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(�sErergrs�n APPL�CATION FO�t <br />CITYOF ;,ONSTRUCTION °""`" <br />ev�;rett PE RM IT e <br />DEPL OF COhNqUNI1Y �EVELOPMENT SERVICES <br />CITY HALL 259�8745 <br />EVEREiT, WA98201 �COMBINATICN ❑ BUILDING ❑MEtHANICAL ❑PLUMBING PERMIT NO. <br />OWNI M1IAII AO�N[SS �RY ZIP � PM�Nf <br />i ��7��z �� �lEn J � �s� ���,rE�,,. <<�' l-��� /��..3 � ��� -�6 `� <br />nwau-[ct on o[siGn[n nun eooa[ss cir� 21v p��oNE <br />(� <br />Gfn�[R�L COhIPnCiOR AqIL �GOR65 CIiY ZIP PNON[ LI[E.�SE 1 <br />�� <br />��!QInrvIUI CONINnCIOH Mnll ADDRF55 CITY (IP PIIONE IICFNSE Y� <br />/� <br />PIU.ti1pIRGCOu1RAii0R Me111DOR[$5 CRV 21v PHONE LICENSFf <br />�� <br />ClnSS Oi K'ONK <br />❑NFW ❑qpDITION �ALTfRATION �[tEPAIP. ❑DFMOLITION ❑FENCE K�SIGN ❑GARAGE ❑BUILDING RELOCATION <br />\OLUM1iION.[O�f WpNN <br />t \J �/C%!'J 00 <br />oi� xine wowc �- / � <br />- P��7i�t lL✓�u-s fze•.2 s G��rYFT�C f�..rc.c Lv.'7�..ri� ���c�i/c'y� <br />re �vosi�us� or xmiou+c // -/ I HEREBY CfRTIFY THAT I HAVE READ AND ERAMINED THIS AP- <br />!//I/!�C-' ��•: /C�S-�G'it1�-'�✓T PLICATION AND KNOW THE SAME 1'O 8E TRUE AND CORRECT ALL <br />LfG�lO[SCPIVIICNOf PROPlRIY�SNOWNBQOW ORAR�CH{OURf01'Il51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WIiH WHETHER SPECIFIED HEREIN <br />ioi _ewc._or OR VOT. 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 FEGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />� S�GNATURE OF CO1N� nCTOR /O�/f JUTHORIZ//fD AGENT DATE <br />IO/H'ADf)MF55 c if, v��'`�;CA � // �%/ /'.!��y� � /,_O � <br />_F� �� 3 �i�.-e.vq�e.C�,J _. l/vG�,� n .� .� U /%/�� ir�ie, <br />PLUMBING � <br />NO. TYPE OF FISLURE <br />WAT[R CLOSET �TOLI[T� <br />BATHTUB <br />SM0IYFR <br />KITCHEN 9KK 8 DISP <br />DISWASHFII <br />LAU�DRVTkAY <br />ivATER HEATEH <br />URINAL <br />DRI4KING FOUNTAIN <br />VACUUM lSRUK[ RS <br />HOOF ORAINi—RAINLEAnERS <br />SINK ISEHVICC—BAR ETC 1 <br />�� <br />� 70TA1 <br />SIDF VnNO SETfInCK STRFfT SC <br />ZO�:L I LOT ARE.1 <br />Oi <br />SIZ[ Oi IILDC I NO OF STORIES <br />APPROVALS <br />1. CNVIIiONPd[NTAL CHECK LIST <br />:. �NIOING PLA`:5 <br />). FIRE HYORANT <br />J FIRF PROTECTION SYSTEM <br />5 GRAU�IvG[tC�\'ATIONBCLURINGIGNUUIIWG <br />6 DRAINAG[ <br />L EIJVIROM1'MENTAL IMPACT STATEMENT <br />B HEALTII DbTftICT <br />APPLICAtION ACC. BV PLANS CHECKED 6Y <br />� <br />e-i �; v <br />FEE <br />S <br />s D <br />RUR YARD 5[TOACK <br />VACANT SITE <br />❑YES ❑NO <br />NO OF �WfLLING UNI75 <br />h1AX OCC LOAU <br />FIHC SPItINKLERS <br />REQUIRED <br />IlYFS f7N0 <br />BY DAiE <br />APP ISSUANCE BY <br />� <br />NO. TYPE OF EQUIPMI <br />AIR COND UNITS—H Y EA <br />REFHICERATION UNITS—H.P. EA <br />CAS FIRED AC UNffS—IONNACE EA <br />FORCE� AIR SY57[MS—tl.TL. M <br />N'ALL MEA7ER5—O.T.U. M <br />UNITHEATERS—f1TL. �t <br />CLOTIIES DRYEHS <br />V[NTILATION FAN <br />RANGEHOOD <br />AIR IIAN�LINC U'.IT— C.F M <br />SiOVE <br />METAL FIREPL��E & CHIMNEY <br />1'LAN CH[CK NUM1IIICH <br />iEES <br />nunoivc <br />PWMOINC <br />MCCHANIGI <br />OTHER <br />PENALTY <br />FEE <br />SUBTOTAL S <br />PERMIT S <br />TOTALfEE S <br />PUN �HECK FEE <br />FEE RECEIPT NO, <br />VALUATION FEE <br />3 <br />IJ.�.C. <br />SEC. 30)(a) <br />G'�] <br />TOTAL I I / � `�� <br />PENMIT VALIDATION <br />WHEN PROPERLY VALIDATED pN THIS SPACE) THIS IS YOUR PENMIT <br />