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,�.E�.,o,„� 4PPLICATION �O" <br />°�TM°F �ONSTRUCTlOh <br />everett PE RM IT <br />DEPT OF COA1h1UNITY DEVELOPMENT SERVICES <br />CITY HALL 259�8745 <br />EVERETT, WA98101 �COMBINATION ❑ BUILDING ❑MECHANICAL <br />' C iL' <br />mnn � o� <br />/ ,� U / ' ��C�,t. <br />everen <br />F% <br />C�P�UMBING PERMIT NO. <br />ZIP P/1 NE <br />3 3-3����-, <br />ZIP <br />G(N[qAl CONiq�C10R MAIt �ppR[55 Ut\ 21P PNOnE �IC[NSF 1 <br />MICIIAMUL C061R�C10N M�IL ADOR65 CIiY CIP pM0`1E �ICENS[ � <br />S/" � ✓ ._ C �://1 7L� <br />PIt�WIWGCOHi0.ACfOR hupnpON155 CIiY ZIP PNOnE IICEHSF/ <br />SiG(/i.=�� C/T�• �C�G_ ,'//�%- �n�7/i'r. Ji_ �d%`ili=;��; i ��6y ?7�-��73 <br />CUSS Oi NOXK <br />❑NE\l' ❑ADOITION ❑ALTERATICIN ❑REPAIR ❑DEMOLITION ❑FENCE ❑$IGN ❑CARACE ❑�UILDING RElOCATION <br />\� �LUAIIOa Of \cOHN <br />S <br />�($lRINf N'OPN <br />PNOVOS(�L�SF Of NUIIUItiG <br />IFI:A1 O[SCNIY110V OI FqOPFNiv �SIION'N Pf ION ON AiIACN VOIIR CDYIF51 <br />l01 �flIOCK�Of <br />�Y �uonzlss _ <br />/ �C� f ^ ����- ���n��L�f'�� -. �_ <br />PLUMBING <br />NO. TYPE OF FI%TURE <br />\vnTEN r�OSET ITOLIFT� <br />UVATORY (WASM 8�5141 <br />SHO�4'FR <br />KIiCHkN SINK 6 D�SP <br />UL'^��RY THM' <br />CIOTHFS R'ASM[i2 <br />\4A1ER MfAiER <br />UNINAI <br />URINKItiC (OUViA1N <br />fIOOR D0.AIN <br />vAC UUh� f�N E AK E RS <br />ROOF �flA1NS—RAINLEAO <br />SIr+K ISEftvICE—UAR. (TC � <br />SIOF YARD SRn.�CK <br />SIZf Of <br />F�RF ZONE <br />SUB TOT,SI <br />PfPMIT <br />TOTAL FEE <br />SiREFT SCT(7ACK <br />LOi ARFA <br />OCCUPANfy CRUVP <br />NO Of S70RIE5 <br />OASEMENT NIDRi <br />AiPROVAlS <br />1 ENVIRONMENTALCHECKllST <br />1 OUILOING PLANS <br />J FIR[ HYpHANi <br />i fIRE PROTFCTION SYSTFM <br />5 CRA�INGf%UVnilONBCIEARInGICRUH0INL <br />fi DRAINACE <br />7 fNV140NA5ENTAl IMPACT STATEMSNT <br />8 HFALTN DISiHICi —�— <br />APPUUTION ACC OY PIAN$ CH;CKED BY � APPR iOR 65U�NCf liY <br />FEE <br />f� <� �� <br />BUR VAHO SETl7ACR <br />\'AUNT Slif <br />❑YES Cn0 <br />NO OF OWFIIING UNI75 <br />MA% OCC LOAD <br />I I1ERE8Y CERTIFY TH'�T I HAVE READ AND EXAh11NED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERN�NG THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER $PECIFIED HEREIN <br />OR NOT. THF GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />�NY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCT�ON <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />S�CNATURF Of [pNiRACTOR OR AUTHORIZED AGENT DATE <br />MECHANICqI. <br />NO• TYPE DF EQUIPMENi <br />hIH CONU 11NIT5—H P EA <br />REFRIGERATIO4UNIT5—HP EA <br />f7ULL[R$—H P EA <br />GAS FlHE� A C UNI75—iONNACE EA <br />FORC[O AIH SYSiEMS-0 T U M <br />N'ALL HFA7EF5—U i U M <br />U.'�I7MlATLRS—BTU M <br />!�'APORAiIVE COOLERS <br />CIOTHE! OHYFRS <br />YEN7IUTION fAN <br />RANCFHOOD <br />AIR NANDLING UNIT— C F At <br />570Vf <br />h1ETAL FIHFPLACE 8 CHIMNEY <br />SUB TOTAL 1 <br />PEPMIT ! <br />TOTAL iEE 1 <br />PI.AN CN[CK NUMOlft <br />FEE <br />FEFS <br />IIUIIDINC 5 <br />PWMIIING <br />hIFCHAryIUI <br />EY I OATf � OTHFN <br />9.1 ;9 <br />PENAITY <br />uac <br />SEC JOJ�aI <br />.2 //�' Z <br />ftECEIPi NO <br />TOiAL I I <br />�FRMIT VAIIDATION <br />WHEN PHOPFRIY VALIDA7[D PN 7MIS SPACE) 7111515 YOUR PEHMIT <br />FEE <br />