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Y <br /> A�PLICATION FOR ��«<n <br /> � mE�'°""' �:ONSTRUCTION ' e <br /> everett PERMIT <br /> DEPT. OF COMMUNITY DFVELOPMENT SERVICES <br /> � CITY HALL 259�8715 <br /> I EVERETT,WA98201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> � OWNfR M�II AUOM65 CI1Y 21P PHONE <br /> ��� �l!/L�'1,s � G�=,c��/�-�z1 `,cH� � d���� ������' <br /> �ACHRECT OR O61GnER M.11L�DDRE55 CITY ZI PMJNE � <br /> ' ��Ert� /��JG' � /272 �s%�E s�� . , f1�/'�f'.���€ 9h��o/l s92�=� <br /> .i GEN[0.e1C0�+1NeCtON � MAIUppRf55 CRv ZIP J PMONf LI[EHSE/ <br /> , <br /> -��-%h �� /� ` «223-0�.5��zr�37,i� <br /> m[CH�NiUI CONIP�CTOR M�II n00P[SS CI1Y LIP PNONE llCFhS[1 <br /> i <br /> � PWMflI!�GCONiReQOq M�II AODRESS CILY ZIV PMONF IICENSE� <br /> I ClA$SOf WORK � <br /> i ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLI:ION ❑FENCE �SIGN ❑GARACE ❑BUILDING RELOCATION <br /> V�IUAiIONOfN00.R � <br /> I + SL�"'i <br /> oisceix�woa� �/ <br /> �Y ��� � � �71��� <br /> � raovosmas�or nmmiNc 'I HEREBY CERTIFY THAT I :�AVE READ A E%AMINED THIS AP- <br /> � PLICATION AND KNOW THC SAME TO BE TRUE AND CORRECT ALL <br /> LEWIDlSCRIPIIOHOfPPOPf0.fY15�lOWH9[lON'ORni1�CHfOVRCOV1f51 PROVISIONSOFLAWSANDORDINANCESCOVERNINGTHISTYPE <br /> � OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> � ioi _eioa_o� OR NOT. THE CRANTINC OP f� PERMIT DOES NOT PRESUME TO <br /> �, GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> I ANY OTHER STATE OR LOGL LAW REGULATING CONSTRUCTION <br /> iOR THE PERFORMANCE OF CONSTRUCTION. <br /> , SIGNATUHE OF CONTRACTOR O Hi ORIZED AGENT DATE <br /> I IOH�OORI 5 1 -.}- �L/' / � <br /> � ' L� ,�.` � �/ X ' �� / �� <br /> i <br /> � PLUMBING Mf.CH IUL <br /> i <br /> � NO. TYPE nF FIX7URE FFE NO. TYPE OF EQUIPMENT FEE <br /> i wATFR CLOSET ITOLIETI AIR COND.UNITS-H P EA <br /> � OATHTUO REFK�GCNATION UNITS-HP. fA <br /> UVATOftY(WASN fIA51N� UOILER>-HP EA <br /> ' $HOWIR GAS FIRED AC UNITS-TONNAGE EA <br /> I KITCMEN SINK S OISP FOBCED AIR SYSTEMS-B T.0 M FA <br /> ' �ISWASH[N WAIL MEATENS-�S.0 M <br /> LAUN�IiVTRAY UNI1MkATERS-OTU M <br /> CIOTH[S wASHER EVAPORATIVE COOLERS <br /> WATER MUTER ClC7ME5 DRYFRS <br /> URINAL VkNTILATION FAN <br /> DRINKINGFOUNTA�N RANGF MOOD <br /> iL000.ORAIN AIN HANDLING UNIT- C.FM <br /> VACUUM OREAKERS STOVE <br /> NOO!ORAINS-HAINLEADFFS MRAI FlN[PUCE 8 CHIMNEV <br /> ' SINK�SFRVICE-fi�R,E1C) <br /> i <br /> ' SU!TOTAL SU!TOTAL f <br /> '�, �EIIMIT S ►flMIT f <br /> '� TUTAI iEE f TOTAL FFF s <br /> � $IOF YARD 5[Tf1ACK STNEfd SCT[I�CK RUR YARO 5[TUACK PLAN CN[CK NUMtlCB PUN CMCCK FEf <br /> - FFE RECEIPT NO. <br /> USE ZONE LOT AREA yACANT SITF <br /> ��. CYES ❑NO fEES VAWF710N IEF <br /> . TYPE OF CONST OCCUPANCY GROUP NO Of DWELIING UNITS <br /> BUIIDING S/)� � r � <br /> SIZE OF PLOG NO OF STORIES MA% OCC IOAD �� <br /> PWM�ING <br /> FIRE ZC1NE DASEMENT IIfUHOOMS �IRk SPNINKLERS <br /> R[QUIRED M[CNANIGL <br /> ❑Y6 ❑ND <br /> A�►ROVAlS �Y DAiE 01HFR <br /> 1 ENVIRONMENTALf.HCCKL15T UBC. <br /> PFN�L7Y 5[C JOJIaI <br /> ' 2. OUILOING PLANS <br /> J FIRE HYDRANT TOTAL Z n� <br /> � �. FIRE PROTECTION SYSTEM lERMIT VALIDATION <br /> WHfN PROPERIY VALIDATED 11N THIS SPACE�IMIS IS YOUR PERMIT <br /> 5 GNADINLIf%CAVATIONBCLtANINWGRUBHiNG �? <br /> 6 DRAINAGE �� /iL��'�j � � <br /> � 7. ENV10.0NMENTALIMPAQ STAiEMENT / <br /> ,`�20�8� . �� ."— <br /> E. NFALTM DISTRICT <br /> APPUGTION ACC 0Y P N HfCNED BV AF7R.iOR ISSUANCE 8Y ��(�� �U � LI . L ��. <br /> .��� q .H-L/ <br /> <Y'a p,er v� 7c-. P2�P <br /> %' n. ��f <br />