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r- <br />,4pPLICATION FOR <br />fAe Eve�green �, � N ST R U C T I O N <br />an oF <br />everett PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES . <br />CITY HALL 259�87A5 <br />EVEREii,wn9ei07 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />D S�lp.c� l <br />� <br />everelt <br />� <br />ARCMII[CTOR�FSIG4fM M1�AIIA�DP155 UiY ' ZIP PHONE <br />G[NFXnt[ONiPnC100. M1��IL�OORESS CITY ZIP PH@iE UCEnSf1 <br />n�ECNA�:iUI [OnLRnC10R MnIL �DDk65 ❑TY tIP PHONL lIRHSE � <br />1'1Un101�L CONiXACIOF Mnll nOpNf55 CItY ZIP PHOVF LICENSE I <br />C1A55 Of N'ONK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE �iGN ❑GARACE ❑6UILDING RELOCATION <br />y�It4110N O{ LYOXk / <br />'2�00'�' <br />uiscxiue �mer; <br />ruovouo usF oi nwioiNc <br />l[G�l �fSCP�P11pV Of PNOPENLYISHOWN [IEIOW OR AiTACM fOUR COPIfSI <br />LOI �� 9lOCK � Of <br />iox nooetss <br />G S o Z L-v�7.�,�C�+. <br />PLUMBING <br />NO. TYPE OF FI%TURE <br />—f WATEk UOSET ITOLIET) <br />pATHTUO <br />LAVATORVIWASH BASIN� <br />$HOW[N <br />KITCHFN SINK 8 OISP <br />DISWASMER <br />LAUNDRY TRAY <br />CLOIHES\VASHER <br />WATER HEATER <br />URINAL <br />ORINKIYG FOUNTAIN <br />FIOOH OHAIN <br />VACUUM IIREAKFRS <br />ROOf DRAINS—NAWLEA�ERS <br />S�NK �SENVICE —f1AN. E TC 1 <br />� <br />SIDf YAR� SFTp <br />USE ZONE <br />7YPF O� CONST <br />SIZE OF OLOG <br />� FIHE ZONE <br />� <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />AREA <br />OCCUPAr+CY GROUP <br />NO OF STORIES <br />APPROVALS <br />1 ENVIRONM1IENUL CHfCK LIST <br />2 �UILDING PUNS <br />] FINF MYDRANT <br />i FIHE PROTECTION SYSTEAI <br />5 GRADINGIf %UVATION b CICANINGLNUBHING <br />h ORAINAGC � <br />7 ENVIRONMfNTAL IMPACT STATFMENT <br />8 HE�LTM DISTRICT <br />APPLIGTION ACC. BY PLANS CHEC�KEO <br />9.7-79 <br />I HEREDY CERTIFY THAT I HAVE READ AND EXAMINED THIS �P- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PRPVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF �'ORK WILL �E COMPLIED WITH Wh1ETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATF OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR Oft AU1�RlZ T DATE <br />X gl��ls v �� -- <br />FEE NO. TYPE OF EQUIPMENT <br />AIR COND UNITS—H P. EA <br />REFRIGERATION 11N1T5—hIP. EA <br />�ORERS—HP EA <br />CAS FlRED A.C. UNITS—TONNACE EA <br />FONCE� AIR SVSTEn15—B T.0 M EA <br />WALLHEATEftS-11T.0 M <br />UNIT HFATEftS-11T U M <br />EVnPORATNE CO011RS <br />CLOTHFS DNVERS <br />VENTILATION FAN <br />RANGFHOOD <br />AIR HAN�IING UNIT— C.f M. <br />STOVE <br />METAL FIftEPUCE d CHIMNFY <br />�S <br />RCAR YARD SEi�AC <br />VACANT SITE <br />�V'ES ❑NO <br />NO OF �WELLING l <br />MAX OCC LOAD <br />(IRE $PRINKIERi <br />NEQUIRED <br />f]VES ❑NO <br />gy DATE <br />BY � APPR <br />PIAN CHCCK KUMOER <br />FEE <br />SUB 70TAL S <br />PERMIT 3 <br />TOTALFEF S <br />PLAN CHEIX FEE <br />FEE RECEIPT NO. <br />VAWATION fEE <br />OUILDWG s <br />PlUhli)ING <br />MECNANIUI <br />pTHfR <br />PF NALTY U 9 C <br />SEC. JO)(a) <br />TOTAL <br />PfRM1T VALIDATION <br />WHEN PROPERLY VAIIDATED (IN TMIS SPACE� THIS 1510UR PERMIT <br />� <br />� <br />I <br />