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tA� Evorpmn � P P L I C A 1' I O N F�'�, <br />��^�°F CONSTRUCT101� <br />ever��tt PE RM IT <br />DEPT OF COh7MUNITY DEVELOPMENT SERVICES <br />CITY HALL 259�8745 <br />EVERETT, WA 98201 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />everen <br />� <br />C-��'�':tiL SCti/Hl/ C��V ILOY`i Pi/L_ .S/%�%t'i/.,' %��'Ln% LlilC/:.�ILCCE/�.� r./M'S' LZI� }:��""I/'l2 <br />eRCNIi[R OR OfSILNIN M1UII Ap00.E5S ❑TT ZIP VHONF <br />GENfNnI [Ov1RAC10R bUll �O�N155 F�(/ f� ,j � G`/ ����' ZIP PMONE llCfnSE I <br />I"l[°{=/l�-" /L�+'('�/•J ca x��• zlazo !!�i' i,�. LYa/ti� c��vh G�OSG 97h �Y3'i /.3Ei✓tYN�v�w <br />MtCN�MUL CONB�CION MAII AD�R65 UIY LIP fH0'�F IICENSE I <br />PN\IPlvf. CONip�CLON AIAII ADUN65 CIIY ZIP PIIONF UCENSf 1 <br />❑NEW y ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOIITION ❑FENCE �SIGN ❑GARAGE ❑OUILDINC RELOGTION <br />VAl W llON Of A40RK <br />' /GtCICy G%. <br />uiscHint woal <br />i � <br />['/:{�'L"G7 Cl-f��/'%T�✓il�F�lN a. ?.r12 TNte/'J-:-tLi .LZGvr�i S'f-6:�,� r^N E:;�S'.TSJ1Nr� I'' <br />venrosEoust oi nunoi�:c I HEREDY CERTIFY THAT I NAVE READ AND EXAMINED 1"HIS AP- <br />���.g��^�[-' /t C-L/;'�t �7-�t5��t/, PL�CATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />ucu oiscairuovor raaviairis��owrnFiawok nrrnu� rouRmvnsi PROVISIUNS OF LAWS AND ORDINANCES COVERNING THIS TYPE <br />OF WORK WILL 6E COMPLIED WITH WHETHER 57ECIFIED HEREIN <br />�o� eiocK_or OR NOT iHE 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 PERFORM�NCE OF CONSTRUCTION. <br />�_ i �i , SICNAiURF Of CONiRnCiOR OR AUTHOBRED AGFNT �niE <br />iau <br />PLUM8ING <br />N� <br />�V�'%'!�%"-�''C'!✓ :../1'� Y <br />TYPE OF FI%TUNE <br />ffA1HiU8 <br />LAYAiORY lWASl1 BASINI <br />SMOw[R <br />KIiCHkN SINK b UISP <br />DISR'ASHf R <br />LALINDNI' TNAt' <br />CIOTHES\YASHER <br />11'AiEN HEATER <br />URINAI <br />ORINFING FOL'NTAIN <br />FLOOP f.BAIN <br />VACUVb� NRUKERS <br />ROOF nRnINS—R��NLUD <br />SINK ISER\'ICf—OAR, ETC 1 <br />S�OF YAR� 5lTp <br />US� ZONE <br />TYPE OF CONST <br />SIZC OF OLDG <br />FIN[ ZO'�[ <br />iU8 TOTAL <br />PERMIT S <br />TOTALfEE f <br />SikfEi SCTP.ACK H[ <br />FEE <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT <br />AIN WND UYIiS-HP FA <br />REfRICFRATIONUNITS-MP EA <br />OOILERS-MP kA <br />GAS FlRE� AC UNIT$-TONNAGE EA <br />FORCFD AB SYSTEMS-6 L U M FA <br />R'ALL HEATERS-Il l U M <br />UNIiHEAiFNS-HTU M <br />!\'APORAtIVE COOlFNS <br />SE711AtK � PLANCH <br />AREA y���NT 517F <br />❑YES ❑NO <br />UPANCI' LHOUP ND OF �WEILIN <br />Of STORIES ��AX OCC LOAD <br />�ASEMEN7 I HLDNOOMS <br />APPIIOVALS <br />i ENVIRONMFNTAL CHECK LIST <br />2 HWL�ING PUNS <br />J FIRf HYORANT <br />4 FIRE PROTECTION $VSTEM <br />5 GBADINCif%UVAIION6CLfARING:CRUBPING <br />a oenirvnc[ <br />7 ENVIftONMFNUI IMPACT STATEMENT <br />B HFALTM DISTRICT <br />er <br />>H�NKlERS <br />R[D <br />DATE <br />ApPl1UTION ACC �Y PLAN$ CHECKED BY I �P�R fOR ISSWNCE NY <br />9.1-;9 <br />VENIIUTIUY FAN <br />HANG[HOO� <br />AINNANUIINGVNIi— CFM <br />SIOVE <br />AILTAL FBEPUCE 8 CMIMNEY <br />SUE70TAL f <br />PERAIIT S <br />iGTAI fEE s <br />rfE <br />iF[5 <br />d �/ �f--�r� <br />FEE <br />RECEIPT NO <br />fFF <br />IIUIIDING s <br />vwn+ninc <br />MECHAMUL <br />O7H[R <br />PfNAL1Y U PC <br />SEC JOI�a) <br />TOTAL <br />�EIIMIi VAIIbATIOH <br />WHEN PROPERLY VALIDAiEO11N 7H15 SPACEI TH1515 YOl1R PEftM1T <br />�lupJ �C� '_Py==— /�� �:ti <br />�`aUI�T� �7U1��=i2.��- <br />I <br />�)'7�.�.�. �l��,Zc"lC .' <br />