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r <br /> lheEvarqreen APPLICATION FOR everetl <br /> "TM°F �ONSTRUCTION <br /> everett PERMIT e <br /> DEPT OF COMh7UNITY DEVELOPMENT SERVICES <br /> CITY HALL 259�8745 <br /> EVERETT,WA98201 �COMBINATIUN ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> � ONN{q M�II AOOX[55 [RY ZIP PIIONE <br /> ��'� ��� (�Z� �J�-/1�J �� � -�'�, �i�Jl� .�s3 `�/�7� <br /> ANCHII[RpRU61CbIF MnII�D�Rl55 / CIiT IP pl!]nE <br /> S.��f� , /J� 2�z S7A�� . �,�,C��"G%C(�; 9,�7U /,,_S� zZG� <br /> GEN xnl Cph1RnCI00. /���p�����OONF55 CIIY ZIP PNONE �ICEN$[/ <br /> z.�- S/• • //• Z�7T�i <br /> M1IICMANIGI CO41q�C10R M.11��OOR6$ UiY [IP i110NE �I[fN$E I <br /> PIUVpItiG CONt0.�Ct00. h1�IL AOpP[$$ CRY IIP PIIONE LICFNSE/ <br /> (1A5501 N'OFR <br /> ❑NELY ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLIT�ON ❑fENCE �GN ❑GARAGE ❑BVILDING RELOCATION <br /> VAIUAllpYO(110FR �� <br /> � fS2�3 - <br /> DLSCfl 1[NOPI: <br /> � <br /> � , �X S� , �' G/� !� � .�' <br /> ruuro>to ust or n�vioisc I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> l[G�IOfSCRIP110NOIPROPIRiY�SHOWNOfl01VOR�11�Q1i0UNCOVIl51 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> OF WORK WILL DE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ioi_oiucK_or OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW RECULATING CONSTRUCT�ON <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> � � � SICNATURE OF CONTRACTOR OR AUT I$ED ACENT DATE <br /> lOti NI55 � � / <br /> i <br /> � � / X � <br /> PLUM ING MECHANIC <br /> NO. TYPE OF FI%TURE fEE NO. TYPE OF EQUIPMENT FEE <br /> \YATfN CLOSET ITOLIET� Alli COND UNITS—N P [A <br /> ���T��T��� RFFRIGERATION UNITS—HP EA <br /> UVATORY�WASH AASIN� ApILCRS—H.P.EA <br /> SHOWEN CAS FlNED h.0 UNITS-70NNALE EA <br /> KITCHEN SINK b DISP FOHCCD AIR SYSTEM$—D.TL. M EA <br /> DIS1vASHLR 1VALL HkA1LR5—O.T.0 M <br /> UUNDRV TRAY UNIT HEATEHS—fl T U M <br /> CLOIHLS\VASHkR EVAPORATIVE COOLEHS <br /> WAT[R H[AiER CLOTHES DRYCRS <br /> URINAL VENTILATION FAN <br /> [7RINKING FOUNTAIN NANGf NOOD <br /> F1000.DftAIN AIN HANDLING UNIT— C F M <br /> VACUUh18REAKCRS STOVF <br /> ROOP DNAINS—RAIN�kAU[RS METAI FIRfPLACE 8 CHIAINEY <br /> SINK 6FRVICL—IIAR E7C 1 <br /> SU9 TOTAL SU870TAL f <br /> PERMIT f PERMIT S <br /> 70TALfFF S 70iALFEE f <br /> $ID( YARO SCil7ACK $TRCR $CTIIACK RUN YARD$CifIACK PLAN CIICCA hUAIUEH P��N CHECK FEE <br /> FkE RECEIPT NO. <br /> USE ZONE LOT AR[A y�[�NT SRE <br /> ❑YFS ❑NO �EES VALVAiION fEE <br /> IYPE OI CONST OCCUI'AN�y�HOUP NO OF DWELLING UNIT$ <br /> OUILDING 3 <br /> SIZE UF I3LOL NO.Oi STONI6 MA% OCC LOAD <br /> PWAlI11NG <br /> fIN[ ZONE IlASFMENI IIIUNOUM14 flRf SPHINKlLRS <br /> R[QUIRLD MECMANIGL <br /> C7Yk5 ❑NO <br /> AYPNOVALS PY DATf OTMfR <br /> t ENVIHONMCNTAL CM[CK LIST <br /> PENAL7Y U.00. <br /> 2 UUiLDING PUNS SEC.30)(a� , <br /> l FIHE MYOHANT iOTAL <br /> J FlR[ PHOT[CTION SYSTEh1 PERMI7 VALIDATIOH <br /> I 5 GRnDING/l%CA\'ATION b CLfARINGICRU0111NG wMEN PROPERLY VALIDATED IIN THIS SPACE)THIS IS VDUH PERMIT � <br /> 6 DRAINACF <br /> 7 ENVIRONMENTAL IMPACT STATEMENT <br /> B HEAITH DISiRICT <br /> APPIICATION ACC.0Y PLANS CNECKED BY AP . �OR ISSUANCE BY <br /> I/I(�Z� _ <br /> 94�79 <br />