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A,�PPLICATION FOP1 ���,�n <br /> �TM�'°'"^ :,ONSTRUCTION � <br /> everett PERMIT <br /> DEPT.OF COMMUNITY DEVELOPMENT SERVICES . <br /> CITY HALL 259�8745 <br /> EVERETT,WA98201 ���MBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> OWNlR MAIL�OOX65 CIIV 21P YHONE <br /> ��(c✓r K �0,� �6�o ��a�c�v eQ,v ..rr�-�r �ir w.�� _ <br /> �RC��1 OR DESIGN[R Mell�DDR65 CITY ZIP YNONE <br /> M�II A�DRE55 CITY ZIP PMONE FNSE� <br /> GINENMCONiRAQOR �;v <br /> �t ' NEr�.v cd z>vc 2�o�a Gi r�c✓ LYN�✓ wfi 94'�z 77G P�a�i ,u .�R v.v zY7 <br /> n1lCH�NIUI CONiRAC10R M�II nD00.F55 CITY LIP PHONF LICENSE 1 �i <br /> PlUMI11tiG CONLPACIOR MAII�OON65 ❑iY ZIP PHONF IICENSE/ <br /> [I�55 Oi N'ORK <br /> � ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> l'1WAilONpf W00.K <br /> y /1 s� O tl <br /> �` � <br /> DLSCRIO[WOXK <br /> Ennc.��T .nvrrz�✓ 3 X Y � �rz�.�an szw.+• Srs.�I <br /> PROPOSIO USF OF PUILOIrvG I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> CQ�,�,��i,�;�.Z �•� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT All <br /> lEWl0E5CXIPiION Of PNOPEPtY ISNOWN PEIOW ON e1iACH FOUR COPIf51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ioi _uiocK_ov OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHOKITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATURE OF CONTRACTOR OR AUTHORIZED ACENT DATE <br /> IOP n00RE55 �� /}��/� Y � �, ' � <br /> Q �/DI40 � <br /> PWMBING MECHAN�CAL <br /> NO. TYPE OF FIXiURE FEE NO. TYPE OF EQIIIPMENT FEE <br /> WATER CLOSET ITOLIE 0 AIR COND UNITS—HP.EA <br /> BATHTUB REFRIGERATION UNITS—H.P.EA <br /> LAVATORY�WASH OASIN� BOLLERS—MP.EA � <br /> SHOWER GAS FIRED AC.UNITS—TONNAGE EA <br /> KITCHEN SINK 6 DISP FORCfO AIR SYSTEM$—BSL. M EA <br /> 1VALL HEATERS—fl.T.U. M <br /> DISWASMfR � <br /> LAUNDRY TRAY UNIT HEATER$—B.T.U. M <br /> [LOTMES�v�SHER EVAPORATIVE COOlERS <br /> WATER HEATFR CLOTNES DRYEHS <br /> URINAL VENiILATION FAN <br /> DRINKINGFOUNTAIN RANGE HOOD <br /> FLOOR�RAIN AI8 MANDLING UNIT— C.F.M. <br /> VACUUM BREAKFRS STOVE <br /> 200F ORAINS—RAINLEACERS METAL FIREPLACE 8 CMIMNEY <br /> SINK 6EkVlCE—BAR.[TC 1 <br /> SUli01'AL s <br /> SUlTOTAI <br /> �EIIMIT f ►EIIMIT s <br /> f TOiAI FFF f . <br /> iOTAIiEE <br /> PLAN CHECK PEE <br /> SIDE VARD SCTBACK $TREET SCTOACK R[AR YARD SETOACK PLAN CHECK NU�10[R FEE ftECFIPT NO. <br /> USE 20NE LOT ANEA VACANT SITE FEES � VALUATION FFE <br /> OVES ❑NO <br /> TYPE Of CONST. OCCUPANCY GROUP NO.OF DWEILING UNITS <br /> BUILDING s <br /> SIZE OF BLDQ NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBI.VL <br /> FIRE ZONE BASEMENT NLDROOMS REQU REI�NKLERS MfCHANICAL <br /> ❑VES ❑NO <br /> A►flOVAlS er DATF OTHFR <br /> 1. ENVIRONMENTAL CHECY.LIST U.B.C. <br /> Pf NAITY SEC.J03�a) <br /> 7. BUILDING PUN$ <br /> TOTAI <br /> 7 FIRE HYORANT <br /> � FIftE PROTECTION SY51EM ►EIIMIT VAIIDAiION <br /> WHEN PROPERLY VALIDATED f�N THIS SPACF�THIS IS YOUR PERMIT <br /> SGRADINGIfXUVAT�ONBQEARINGIGRUBNING � ��—�i �/� <br /> 6. DRAINALE � ��C <br /> 7. ENVIRONMENTALIMPACTSTATEMENT <br /> 8. MEALTH OISTRICT <br /> APPLIGTION ACC.BY �NS CK BY APPR.FOR ISSUANCE BY <br /> 2� <br /> 94J9 <br />