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A.PPLICATION FOR- e�e,en <br /> ` .;O[� STRUCTION e <br /> everett PE RM IT <br /> DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HA1 L 259-8745 <br /> EVERETT. WA98201 �COMBINATION C BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> o ni eouK[s a�r zir r�rov[ �� <br /> r ���� �� <br /> nacHntcroxn[sien[e mnunuua�ss �nr nr r eve �7t,1" <br /> � <br /> CONTFACiOR IA1 L ApUFK$ ❑iY )IP PHGti l C M1Sf I <br /> e�,r �r�,�.� I�u �� <br /> Mf �ANIC ICONTN�CION nuILADUHE55 UI1 21P������ �� • <br /> PWA401NG CONTRACiOR M1fAll AO�N[55 C�tY ZIP PHO��f LIC[NSE N <br /> C1A55 Of\YORK <br /> ❑NEW ❑ADDITION ALTERATION REPAIR ❑DEMOLITIOP7 ❑FENCE ❑SIGN ❑GARAGE ❑6UILUING RELOCATION <br /> vnwnliry+orwoR�: � <br /> S 1 <br /> DFSCRIp[WORK�`vW tr O�' <br /> 1 � <br /> ' reoroseous vuoine I HERE6Y CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> � PLICATION AND KNOW THF. SAME TO 6E TRUE AND CORRECT�LL <br /> ieeni o�scnirrioN o�r��r �n neiow oa nn ui rouu cor esi . �ROVISIONS OF LAWS AND ORDINANCE$GOVERNINr THIS TYPE <br /> 1 D1�1 Of.WORK WILL (3E COMPLI[D\NITFI WHETHER SPECIFIED H[REIN <br /> ior�mocr: or r OR NOT. THE GR�NTING A PERMIT DOES NOT PRESUME TO <br /> '� GIV� UTHORITY TO LATt CANCEL THE PROVISIONS OF <br /> � . Y OTI STATE O .00AL L�W EGULATING CONSTRUCTION <br /> � � O@4HE PER RMANC F CONSTR CTION. p' <br /> SI�URE OF ONTRACTOR O UTHORIZE ACENT DATE f���6 <br /> DOft SS a ' <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE <br /> WAiEN CLOSET(iOLIET) AIR COND UNITS—H.P. ln <br /> �ATHTUO NEfNIG[HATION UNITS—H.p.EA <br /> LA\'ATORY(1l'ASH [IASIN) 601LER5—f1.P. EA <br /> $HOW[R GA$FlRED AC LiNITS—TONI:AGE EA <br /> KITCHEN SINK&OISP. FOHCLD nIN SYSTEMS-07.LL M17 EA <br /> DIS\^'ASHF.R \VALLHfATERS—IIT.U. M <br /> LAUNUNYTftAY UNITHfAI(RS-11.TU. M � <br /> � CLOTHL5IYASH[R E\'nPORATIVF COOlCHS <br /> \YATCR HEATCR C10111i.5�R7EN5 <br /> �\ ' UBINAL VfNTII.ATION FAN _ <br /> � URINKING FOUNTAIN RANGk HOOD _ <br /> f � AIR HANDLINC UNIT— C(.M <br /> .-j; FLOOR�RAIN <br /> VACUUM(7REAKERS STOVk <br /> �I ROOF DRAIN$—HAINIEADkHS h1F.TAL I�IHfPLACE &CH�6INEY - <br /> �� SINKIS[RVICF—�AR.CTCJ <br /> SUB TOTAL SUU WTAL S <br /> PERMIT S PfRMIT S <br /> TOTALFCE f TOTAIfEE f <br /> SIDE YARD SET[IACK STRELi SFT[fACK HF�N YARD SLTfinCK PLAN CIILCK NUA111CR PLAN CHECK FEE <br /> FFE RKEIPT NO. <br /> � US@ ZONk LOT ARFA� VAGNT SI1L <br /> GYES GNO FEES VAlUAT10N FEE <br /> I <br /> 1YPE OF CONST. OCNPANCY GROUP NO Of DW(LLING UNIiS <br /> 11UIlUING S <br /> SIZE OF 11LDG. NO.OP STORIR M1N% OCC.IOAL <br /> rwn�mnr. <br /> FlHEZONE �ASC�.NFNT 111DkOO�Vti KIQURIIDKIkRS h1lCNAN1U1. <br /> nvis [�no <br /> APPROVALS BY DATF OTIIfR <br /> L ENVIHONA7LNTAL CHCIX LI51 PfNAl11' U I1.C. <br /> SEC.301(a) <br /> 2. BUILDING PLAN$ <br /> TOTAL <br /> ). FlRF HY�RANT <br /> 4. fIR[ PROTECTION SYA[b1 PERMIT VAIIDATION <br /> �vIIfN PBOPFRIY VALIDATEO II4 THIS SPACE)T4115 IS YOUR PERMIT <br /> � S.GHAIJINGIf%CAVAIIONACLLAHINGIGRUI1111KG <br /> b. ORAINAGE <br /> 7. ENVINONMCNUL IMPAQ SIATGI[NT <br /> B. HEALTfI DISTRICT <br /> .1PPLIGTION ACC OV PUt�S CHECKCU I7Y APPR IOH ISSUANCF 14Y <br />