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APpLICATION FOR <br />'"'E""°`"" C.�NSTRl�CT1dN <br />cin oF <br />�ver�e�4t PE RM I'� <br />D[PT. OF COMMUNITY DEVELOPMENT SERVICES . <br />CITY HALL 259�8745 <br />EVERETT, WA98201 []COMSINATION �BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />�� 1 Li� � 12 C— L Z-%t:i� 7(nC� � l=V' y2.ClRL-1=�J(�Jrl" _ <br />PMOHE Q L'J I71�0 <br />\11CryANIGI CONINAQOR MAII �00RE55 ❑'Y LIP PNONE LICFNS[ Y <br />PIU��OWGCONIRAQON h1AllAUONF$5 CIIY 21P PMOHf LIC[NSf/ <br />:USS Of N'ONK <br />❑NRY ❑ADDITION ❑AUERATION ❑REPAIR ❑DEMOLIfION ❑FENCE SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VAIU� N Qf \40RI( <br />1 n�, <br />� µV U <br />Ot5CR10[ WO0.N � <br />�A-�-ln SCCiti-� �^4��,v��r.,.�-z'� � 'RCi.iIoNJ�c- S,!J vti lut-�. T��;���/�C=� <br />PRO�P ysEousE o� euiiui�c I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />r,/�` ��� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />�� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />l[GAL OFSCFIPiION O{ PPOPFNIY ISMOWN 8[101V OR �TiACH IOUN COPIf5) OF WORK W ILL OE COMPLIED W ITH WHETHER SPECIFIED HF.REIN <br />iot _Ai�c�__o� OR NOT. THC GRANTING OF A PERMIT DOCS NOT PRES�� SE TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUNE OF CONTRACTOft OR Al1THORIZEO �GENT DATE <br />10l� �O�R(SS — ' � ����,j�� � � cJ I <br />t7/ r') I 1^t.;=7) �'Or=F� L.UA'Y' �✓�.' �'-�-� 1,� l. X� ` <br />PLUMBING <br />�O. TYPE OF FIJ <br />WATFR CLOSET �TOLIETI <br />tlATHiUO <br />LAVAiORY�WASH OASIN� <br />KITCHEN SINK b DISP <br />DISW�SMER <br />UUNDNV TNAY <br />CLOTMES\vASHER <br />WATER HEATfR <br />URINAL <br />DRINKING FOUNTAI� <br />VANUM UREAKERS <br />ROOf �RAINS—RAINLFA�ERS <br />ardr ICGRVIfF—DAR ETC 1 <br />SIOE YARD SCT <br />USF ZONE <br />TYPf OF CONS <br />SIZ[ OF �IOG <br />FIRf ZONE <br />suo tor�� <br />PEPMIT <br />iOTALfEE <br />STRFETSETOACK <br />LOT AREA <br />pCNPANCY GRC <br />NO OF STORIFS <br />PASEh7ENT Ilk <br />APPROVAlS <br />1 ENVIRONMENTAL CHECK L15T <br />I. FUILDING PLAN$ <br />7 FliiE HYORANT <br />< FIRIPROTECTIONSYSTEM <br />5 G1tADiNGIF%CAVATION6QEARINGCRUIIHING <br />b DRAIhACE <br />7. fNVIRONMfNULIMPACTSTATEMENT <br />B MEALTM D157N�CT <br />APPLICMION ACC. 6Y PLANS,�MECKEO <br />9.1-:9 <br />3� I <br />RCARYAR $fT0AC1: <br />VACANTSRf <br />�Y6 GNO <br />NO OF DWELLING UNITS <br />MAX OCC.LOAD <br />FINE SPftINKLERS <br />RFQUIRED <br />❑Yf5 ❑NO <br />eT DAiE <br />ron �5su�r�cy er <br />I:I�11 <br />ANIGL <br />AIN CONO UNITS—HP. EA <br />ftEFRIL[RATION UNITS—M P. EA <br />�OILERS—H P EA <br />GASFBEDA.0 UNITS—TONNAGEEA <br />FOdCkU nIR SVSiEMS—B T U h <br />WALLHEnTERS—�SU. M <br />UNIT N[A1ER5—B T U. M <br />ov�onawtlVf mOLERS <br />VENiIUTION FAN <br />RANGEHOOD <br />AIR HANOLING UNIT— C.F M. <br />STOVE <br />MEiAL FICFPLACE 8 CHIMNEY <br />sue ror�i f <br />�t�Mli S <br />PLAN CHECK <br />BUILDING <br />Niun+uwc <br />MECHANIUL <br />OTMER <br />PFNALTY <br />FEE <br />R - PUN CMECK FEE <br />FfE RFCEIPTNO. <br />VAlUAT10N FI <br />U <br />S�J/�� — <br />'--'r <br />U.0 C. <br />SEC.3�lla) <br />iOTAL I I <br />►ERMIT VALIUATIOH <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PE0.MIT <br />�1���5 ��7'�l�{�i/d(� <br />