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APPLICATIOIV FOI�.. <br /> fneEwrpn�n l . � everett <br /> �aTM�F CONSTRUCTIOn� ' <br /> euerett �ERMIT e <br /> PFPT OF COMMUNITY DFVELOVMENT SERViCES <br /> ❑TV HALL 259-B7i5 � � <br /> EVERETT,WA9B201 ��OMBINATION �BUILDING ❑MECHANICAL ❑PLUMBING PERMIYNO. <br /> OWNIR t MAIInODN[SS CIIY ZIP P/IONF <br /> �c'.`E1C H'A-N�G.i ,VS �r^. 5317 4.v�+�, Wf'. �v. WA. 9B2o3 "�7�• ��.5 <br /> APCIIITICT OP Dl51GNlR MAR An�0.[35 CIIY LIP PMONE <br /> G[NIM�I�CONIN^�^CIOP MAII Mn965 CIIY ZIP PMONL IICENS!i <br /> !�'v� <br /> n11[fInNIUICUNiN�C10R MAIL�UDRESS ❑iY LIP PIIOHE tICEN5l1 <br /> �IIIAlII1Nf.CpNfR�Cf00. MAI. I.�iD0.LS5 CIiY ZIY PIIONE LIC(NSF� <br /> C1A55 Of\5'ONK <br /> ❑NEW ❑AC'JITION �IALTERATIQN ❑RiPAIR ❑DEMOLITION ❑FEN!'E ❑$ICN ❑GARAGE ❑BUILDING REIOCATION <br /> V4W�110N9f WONR � _ <br /> � 2�, <br /> OISCHIIII WORK /� <br /> CON'6TdJoT 1�'1 �/�l���l[o WALL_ � 'PAeT�T'�o� <br /> rxorostuust oi xuimwc I HEREBY C[RTIFY THAT I HAVE READ AND E%AMINED THIS AP• <br /> CO/�m !ir'G a�� PLIGTION ANG KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> LIG�I�[SCMIP710N Oi PNOCiRiY�5110WN 8[lOW OR AII�CN(OUN COPIFSI PROVISIONS OF LAWS AND ORDINANCE$COVERNING THIS TYPE <br /> ' OF WO;iK WILL BE COMPLIED WITH WHETHER SP;CIFIED HEREIN <br /> io��3 uiocK�or e r � � OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> � � �f GIVE AUTHORITY TO VIOUTE OR CANCEL THE PROVISIONS OF <br /> � ANY OTHER $TATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> � � SIGNATURE OF CONTRACTOR OR AUTMORIZED ACFNT DATE <br /> ION��D0.65 C ` � <br /> �3 �� C.iV-¢..r !`_C.•G� V.��-`�i . X�� . <br /> PIUMBING MEf.HANICAL ' <br /> NO. TYPF OF FIXTURE FEE NO. TYPE OF EQUIPM?NT FFE <br /> 1VAT[R CLOSET�TOLIETI AIR COND.UNITS-H.P.EA <br /> BATf1TU9 REFRIGERATION UNITS-H,P.EA <br /> LAVATOXY�WASH �ASIN) BOILfRS-H.P.EA <br /> $HOW[R CAS FBfD AC.UNITS-TONNAGE EA <br /> KITCHfN SINK d DISP FONCED AIR$YSTCMS-0.T U. M EA <br /> DISwASMER N'ALL HEATEftS-B.T.U. M <br /> UUNORY TRAY • UNIT HEATERS-9.T.U. M <br /> ClOiliES WASMFR EVAPORATIVE COOLENS <br /> wATER MFATER CLOTHES DRYENS <br /> URI4AL VENTILATION FAN <br /> pRINkINC FOUNTAIN RANCE HOOD <br /> fLOOB DRAIY AIR HANOLING UNIT- C.F M. <br /> VANUM BRFAKfRS STOVE <br /> NOOF DNAINS-NNNIUOERS MfTAL FIREPUCE 6 CHIMNEY <br /> $INK ISENVICE-dAR.ETCJ � <br /> 1 <br /> `. � <br /> <_llB TOiAI SUBTOTAL 3 <br /> !FIIMIT S ►ERMIT S <br /> TOTAI FFE f iOTAL fEE f <br /> $IDF YhND SCil1ACK STNELT,5/rTOACK RUN YARD SFT0ICK PLAN CMCCK NUMIICN PIAN rpj��C FEE <br /> US( ZO�+( LOT AREA'� u�j��r`��/ FEE /_ S�, RECGH NO. <br /> VACANT$ITE `� Lp <br /> M�� ��I,yQ_ ❑Yf5 �10 p iFES � YALUATION ffE <br /> iYPE Of CONSi OCCU.ANCY GROUP NO.OF UWfLLING UNITS /MI I�/11 q COd Q Sµ��L(pµ � / 7� <br /> �%V O <br /> BUIIDINC s�,��— � � �a <br /> SIZC Of BIOAG NO OF STORIES MA%.OC`C.'IO/A�D � <br /> /U.�` NA" /V��I'S PlUM01NC <br /> FIRf ZONi OASEh1iNT I7t�NOOMS FIRE SPAINKlERS <br /> 0.fQUIRFO MfCHANICAL <br /> ��� '�� `� �V[S O <br /> . MPIIOVAlS �Y DATE QTN[R . <br /> L [NVIRONMCNTAL CHECK LIST �0G <br /> PENAITY <br /> 7 11UILDING PUNS J � SEC JONa� • <br /> 1 fIRE HYOPANT iOTAL <br /> � Flft[ PftO7ECT10N SYSTfM ►FRMIT VALIDATION <br /> WI{EN PROPERLY VALIDATED(IN TI115 SPAC[�THIS IS YOU0.PERMIT <br /> 5 LNADINGIIXGVATIONBCIURINGIGRUOBING <br /> b DPAINACf <br /> 7. ENVIRONMFNTALIMPACTSTATEMENT <br /> B. NEALTH DISTR�CT ' <br /> APPIICATION ACC.BY PLANS CdECKED BY APPR.fOR ISSUANCF BV <br /> �i \ � <br /> g.t 79 ! <br />