTION �ye <br /> CIT'OF <br /> I everett PERMIT <br /> IOEPT OF COM�.tUNITY DEVELOPMENT SERVICES <br /> ( CITY HALL 259�87�5 <br /> EVERETT.WA98If,1 ��OMBINATION �BUILDING ❑MECHANICAL ❑PLUMSING PERMITNO. <br /> � <br /> QWtifR f�MAII�DUNf55 � -r/- CITY 21P G�PNON[ / <br /> � / O 'C ,Q4�� C U� eL✓ ��/8' �'/`+/ /8'?eI <br /> �RCMII(C RDIS �4R �o M�ApILApDRISS Q r ❑1Y IY /YM-O'HE ep / <br /> �I1 �^� C.�pirr%. L.d. O •�• /J'eX /rZ99 �/a+.r�`,`L�i✓, / � '�d(o' <br /> I GfNIR�ICOMRSCiO� M�Ile0DI1I55 OTY 21P �HON[ �GL lIC[NS[I <br /> �D✓ r%� � <br /> � NICIqAIUI COYtq�C10N M�IL�00Rl55 CIIY CIP VMOH[ IICFNS[� <br /> No .�� <br /> PIUMP�MGCO!�iR�C10M MAllAO0Rl5,5� CIiY 2iP PMOHE l�C[HSU <br /> �.e,.,a/ T..� o-�- L� .a�� <br /> CI�SS Of wO11K <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR �DEMOL�TION ❑FENCE ❑SICN ❑CARAGE ❑BUILDING REIOCATION <br /> Y�W�IIO�Of NORF - <br /> f <br /> DISCR181 NN ' <br /> � <br /> rnorosiovsi o� nwioi�+c 1 HEREBY CERTIFY THAT I HAVE READ AND E%AMINEO THIS AP- <br /> PLKATION AND KNOW THE $AME ?O BE TRUE AND CORRECT ALL <br /> lFGel DISCRiPyQ�r�OpOPfRIY�SHONN flLLOW ON�iIACN 10UI1 COVi15� PROVISIONS Of LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> K OF WORK WILL BE COMPLtED WITH WHETHER SPECIFIED HEREIN <br /> ioi.�.�eiocK�_or`pG'S OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> � CIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> �t�i ,�� . . � �� ANY OTHER 5T OR LOGL LAW REGULATING CONSTRUCTION <br /> OR Tl1E PERF RA ANCE OF CONSTRUCTION. <br /> �/ / SICNATURE OF N UCTOR OR AUTHONIZED A FNi OATf <br /> N <br /> IOB�DDRlSS <br /> X <br /> PWMBING MECHA L <br /> i NO. iY/E OF FI%7URE FEf NO. 7Y�E Oi EQUI�MENT FFF <br /> I K'AT[N QOSCT�TOLIET) AIR CONO UNITS-H P tA <br /> I pATN1UB REfHIGIHATI0NUN115-NP U <br /> I UVATOBY IK'ASH �ASIN) BOLL[NS-H P FA <br /> L SNON'ER , WSfINEDAC UNITS-TONNAGEU <br />� NITCHf N Slhe 6 DISP (ORCI D AIR SYR[MS-8 T U M EA <br /> DISWA511[R N'AL/HUTLRS-PTU. M <br />�'1 UUNURV 1RAY UNI7 HUTfNS-B T U M <br />` CLO1Nl5 wA1NlR fVAPORAi1V[COOI[RS <br />{1 � WA7lR HIA7tR ClO7Mf50R�IR5 <br />!�� URINAI Vf N71UI ION f AN <br /> i�� RANG[ MOOD <br /> DNINKING FOUNiAIN <br />�f�, iIOOR DRA��' AI0.HANDLI'+G UNIT- C F M <br /> VACUUM PREAKINS S70V[ <br /> ROOI DNAINS-RAINLFAD[RS MFTAL flfllPUC[ 6 CHIMN[Y <br />�,,, AN'F.6FRVICC-BAR FTC1 <br />� <br /> 1. <br /> 1 <br /> i SU�TOTAI SU�TOTAL � <br /> �1 ►ERMIT f ►[�MIT s <br /> { IOIAI tE[ ! TOiAI f[L � <br /> S�OF YARO S[TOACK SiR([t SLTIIACK RUX YANO SElOACK CUN CH[CK NUMBEN PLAN CHKK fEE <br /> Rf RfCEIPT NO. <br /> USE ZONF lOT AREA yAUNT 511[ <br /> GYFS LNO iFfS VAlUAl10N fEF <br /> � iYPF OF C0451 OCNPANCY GROUP NO OF OWELIING UNRS <br /> i <br /> • BUIIDINL f <br /> { SIZE O�NIUG NO Of SIURIES MA% OCC LOAD <br /> PLUMOINC <br />�1� FIN[ ZONF BASEMFNT �����K������5 REVUR[OK`t�s MfCHAMUL <br />��� ❑YIS CNO <br /> A�f110VA15 �Y DAIF OINFR <br /> � 1 ENVIRONMFNTAL CNFCK LIST �A� <br /> PINAl7Y SEC )olfal <br /> � 7 BUILDING PLANS � <br /> 7 FlR( HYDRANT TOTAI <br /> � FIRF PNOTLCTION SYSTEM �[IlMli YAIIDAtION <br /> :' �� WHFN FROPFNIY VALIDATEO IIN THIS SPACEI THIS i5 YOUR PlRMI1 <br /> 5 GRAUINL:I%CAVATION6CLfARING;GRUtlHING <br /> I 6 URAINAGE <br /> � ) ENVIRONMfNUIIMPACT5TA7EMENT <br /> 1 E HEMTH DISTR�CT <br /> APPLIUIION ACC BY PUNS CHECKED BY APPR ION ISSUANC! AY <br /> �I i1 'n <br /> _ . _ . _ __ �__ <br />