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,„.E�.ro�,� /` PPLICATION FOR ���,�„ <br />��TM�F �O(VSTRUCTIO�I � <br />ever��t PE RM IT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259�8745 <br />EVERETT, WA98201 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />ON'�[q ( nl�ilnOUNISS [liv f.IP PMONE <br />C A-sc Y s 7 20 � Fv�rt���ea w,rY c E�rr �.n �u-�r� �/� <br />ARCNI1ECiORD[SICNIN n1AIL�ODRfA ❑1Y 2�V VHON[ <br />UNFRAlCOY1RA(lOR MAIIADDNE$$ CIiY ZII' VHONf y��b�lC[NSEI <br />��/Z`( �7ri/CO �� 2 IC27 6/ � w�N+� 14� 'i Qo3 G 7 7 G SB"S � /3F RiL YN ZY7 Ct� <br />\IICMA61CAl [OM1IFACiOR ����� �OUN65 CIIY (IV PHONF UCEHSE i <br />PIC��IiI'.G(ONiNe[fON MnIln0UH65 CIIY ZIP PIIOv[ IICENS[1 <br />CUSSOf NORK <br />❑NEW ❑ADDITION <br />\AIU�tJIUti Of 1tiORk <br />t /���ip� <br />�lSlR10f WOR6 <br />raorosm us� or nunui�.c <br />❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE �SIGN ❑GARAGE ❑OUILDING RELOCATION <br />lFCnl UfSCFIP110V Of YF01'lRiT ISIIONN ��l1014 OR n11�O1 iOUN COP�F5) <br />wi _ mo�.-c _ or <br />�ox nonxiss <br />PLUMBING <br />NO. TYPE OF FI%TURE <br />WA7ER ClOSCT lT011ET1 <br />[��iHTUtl <br />LA\'ATORY IN'15111iA51N) <br />Sl/OWFR <br />KIiCHEN $INK L n <br />DISK'ASNER <br />IAUNORI' iRM� <br />CIOiHES \YASH[R <br />WATER HEATER <br />URINKING fOUNTAIN <br />(LOOR DNAIN <br />VACUUM BRFARERS <br />ROOf DRAINS–RAINLEA�ER$ <br />SINK 6ERVICf –dAN, FiC 1 <br />USE ZONE <br />TVPE OF CONST <br />SIZE OF OIOL <br />FIRE ZONE <br />iOTAIiEE <br />STREFT SCTfInCK <br />LOT AREn <br />OCCUPANCV GROUP <br />NO Of STORIfS <br />AASEMENT IIIDROU.v,S <br />APPlOVALS <br />1 ENVIRONMENIAL UIFCK IIST <br />7 OUIL�INC PLnNS <br />7 flRf HYDRANT <br />4 fBf PHOiCCTIONSYSTFM <br />S GNADING!%U\'ATIONACIkARiNGCRUtlIiINC <br />6 ORAINAGE <br />7 FN\'IRONMFNIAI I.+IPACT STATEMENT <br />8 MFALTH D'STRICT <br />APPLICATION ACC BY PLANS CHEIXED f1Y <br />91-%9 <br />> 'o r cff.�S'�a �rGri-r r5��e�.,rrY <br />I HERE�Y CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <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 />SICNATURE Of CONiRACiON OR AUTHOR12ED ACENT DAt[ <br />FEE NO. TYPE Oi EQUIPMENT FEC <br />nIR COND UnITS–M P En <br />RFFNIGERATION UM1'ITS–H P [A <br />[IOILE0.5–H P En <br />GAS fIRFD AC UNITS–TONNAGE U <br />fOftCED AIR SYSTEM$-0 T I' M EA <br />1VALLHEATEHS–tiTU M <br />UNITMfATERS–f4TU M <br />EVAPORATIV[ [OOLERS <br />VE NiILATION FAY <br />HAhCFMOOD <br />Alp HAM1DLINC UNIT– C F M <br />$TOVE <br />�ti1FTAl FIREPUCF d CHIMNFY <br />SUO iOTAL f <br />y �FRMIT s <br />y iOUI FEE % <br />RUH YARD �EiOACK �UN CHCCK M1U�111FH PIAN CMFCK FEE <br />FFE � RECEIPi NO. <br />VAUNT $liE <br />❑YES L7N0 <br />NO OF DWEILINL UN11S <br />MA% OCC IOAU <br />RHE SPXINKLERS <br />REQUINED <br />r7YF5 ❑NO <br />CY DATE <br />FOR <br />C i <br />VAWATION � iFE <br />OUIIDING % � `" <br />�Z VU - <br />PlUhlfilN(; <br />MFCHANICAI <br />OtMER <br />rtNnir. � uoc <br />SEC 70)lal <br />iGTAI <br />�FRMIT VALIDATION <br />WHCN PROPERLY VnLI�ATEO (IN TWS SPACEI 7M15 IS YOUR PEFMIT <br />6 t�r�.i ?c� f3c_ !� ��. cti: P�i ���-j� <br />P�v�=-2.;�t, � j p�' � �. <br />�t�3-- T<iC_.�� `=—�4-i-sLLv $�� -�lZ� <br />�—c+.�ylscuc.� �� p.t�c� L.�E=.—f-i�-rCs <br />Sil.�\�11..T/�ilLC7�lSl�`�� OQ I�C..(�SC1l.i1L.� <br />�'° �T '.aE �+-tc.il �c�.i�.� ��. <br />Nt���c,e�.Js"CZ'�t� 1�� r=a '-l�r�K=F�� <br />GUL?-�L?Ul, ��--'�3,115•=. <br />