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tA�Ewrpmn APPLICATION FOR <br />�everett ��NPERMITTION -- <br />DEPT. Of COMMUNITY DEVELOPMENT SERVICE$ <br />CITY HAIL 259-8745 <br />EVEREIT, WA9B207 ��OMBINATION ❑ BUILD�NG ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />M�IL <br />ur rnvna <br />everett <br />e <br />G!N[NelCO4LRe[iOP M�Il�OURESS CiTY 21P VNOYE LIC[MSf1 <br />��.rii.r � rn �1�L✓ 7iiy� u/ /��a.�n, ri �l�n,. .S�.�i�.• i5`/�'� 7/. 1 YOS"D <br />M([NeNIUI CONIqACl00. M�IL �D�ME55 '� / CIiY LIP PNOME LIC[NSC � <br />PlUA1pIMG CONIR,1CT01: M11All AODXE55 CIIY ZIP PXONF PCENSE I <br />CU55 Of wO0.K <br />�NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />W W�IION Of KORK <br />, T <br />oiscxm� wonK <br />PROPOSFO USF O� PUIIpINL <br />t[GAl 0lSfRIP110N Oi P0.0P`Rtt �SHOKN 6[lON' ON eiTe0110U0. COVIE51 <br />�� � _ e�ocK __ or <br />ION nUpR[55 <br />�1.3Q% �✓Pr�1rPFs. � <br />PLUMBING <br />NO. TYPE OF il%TURE <br />9ATHTU9 <br />SHOWER <br />KITCHEN SINK 6 DISP <br />LAUNDRYTRAY <br />CLOiHES WASMER <br />URINAL <br />DftINKINC FOUNTAIN <br />FLOOB Df.AIN <br />VACUUM BREAKERS <br />NOOf DRAINS—RAINLEADFRS <br />SINK �SEHVICf —BAR, EiC I <br />USE ZONE <br />TYPE OF <br />OF <br />SUl70TAl <br />►EIIMIT f <br />TOTAL FFF 3 <br />SCTBACK STRECT SCTOACK RUH YARD 5'. <br />LOi AREA y���NT SITE <br />❑YES ❑NO <br />)NST. OCCUPANCY LROUP NO.OFDWEL <br />OF STORIFS MA% <br />EMENT OkDROOh15 FIRE <br />A►►IIUVAlS <br />1 ENVIRONMENTALCMECKLI57 <br />2 ONLDING PLANS <br />7 FIRF HYDRANT <br />� FIRE PROTECTION SYSTEM <br />5 GRA�ING!%CAVATI7NbQkANINGGBUB0ING <br />6. DHAINAGE <br />L ENVIRON�IENTAL IMPACT STATEMENT <br />E. HEAL7H DISTRI[t <br />APPLIGTION AiC BY PLANS CHECKEO BY <br />�Y <br />APPR <br />I HEREBY CERTIFY THAT I HAVE RLAD AND E%AMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THI$ TYPE <br />OF WORK WILL BE COMPLIED WITH WHE7HER SPECIFIED FfEREIN <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 CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNASURE OF CONTNACTOR OR AUTHONI2ED AGENT DATE <br />MECHANICAL <br />NO. TYPE OF EQUIPMI <br />AIR COND UNITS—H P EA <br />RFFRIGERATION UNITS—HP. EA <br />BOIL[RS—MP E� <br />CASFIREDAC UNITS—TONNACEU <br />FORCED AIR $YSTEMS-0 T U M EA <br />WALL HFATERS-0 T U M <br />UNITH[ATERS—NTU. M <br />CLOTH6 DRYfRS <br />VENiILATION FAN <br />RANGEHOOD <br />AIR HANOLING U� <br />MfiAL fIRFPUCE 8 <br />TOACK PLAN CHECKI <br />ING UNITS <br />BUILDINC <br />�D <br />PLUA1111NG <br />IRS <br />MECHANICAL <br />DATE OT4F0. <br />PENAtTV <br />BY <br />FEE <br />AL FFE f I <br />PLAN CHECK FEE <br />FEE RECEIPi NO. <br />VAWATION FEE <br />S <br />U.9 C. <br />SEf. 30)lal <br />TOTAL I I <br />►[RMIT VAUOA7ION <br />WHfN PROPERLY WIIDATEP �- �HIS SPACE� THIS IS YOU0. PERMIT <br />