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> , <br /> ,y , <br /> ,�,Ew,��,� A P . L I CAT I O N FO R � ���fe„ <br /> °�TM°F CONSTRUCTION e <br /> everett PE RM IT <br /> DEPT. OF COMMUNITY DEVELOPMENT S:RVICES <br /> CITY HALL 259-8745 <br /> EV[RETT, WA96701 ��aMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> ON'NIR MUl nD�M155 CIiY ZIP PIIONE <br /> �Xi1�� S i7,�-�S'f h�7� G�j 2� �jfr�1��'l C�Gi � u: A-c.n <br /> ARCMIi1ClOR0[$IGM1IF MAIIA�DR155 r CIIY ZIP PNONE <br /> ��Ml_O Gil(nd� ��2.�• 271GJ �AQ�c �D2�-Q �j�fz� 2S2—oo� S!-M�'oS �217-�'�_ <br /> G(NIReLCOVIPnIIOR MAILAOORf55 CIiY ZIP PHONE LI FN$[/ <br /> nqfH�M[AICOVINA[IOR M1�MInD�Rl55 [IiY LIP PNON[ IICEN5E/ <br /> PI V�uPis�:CONiNn[iOR ndll�OOR65 CIIY 21P PIIONF U[fNSf I <br /> CI n))Of NORK <br /> ❑t�EW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE IGN ❑GA;2AGE ❑BUILDING RELOCATION <br /> �uu+nnn or woac <br /> �1�-va°G— <br /> I1F\l'NINI \VORS <br /> � A��� �� <br /> rHoruaoi�rd or nwiou+c I HEREBY CERTIFY TNAT I HAVE READ AND E%AMINED THIS AP- <br /> PLICATION AND KNObV TFIE 5.4ME TO 8E TRUE AND CORRECT ALL <br /> lif.11➢!5[NIPI:ONOlPROPlRtY�SMONNPFl0�5'ORAt1nCH10URCOP1151 PROVISIONSOFLAWSANDiJRDINANCESGOVERNINGTHISTYPE <br /> OF WORK WILL 8E COMPLIEJ WITH WHETHER SPECIFIED HEREIN <br /> io� nioc._or OR NOT. THE GRANTINC OI° A PERMIT �OES NOT PRESUME TO <br /> GIVE AUTHORITY TO VI(7LATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATUR[OF CONTRACiOR OB AUTHORIZED AGENi DATE <br /> ION�D�Rt55 / � I� pr� <br /> X � <br /> PLUMBING M CHANIGL <br /> NO. TYPE OF FI%TURE FEE NO. TYPE OF E(�UIPMENT FEE <br /> N'ATER CLOSET ITOLIET� �IR COND UNITS—��P EA <br /> � PATHTUB RIFRIGCRATION UNITS—H P EA <br /> I.AVATOp�(�vASN �ASIN� UORCRS—H P EA <br /> $HOW f R GA$FIftED A C UNIT$—TONNACE EA <br /> . • YI7CHEN SINK 8 DISP fORCED AIR SYSTCM$—�T U M EA <br /> DISWASMFR N'ALLHEATERS—UTL M <br /> UUNONY TRM' UNII HEATERS—B T U M <br /> ClO7HL5 WASHER f\'APORATWE COOLERS <br /> WA1fR MU1EN CLOTMFS ORYFRS <br /> URINAL Vf NTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FIOOR�RAIN AIR HANDLINC UNR— CFM. <br /> VACUUM NRUNf RS STOVE <br /> ROOF ORAINS—RAINIfADCRS M[TAL FIREPLACE 6 CMIMNEY <br /> SIr�K(SFRVICF—PAR. ETC) <br /> SU!TOTAL SUB70iAl f <br /> PERMIT 3 PERMIT S � <br /> 70TALfEE f TOTALFEE f <br /> SIDF YARD SCTf1ACK STREIT SROACK RUR YARD 5[TO�CK PIAN CII[CK NUhtOER PUN CMECK FFE <br /> FFE HECEIPT NO. .ti <br /> liSF ZONf LOT ARU WCANT$IT� <br /> CIYES CNO iEES �ALUAiION FEE <br /> TYPF Oi CONST OCCUPAN�y GROUP NO OF DWEILING UNITS <br /> 6UIlDINC S �'L��� <br /> 512E OF OLDG NO Of STORIES MA% OCC LOAD <br /> PWAIIIING <br /> FIREZONE OASfMENT I7ll)ROUMS HEQUREIDKILRS ��KHANIGL � <br /> f7V[5 f7N0 . <br /> A►�ROVALS !Y DAiE OTHFA <br /> 1 fNVIRONMFNiAL CHECK IIST PFNAIiY �1.D.0 <br /> SK ]OJ�a� <br /> i aunoiNc rinNs <br /> J FIRE HYDRANT TOTAL � <br /> 1 FINE PNOTECTION SYSTEM PERMIi VALIDATION <br /> WMEN P0.0PERLY VALIDAT IN T SPACE�THIS IS YOUR PERMIi <br /> i GRADING!%UVA710N8CLUHINGGRUHflINC /w <br /> 6 DRAINACE YAr��"�O <br /> 7 fNVIRONMENTALIMPACT57ATEMENT � / � J /� � <br /> / //.!L/ <br /> B HUITH DISTRlf7 / �7 /. <br /> i <br /> IY C <br />