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1.•1 <br /> I <br /> APPLICATION FOR <br /> �h.Ewro-~� 'CO N STR U CTIO I� `�"`" <br /> cim oF <br /> everett PE RM IT e <br /> 7EPT. OF COMMUNITY DEVELOPMENT SERVICES <br /> C;TY HALL 259�8745 � <br /> EVERETT,WA 98201 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> OWFtR MAIIeU�MpS CITY ZIP� pMONE <br /> _L��i9�'T�S f[�zi4 �fl,!a �'--Jc?,eo�c:-c�,v c.v,9�' Cv7T w�� � <br /> �NCMII(CTCR061GNfX MAlleU0RE55 CIiY 21P VHOI" <br /> GFNFn.�I COrviR�CiON hUll�ODRE55 ,G, /y(J,k >�(��J CIiY 21P PHONE �IC[NSE I <br /> ..S�RR" u.�� c•r. �c z,ua� ��'�c,i. L!='NN �vr� Stsc>3(. 77G fr��S 6F�eQYN• �t7 <br /> MICHnNIUI CONip�Cl'lp M�It AOUNE55 [ITY tIP pNONF IICENS[� � <br /> PLUn101uGCOHIR�CIOR , M�I1A000.E55 CILY ZIP PNONE IICENSEI � <br /> C1�55Oi WONK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOI.ITION ❑FENCE �SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> VAWATIO�u01 WORIt . <br /> S .�./ �d y�)'`�y. �) / <br /> DISCNINf WORK ��`•n �O�'�'�f�y+b��lT cvb�t����D <br /> � � � ,S..L�>N v✓�av.vl-C�r� r�N <br /> %'/9r� d-�V ,^7-/�� 3 �C � ,i(SZs�v -i��a,J <br /> rRorosEo us�or euno�uc • I HEREBY CERTIfY THAT I HAVE READ AND EXAMINED THIS AP- <br /> G[� •'�7.'ri -G'"2C�Z �.�jN� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> l[LM OFSCPIPilOY Of PqOPEN1Y�SHOWN BEIOW OM AiIACM IOUN CO%[51 PRO\'ISIONS OF UWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> lOt_BIOGN�Of OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHURITY TO VIOIATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW RECULATING CONSTRUCTION <br /> OR THE PERFORMANCE Of CONSTRUCTION. <br /> SIGNATURE OF CONTRACTOR OR AUTHORIZED ALENT DATE <br /> IONA�I55 O L��C� oY�V�/ L'r�� x u7�j „ � <br /> C .L�.I L(� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOLIET) AIR CON�.UNITS—H.P.EA <br /> BATMTUB REFRIGERATION UNITS—H.P.EA <br /> UVATORY�WASH BASIN� NOILERS—M P EA � <br /> SH!"YER CAS FIRED A.0 UNRS—TONNAGE EA <br /> KIiCHEN$INK 6 DISP FOftCEO AIR SYSTEMS—BT.U. M EA <br /> �ISWASMCR WALL HEATERS—B7L. M <br /> LAUNDRY TRAY UNIT HEATFRS—H.T lJ. M <br /> CLOTHES WASMFR EVAPORATIVE COOLERS <br /> WATER H[AiEk CLOTMFS ORYFRS <br /> URINAL VENTILATION iAN <br /> �RINKING FOUNIAIN RANLE MOOD <br /> FLOOR DRAIN Alp HANDIING UNI7— CF.M. <br /> VACUUM 9RFAKERS STOVE - <br /> ROOF DRAINS—RAINLEAOERS M[TAL FIHEPUCE 8 CHIMNEY <br /> S�NK�SCRVICE-6AR,ETC) <br /> SU!TOTAL SUl70TAL 3 <br /> �ERMIT 3 tFllMli ! <br /> TOTAL fEE f TOTAL FfE � <br /> SI�E YARD 5[T6ACK STREFi$Ci17ACK R[AR YARO SETOACK PUN CHLCK NVMtlER PUN CMEIX FEF . <br /> FEE RECEIPTNO. <br /> USE ZONE l0T AREA. yACANT SITk <br /> OYES �NO FEFS VALUAiION FEF <br /> TYPE OF CONST OCCUPANCY CNOVP NO Oi DWELLINC UNITS <br /> OUILDINC f <br /> SIZC OF OLOG NO.OF STOftICS MA% OCC LOAD <br /> PWMOING <br /> FIRE ZONE BASEMENT lilDHOOM$ fIRE $PRINKLERS '� <br /> REQUIRED MECHANICAL �^—� <br /> ❑YES ❑NO <br /> A�PIIOVAlS er DAiE OTHER <br /> 1 ENVIn'ONM[NTAL CHECK LISi �I.OL. <br /> PENAITY SEC.707(a) <br /> I DUILDING PLAN$ <br /> ) i1Rf HY�HANT 10TAL <br /> I FIHE PROTFCTION SYSTEM ►EIIMIT VALID.1ilON <br /> � 5 LRAOINGL%GVATION 8 CIkARINpGRl1NNINC WHEN PROPERIY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> 6 DRAINAGE <br /> 7. ENVIRONMENiALIMPACTSTATEMENT <br /> B HEALTH�IS7RICT <br /> APPLICATION ACC. BY PLANS CHECKED OY APPR FO C BY <br /> -,�,� �,� <br /> 9�7-79 � <br />