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V <br /> " \ <br /> N�Ewrynan APPLICATION FOP'�., <br /> `�"�F CONPERMITTION `"e <br /> everett <br /> DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br /> C1TY HA�I 259•B7<5 • <br /> EVERETT,WA 98201 ����JINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBINC PERMIT NO. <br /> OWhf t M�II�DDNFSS <br /> CIiY ZIP PNOMf <br /> �:d�oiZTYm� T�/� l��a�9-�c s�os :-veR6��,v �.,,�.y �rrr- w�r 9S1o� 2SFr-9a.32 <br /> AR�HIIECT OR D[SIGNlR M�IL AODRE55 ��T� <br /> Z�P PHONF <br /> GINERAICOufqACiOR M1IMlA0�RE55 �IIY <br /> ZIP t�NC 4 �—L�NOSF 1 <br /> t��WWItY A/cH+�1 Go .�Ic, 2l027 Cl� t.� GY��/ cfA. yd'd3K �7(c a'8" S' ��` y <br /> 1(CM IUl COM1iM�CfOX All AOON[5$ LRY tlp �• z�� <br /> PMONf IICFNSE/ <br /> Pll'n�PISL CONiRAC100. A1Ml AOOPFSS ��ty Z�p <br /> YMONF IICENSE/ <br /> CV55 Of K'ORK <br /> GNEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE yoSIGN ❑GARACE ❑BUILDING RELOCATION <br /> \'�WM1iIONOf WORK <br /> � �y�S. ��- <br /> �[SCRIBI W00.K <br /> ^ NS�'�L GUST• S2SNS � i C/1 �/l` �f�xle� <br /> rRorosEo us�o� nuimiYc <br /> r t�/,- `f xs poc� srs�r� a- ��os �e,n�rer� <br /> C�yyt�yy�,� C�L I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP-�w <br /> S.�L�'NS. PLICATION AND KNOW THE iAME TO BE TRUE AND CORRECT ALL <br /> LfG�I OFSCXIPf10NOi PROP[FfY�S/10NN B[lOW OR e1TACN fOUN COPI[A PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> ioi PIOCN�p� OF WORK WILL BE COAIPLIED WITH WHETHER SPECIFIED HEREIN <br /> OR NOT. THE GRANTINC OF A FERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATINC CONSTkUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SICNATURC OF CONTRAf'TOR OR AUIHORIZED AGENT DATE <br /> �OH�OOR[SS ��J "� <br /> ��g ` W/�' . X l/S� �rw.+-+r T <br /> PLUMBING MECHANICAL � ' <br /> NO. TYPE OF FIXTURE FEE NO. TYPE OF FQUIPMENT FEE <br /> WATER CLOSCT�TOIIFT) AIH COND UNITS—H P EA <br /> BATHTUB REFHIGERATION UNITS—M P. EA <br /> UVATORY(WASM OASIN) BOLLCRS—H P EA . <br /> $HOWER GAS FIREDAC.UNITS—TONNAGE EA <br /> KITCHEN SINK t JIiP fORCfD AIR SYSTEMS-0 TA. M EA <br /> DIRYASH[k WALL HEATERS—B.TL. M <br /> UUNDBY TRAY UNIT HEATERS—B7.0 M <br /> CLOiHfS WASHfR EVAPORATIVE COOLERS <br /> WATER MEATER CLpiHFS ORYERS <br /> URINAL VENTILATION fAN <br /> DRINKING FOUNTAIN RANGF MOOD <br /> FLOOR DRAIN <br /> AIRNANDLINGUNIT— CFM. <br /> VACUUM BRFAKERS SiOVE <br /> ROOF�RAINS—RAINLEADERS METAL FlREPUCE 8 CHIMNEY <br /> SINK(SEBVICE—BAR,f TC� � <br /> SU!TOTAL SU!TOTAL ! <br /> �ERMIT ! IfI1MIT { <br /> TOTALF[E 3 TOiAIFFF 3 <br /> SID[ YAHO SCTb.�CK STRCET SCTOACK RUR VAHD SETBACK P�AN CHECK NUMOER PLAN CH[CK FEE <br /> fEE RECEIPT NO. <br /> USE ZONE lOT AREA VACArvi SITE <br /> � ❑YES ❑NO FEES VAWhTION f[E <br /> TYPE OF CONST OCCUPANCY CROUP NO OF DWELLING UNIT$ <br /> BUILDINL S <br /> $IZE OF BLDG NO Of ST00.1F1 MA% OCC LOAD <br /> PWMUING <br /> flftE ZONE BASFMENT I{lUNOUMS ��RE SPRINKlfRS <br /> REQUIHED MECHANIUL <br /> C7YF5 CNO <br /> A��ROYAIS !Y DAIE OTNER <br /> 1 ENVIRONMfNiAL CHECK LIST <br /> Pf NAITY U B C. <br /> 2. 9UIlDINC PUNS SK.30l(al <br /> J :IRf HYDRANT 1pT�� <br /> � FlliE PROTfCTION SYSTfM /FIIMIT VALIOATIpH <br /> 5 GRADINC4XCAVnTIpN b CIEARINGICRUUBING WNEN PHOPERLY VALIDATEDpN THIS SPACE)THIS IS YOUR PERMIT <br /> 6 ORAINALE <br /> 7 ENV10.0NMfNTALIMPA[TSTATEMENT <br /> B MFAITH DISTRICi <br /> APPLIGTION ACC. OY k��.4"CHE�Kf��OV APQR fOR ISSUANCF AY <br /> L� �f,�i� .� <br /> •� <� ��,� ll , l ' � ! . � <br /> ---1 <br />