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■ � <br />Y <br />PERMIT <br />DEPT OF COMh1Utii(Y DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVERETT, WA 98201 �COMBINATION �f BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />meR AODRESS <br />ZIP <br />GENEN�ICONI(iACiOR M Il OUX6S CIiY ZIP YMONE IICENSEI <br />�ti,�� .�iG,v � �O�ax��'' %i�.,d r 9.i�rC 7�'2--ooE� <br />E[HA IC t CO TR CTOk MAII ApDPf55 Clil LIP pMONE LI[FNSE I <br />PWA191nG CONIRAROR MAII AOON65 CIiY ZIP PHOVE LICENSF / <br />�NE\Y ❑ADDI110N ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FCNCE �ISICN ❑GARAGE ❑BUILDING RELOGTION <br />l W il0 O{ KORK <br />+ u�SO a 0 <br />�ES[0.1BE WORK <br />/i S"GL .�� �� %LGL'il�iNi''r_' r.�;.Ji..:tr �l�v�I�ir�i.v/— /'t�li=(' <br />PROPOSID USf f HUIIDInG <br />�9f/ � L�i I HEREBY CERTIFY THAT I HAVE READ AND EXAMIVED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />imni oEscairnovo PROP[RiY�SHON'N BFION'OR ATiACM fOUR COPI[A PROVISIONS OF LAWS AND ORDINANCES COVERNING THIS TYPE <br />ior _eiocK_ov OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />iou �ooeiss �/ <br />��Z/ `d.6ic�/ <br />PLUMBING <br />VO. TYPE OF FIM <br />WATER CIOSR (TOUET� <br />onTHTuo <br />UVATCRY (WASH BASIN� <br />$HON'fR <br />KIiCNEN SINK 8 OISP <br />OISWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHfR <br />\YATER HFATER <br />URINAL <br />DRII:KING FOUNTAIN <br />FLOOR ORAIN <br />VACUUM �RFAK[RS <br />ROOF DRAINS—RAINlEAO <br />SINK �SERVICE—BAR, ETC 1 <br />SUlTOTAL <br />YEIIMIT <br />SIDF YARD SROACK STRE[T 5[ <br />USE ZONE LOT AREA <br />TYPE OF CONST OCCUPAN <br />� RRC ZONC I �ASfMENT I OkI]NO( <br />�.. <br />A►P�OVALS <br />1 ENVIRONMCNTAL CMCCK LIST <br />2. BUILDING PlANS <br />J lIHF HYDNANT <br />/ FIRF i'ROIFCTION SYSTEM <br />R 5 GNAOINGIIrGVATIONbCLfARINGILRUtlHING <br />6 ORAINAGC <br />7.ENVIRONMENTI.IIMPACTSTATEMENT <br />fi. MEALTII DISTHICT <br />APPUUTION ACC. BY PLANS CHECKiD BY <br />91-79 <br />�s <br />RUR YARD 5 <br />VACANT $ITk <br />�YES ONO <br />NO OF DWEL <br />!Y � DATC <br />APPR.fON <br />BY <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING COPJSTRUCTION <br />OR THE PERFORMANCE OF CONS7RUCTION. <br />SIGN�TURE OF � RACT�O 7UTHORIZED AGENT p�7E <br />� //.. /,�� <br />NO. <br />AIH COND UNITS—H P. EA <br />REfRICERATION UNITS—HP EA <br />�OILFRS—HP EA <br />GAS FIHED A C UNITS—TONNAGE EA <br />FONCLD AIR SYSTEMS—B.T U M EA <br />WALLHEATENS—OT.0 M <br />UNITHEATEHS—BTU. M <br />[VAPORATIVE COOLERS <br />CLOTHES ORYERS <br />VENTIIATION FAN <br />RANGEHOOD <br />Alk HANDLING UNIT— C F M <br />$TOVE <br />MCTAL RREPLACE 8 CMIMNEY <br />CHCCK NUMBCH <br />PERMIT <br />FEE <br />VALUATION <br />FEE <br />� <br />s <br />s <br />:HEIX fEE <br />RECE�PT Np. <br />FEE <br />�UILDINC 3 <br />PLUMOING <br />fdECHANIGL <br />OT:ifR <br />PENAITY �A�� <br />SEC IONa) <br />iOTAL <br />�ERMIT VAIID�iION <br />WHEN PROPEaLY VALIDATEU (IN TNIS SPACF� THIS IS YOUR PFItMIT <br />r• � <br />� . <br />J■ <br />