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-,„.Ewro,„� 4PPLICATION FOQ <br /> "'"°` CONSTRUCTIOh °""`" <br /> everett PE RM IT e <br /> DEPT OF COMAIUNITY DEVELOPMENT SERVICE$ <br /> ❑TY HALL 259-8745 <br /> EVERETT, WA9B201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑pLUMBINf, PERMIT NO. <br /> O'a'NER MeIle0UNF55 ❑iT ZIF pMONE <br /> �i�it�v M� Dun. � - Elra�,rr r��a�crr R�'��i ,�5��--�, 7UG <br /> nRCMIi.CTONOF51Cu1R MMIA�OR[55 CITY ZIV pHpNE <br /> CfHlR�LCOMqnCI00. MAllnppRF55 ❑iY 21P PMONE l!CEs5E1 <br /> �HS l_(aU�1�Ml]u� C`vN"diAG(pttS 222.1 -1�� Nc f�idlUu�' cl�Uo� `ISs-`j32o 2z'-o�-�hrc- <br /> (.'�c-zP�--Na <br /> ..icr.n�.iuicoNixncroR m�nnooa[ss cnr ur rHON� uc[ns�i <br /> �IUnfqrvGCO�u1P.1C10R �nAILeD�X[51 Cliv ZIP PHOHf �ICF�:S[I <br /> LUSS Of wONK <br /> ❑NEW ❑ADDITIOV ❑ALTERATION ❑REP�IR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOGTION <br /> veiwnou or N�oRK <br /> s <br /> UfSCRIPF WOR6 <br /> Usj� t.�. Kj�'Oo WHSiL IL rl�-}litl� <br /> reoaosiovs� o� PUitDrvG 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 /> IECAI DlSCNIPf10Y01 PROVaRiY 15110WN 9ILOW OR Ai1M'ry 1011N COP1151 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL 6E COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> l01 _�B:OCA_Oi 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 LOCAi LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGnATURE Oi CO�iTHACTOR OR AUTH00.1ZED ALENT DATE <br /> iox enoaess <br /> � � F� io a�,s Sa"�'a []1��i�til� Wa�t x f✓t�r�� /..�!�= �%z� ii�= <br /> PLUMBING MECHANIUL <br /> NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOS[T�iOLIET� AIR COND UNITS—H P.EA <br /> [IA7HTUB RffRICfRAT10YUNITS—MP U <br /> LAVAIONY�WASM �ASIN� �3pILfRS—H P EA <br /> SHOW[N WS FlRfD AC.UNITS—TONNAGE EA <br /> KITCHfN SINK b DISP FOBCED AB$YSTFMS—B T U M EA <br /> DISWASNER WALLNEATER$—BTL M <br /> LAUNDHY TNAY � UNIT HIATERS—N i U M <br /> _ CtOiH[5 WASII(R f\'AVUHAIIVE COOlCHS . <br /> _ ��niER NFATEN CLOTHES�RYERS <br /> VRINAL V[NTI�ATION FAN <br /> DRINKING FOUNTAIN RANGE MOOD <br /> FIOOH DRAIN AIP MAN�IING UNIT— �.F M. <br /> VACUUM BRUKERS STOVE <br /> HOOF DRAINS—RnINLEA0ER5 MI.UL FlqfPUCE 8 CHIMNfY <br /> $INK�SERVIC[-11AR, FTC� � _ L � � <br /> SUE TOTAL SUL7biAl f � �Z1 <br /> �FIIMIT f �FIIMIT f �� ��l i,� <br /> TOTAI iEE S TOUI fE� f � <br /> SIpF VARp SITpACK STRf[T SRIIACA R[AR YARD SET9ACK PLAN[M[CA NUMIIfR PUN U4C.':FEE <br /> FEE ftECEIPTNO. <br /> USF ZONE LOI ARfA y�UNi SRE � <br /> CYES ❑NO �E[5 VA111�7�ON f[E <br /> TYPE OF C�}N57 nrrUfANCY GROUP Np OF DWELLING UNITS �i <br /> flUIIUING 3 <br /> SIZF OF PIDG NO OF STORIES MA% OCC I.OAO <br /> PLUMOINL <br /> FIHi ZONF BASEMENT fIl OROOMS FlftF SPRINKLERS <br /> REQUIHED M[CMANIUL <br /> !�YFS ❑NO <br /> A��IIOVALS �Y DATE OTMER <br /> 1. ENVIRONMENTAI CMfCK LIST <br /> PE NAIiY U.0 C <br /> 2 BUIIDING PLANS SFC lOJla) <br /> J FINE HYORANT TOTAI <br /> 4 FIRE PROTECiION SYSTEM ►[RMIT VALIDATION <br /> 5 CNAOINC/L%GVA710NE CIfABINGIGHUH0INC W��EN PNOPERLY VAIIUAT[D IIN iHl$$PACF)7MI5IS YOUR PERMIT <br /> 6 ORAINACf <br /> 7. fNVIRONMENTALIMPACT5TAIFMENT <br /> B MEAITM DISTRICT <br /> API'LiCATION ACC BY PUNS CHEIXED BY APPR fOR ISSl1ANCE 9Y <br /> 91-;9 <br />