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A_PPLICATI�JN FOR- ���,�„ <br /> ��TM�'°'"^ :.ONS�RUCTION � <br /> everett PERMIT <br /> DEPT.OF COMMUNITY DEVEIOPMENT SERVICES <br /> CITY HALL 259�8745 <br /> EVERE7T,WA90201 ��OMBINATION ❑ BUILDING ❑MECIIANICAL ❑PLUMBING PERMIT NO. <br /> OWN(R MMt�ODXl55 CIiY ZIP PHONE <br /> }�.-*�Lh oP'r�ut�- G��-r� �i-B 3� r����' �v� <br /> �RCMITFCIONU61Gv[q MAIIAODR[SS �CI1Y ZIP PNONF <br /> su�co � �oeP ��5 �r� 0.r- �d�.�� Z�Z-oo� s+ �uos Gz'�tiP3 <br /> G[N[p�l[OHip�CIOR MAIL AOOPF55 CILY ZIP PHONF UCF SF� <br /> MICHANIC�L COrvtRACipq MNl AD00.H5 CIIY LIP PMOH1 IICENSF I <br /> PWNPInLCONiR�C100. M�Il��OR[SS pIY ZIP PHONE IICEN$[I <br /> ClASS O!KORR <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOIITION ❑FENCE IGN ❑GIRAGE ❑9UILDING RELOCATION <br /> VMUAIION 01 WOPk <br /> ���� � <br /> O(SCMIB[WONN 1 <br /> �rPfi�tti� — fLiC_ <br /> rxorosmust a emiowc I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> «G�l06CRV110NOfPROVl0.tY�5N01VN8[lOWO0.AlUU1fOURCOPIF51 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ioi_nioca_ov 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 REGULATING CONSTRUCTION <br /> � OR THE PERFORMANCE OF CONSTRUCTION, <br /> SIGNATUHF O:CO ACTOR OR AUTHORIZEO ACFNT DATE <br /> / �lox enoxiss <br /> PIUMlING HANICAI <br /> NO. TY►E OF FI%TUIIE FEE NO. TY�E OF FQUI�MEHT fFE <br /> WATfN ClOSET ITOLIETI AIR COND.UNITS—MP.EA <br /> BATHTUB REfRICENATION UNITS—M.P.E� <br /> LAVAiORY�WASH BASINI BOILFRS—H P.EA <br /> � SHOWER WS FIRED A.0 UNITS—TONNAGE EA <br /> KITCHFN SINK 6 DISP fORCEO��R SVSTEMS-8 TA. M FA <br /> DISW�SHER N'�Ll ME�tERS—N.T.U. M <br /> ' IAUNORYTRAY UNITHEA7fR5—PTU M <br /> , CLOiHCS WASHER EVAP00.ATIVE COOLERS <br /> . WATfN HEATER CLO7Hf5 ONYERS <br /> URIN�L VENTILATION FAN <br /> DRINNING fOUNTAIN RANCE HOOD <br /> iIOOR DRAIN �IR HANDLING UNI7— CF M. <br /> VAWUM tlREM1KFNS STOVE <br /> � ROOi DRAINS—RAINIEADERS MfUt FBEPUCE 6 CHIMNEY � <br /> $INR 6FNVICf—B�N.ETC 1 <br /> � fV��OTAt SU�iOTAI � <br /> �E�MIi f IflM1T � <br /> TOUI IE[ f iOTAI FEE � <br /> $IDEY�RU$[T6ACK STREEiSCTffACK RfARYAROSfTtlACK PLANCHECKNUMtlfR PLANCMECKFfE <br /> FEE RECEIPTNO. <br /> USF ZONE LOT ARFA y��ANT SITE {EFS V�lUAT10N iEF <br /> OYES ❑NO <br /> TYPE Oi CONST OCCUPANCY LROUP NO OF DWELLING UNITS <br /> BUILDING s2u'D� �Z � <br /> SIZE Of BI�G. NO.OF STORIFS MA% OCC LOAO <br /> PLUMBIN� <br /> FINE ZONE 9ASEMENT 17kONOOMS RFQU REIDKlERS MECIIANICAL <br /> ❑YES ❑NO <br /> AR�OVAIf �Y UATF OTM[N <br /> 1 ENVIXONMENTAL CHECK LIST PEN��TY U,B.C. <br /> � SEC NINa) <br /> 7. BWL�INCPLAN$ <br /> TOTAL I Z L� <br /> 7 iIFC HYORANT <br /> �. FIPE PROifCTION SYSTEM �[IIMIT VALID�iION <br /> WHfN PROPfRLY VALIOATFO(IN IMIS SPACEI THIS IS YOUR PERMIT <br /> 5 GRADINpf%GVATION6ClEARINGLRU9flING <br /> � 6 ORAINACF ^� y ` ^� �� <br /> % � s� .(1 <br /> 7, fNVIRONMENTAL IMPAQ STATfMENT r .%�� �c� <br /> i � <br /> -- E. MFALiH OISTRICT <br /> APPLIUTION ACC.BY PUNS CHECNED 6Y APPB fOR ISSUANCE BY � I ♦ <br /> 9.1�79 <br />