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th� Ewrpn�r. A P P L f C AT I O N F Q� <br />��TM�F CONSTRUCTIO�N <br />everett PERMiT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259�8745 <br />EVERETT, N'A 98201 �COMBINATION <br />%'i'7 /J <br />CL OR 0lSIGMR <br />BUILDING <br />❑MECHANICAL ❑PLUMBING PERMIT NO. <br />CIiY 21P � PNONF <br />aGitL�c-,rt/ GuiP�Y Su.��7C-' �is �� �ViT �✓r� <br />CITY ZIP PIIONE <br />everen <br />e <br />GENENAL COniR,1C'OR bulL �DDRE55 �G /�jOK S� U% C�tv ZIP PHON[ � 1�CFNSFJ � <br />N /U< / <br />,�/z/2y /1/�'N Cd �/c, zioa� ciSfw. aYN�r✓ w�a gscsc '�7Y �t£s3S z�7 � <br />MMl �OGRE55 <br />Pll'f�pitiG tONiPKipp Mell nOD0.F55 CIIV ZIV PMONF LICFNSE 1 <br />CUSS Uf N'ONK <br />❑NE1Y ❑A�DITION ❑ALTERATION ❑REPA�R ❑DEMOLITION ❑FENCE �751GN ❑GARAGE ❑BUILDING RELOGTION <br />VAl4AllOrv Oi AYOFN <br />, • ' // eXl �eo � ci.S �-f� _ _ <br />otscaini woR�: <br />Cf2��GT �-�t?-�1/7Ti'.�V /9' �, �� 1 Ll- <br />rea�oao usi or umiowc <br />C�lrulc���auZ�y-L 575'N <br />llGnl �ES[NiPIIOV Of VqOPEN1Y IL�0�5'N ItF lOw OX elin(�� fOUR COPtl51 <br />lOi FILOCK�Oi <br />ion �nu+tss <br />PLUMBING ' <br />NO. TYPE OF fl%TURE <br />�vATEH CLOSfT (TOLIE71 <br />LAVAIORY IWASH [IASIN� <br />KITCHEN S�NK 8 DISP <br />DIS\1'ASHER <br />LAUNDRYTHAY <br />CIOiNES wASNFR <br />K'AiEft M[ATER <br />URINAL <br />ORINKINC iOUNTAIN <br />ftOOR DRAIN <br />VACUUM OREAKERS <br />HOOF ORAINS—RAINLEAO[RS <br />SINK �SER\'ICE-13AR, ETC 1 <br />70TAL <br />�jT f <br />I TOTAIfEE <br />YARD SCTU.\CK STREET SET[I/ <br />USE ZONE � LOT AREA <br />CONST �OCCUPANCYGNOUP <br />SRf OF dLDC � NO <br />ZON[ <br />APtIIOVALS <br />1 ENVI0.0NMENTAL CHECK lIST <br />i DUIL�ING �UNS <br />J RFF MYDRANT <br />.1 FIRE PROTECTION SYSTEM <br />5 GRnDING!1%CAVATIONBCLEANING/LftUtlI11NC <br />6 DRAINAGE <br />7 ENVIRO'+MENTALIMPACTSihiEMENT <br />B HFALTR DISTNICT <br />APPIIUTION ACC 9Y PLANS CMECKED tlY <br />91 '9 <br />FEE <br />NC 1R YARD Sf 1 HACI: <br />VAUNT SIIE <br />❑YES ❑NO <br />YO OF DWCtLING UNRS <br />MA% OCC LOAD <br />!Y <br />Af <br />DATE <br />ISSUANCE NY <br />= .�'�✓rLmNrtL�Y .,Zz�;.�-.-, 91.-�r.� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THI$ AP- <br />PLICATION AND KNOW THE SAA1E TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THI$ TYPE <br />OF WORK WILL 8E COMPLIf.D WITFI WHETHER SPECIFIED HEREIN <br />OR NOT THE GRANTItJG 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 />SICNATURE OF CONTNACTOR OR AUTHORIZED ACFNT UATE <br />MECHANIUL <br />NO. TYPE OF EQUIPMENT <br />AIR CON� UNITS—H P EA <br />RFFRIGkR�TIONUNITS—HP EA <br />LAS FIRE� AC UNI15—TUNNAGE EA <br />PORCED AIR $VSTEMS-0 T U M <br />WALL HfATEHS —N i U h1 <br />UNIT HLAiCHS-0 r U M <br />EVAPONA7iVE COOLERS <br />CIOTHFS ORYENS <br />V[Ni1U110N FAN <br />RANGEMOOD <br />AIFHANDLINGUNIT— CFM <br />STOVE <br />MFTAL FBEPUC[ 8 CHIMNEY <br />FiE <br />SUlTOiAL 3 <br />PERMIT f <br />TOTAL FEE 3 <br />AN 01(CK NU��1dER PUN CHECK FEE <br />FEE RECEIPTNO. <br />iEES �AIUAiIOH FEE <br />BUIIDINC <br />PLUM9ING <br />MECHANIGL <br />OTHEH <br />PtNAITV <br />f <br />U.PC <br />SEC. 301(a) <br />TOTAL I I <br />�FIIMIT VAIIDATION <br />WHEN PROPENLY VAII�ATED iIN THIS SPACEI 1NI5 IS YOUR PERMIT <br />� i <br />