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r '� <br /> APPLICATION FOR <br /> `°.E'.,°,"" CONSTRUCTIOn ee <br /> cm os <br /> everett PERMIT <br /> DfVI U� CUMMUNI71 Uf\'klOVMkNI SERVICES <br /> CITY HALL 259-tl]i5 <br /> EveaetT, wn 4azui �COMBINATION ❑ BUILDING I�MECHANICAL ❑PLUMBfNG PERMIT NO. <br /> owme nuu eunxix n,� rrn vHOMi � <br /> a�,.�,ky�;-, r1�.t�Y.,, � Y� � �u� st y�,��� - <br /> �RCHII[CiORpEfI(;htV M�ILAfIURL55 tllY IIV PMOUF <br /> GttitNnlCOMlqe�i')0. Mnitn��R[SS CiiY ZiP PHOtiE IICFtiSE/ <br /> ��I�MMUAlcOS1X1110N ��IADONfR OlY � LIP PIIONf IICENSf1 <br /> ,6�4�ilc /�1�.�..G�ky �ff<<�rKy ?1</ r�k�.�„l�lf Rdl!/�ay`Vth Ir::r �3�-�rnl � <br /> PI���Pi�cC(nIRnCIOR mnILA�UNf>f O�T Ziv PNONf I�CENSf/ <br /> t 1 U>Ui NORK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑$IGN ❑GARAGE ❑BUILDING RELOCATION <br /> C�W�11Jh Of N ORR <br /> t <br /> �f)lRltlE NINA <br /> naovos[ocsE or eu�oi�c I HEREBY CEf2TIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> i[u�oEsceivuo�o�raovean isHow�n eEiow on nrucM roue coNifs� PROVISIONS OF LAW$AND ORDINANCE$GOVERNING THIS TYPE <br /> OF WORK WILL BE{OMPLIED WITH WHETHER SPECIFlED HEREIN <br /> ��r_�����K-�'� OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTNORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SICNP.TUNE OF CONTNnCTOR OR nUTHORIZED AGENT DnTE <br /> ioanoorstss ,� �/���1�� <br /> x C 0 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE <br /> WATfR CLOSET(TOLIfi) AIR COND 11NIT$—H P fA <br /> BniHTUB REFRIGERnTION UHITS—H P EA <br /> UVATORY(WASH BASIN� 8011ER5—H P En <br /> SHO`n'ER CAS FIRkO AC UNIT$—TONNAGE EA <br /> KIiCHEN 5 WK&DISP FORCfD AIR SYSTfMS—B T U M EA <br /> DISWASHER wnLL HE/TEBS—B i U M <br /> LAUnDRViRAY UNRHE�ikNS—BTU M <br /> CIOTHFS WASHEF EVAPORATWE COOlE25 <br /> w�TER HEATER CLOTHFS DRYFRS <br /> '.NINAI VFYiIUiIOM1 FAN <br /> DRWKIYG FOUNT�IN XANGF NOOD <br /> fIOOR DRMN �IR HArvOLING U�'�IT— C F m <br /> VACUUM BRE�KER$ SiOVF <br /> ROOF DRnIYS—RAMLEADERS MFUL FIREPUCE 8 CMIMrvEY <br /> $INK 6PRVICE—BAR ETC I <br /> SUS TOTAI SUB TOTAI 3 <br /> �ERMIT 3 rERMIT f <br /> � iOTAIFEE S TOT�IfFF f <br /> SIOf V�RO SFTfl.1CK S1REE�$(TU�CK RE,1N YARD SETB�CK PUN CHfCK NUMtlfR PIAN CMFCK fFE <br /> FFk RfCEIPT NO <br /> USf LOM1E LOt AREA ynUrvt SIiE <br /> .'VES ��.NO fEfS VAIV�TION FFF <br /> tYYE Of COhSi OCCUVANCY GROUP NO OF DwflLlNt]�'nliS <br /> BUiLUrvC s <br /> SIZE Of tl��G NO Of STORIfS MA1t OCC IOAD <br /> YLI:�nH�'�� <br /> iBE ZOHE BASEMENT 9lDftOOMS FlRE SPRINKlERS <br /> REQUIREG mE(H�NIUI � <br /> lVK f'NO <br /> � AH�OVAlS •Y DRF OTMER <br /> 1 ENVIRONMEN1AlCHECKL6T p�ry�L7Y UBC <br /> SEC lOJlal <br /> 2 BWLDIHGPUnS <br /> TOT�I <br /> l iIRE MYDNANi <br /> 1 fIRE PROTECTION SYSTEM �E�MIT V�IIDATION <br /> I wHEH PROPERL�V�IiDAiED IIN iHIS SPACEI tHI515 YOUR FERtillT ' <br /> 5 GRADMG'F%UV�ilOH6QEAMINGIGBUBtlING <br /> 6 �M�Ir+nGf <br /> ] ENV�ROrvMfNUI IMPACT STATEMENT <br /> E MEALTM DISLNIR <br /> �PPLICAiION ACC BY PUN$CMECKEO BY �VPR iOR ISSUANCE 9V <br /> I <br /> 9-7 79 <br /> ♦ � <br /> � � <br />