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APPLICATI�N FOR � <br />'".E".`°"'° I,JNSTRUCTION <br />cin oF <br />evere�t PERMIT <br />DEPT. OF COMht�JNITY DEVELOPMENT SERV.ICES <br />ITY L 259 B'75 <br />C HAl � � <br />EVERETT, WA96.'.Ol []�OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />.� o� ia Mniinooxiss, cirr rfu� vnoNF <br />. � _ . . _ / � . -o _ _ . /-� �% � . \ � _ _t!/_ /. i_. �% y� J� <br />/' <br />. <br />i <br />GWIRAtCONIRACIUM MAILAO�RESS C�IY ZIP PHONE UCFNTfI <br />�i /. <br />�( <br />nROIAWGLCOu]RAi(00. M�ILADOR65 ��1Y LIP PNON[ tIC[NS[I <br />PIUMPINf.CONiPM10R Me1lApORlSS CIIY ZIP VHOH[ LIC[NSEI <br />❑NEW OADDITION ❑AL7ERATION ❑REPAIR ❑DEMOLITION ❑FENCE L�SIGN ❑GARAGE ❑BUILDING RELOCATION <br />VA W A1104 Oi K'O0.K <br />f � �— <br />D6CRI01 W � . . . _ _. � . _ <br />pqoros[o usi or nmiu��o <br />,�� i�1i�H <br />lE Wl Df SCNIPLU� Of PROPI RM1 i <br />io� �oiocx_or <br />�OD0.F55 <br />PLUMBING <br />NO. TYPE Of FI%7URE <br />SHOW�R <br />NRCMLN SINK M1 DI$ <br />015\VASNER <br />LAUNONVTRAY <br />CLO7ME5\VASHfR <br />\YATEN MEATfR <br />URINAI <br />DHINKING FOl1NTAl <br />fLOOk �RAIN <br />VACWPI ORfAKERS <br />SINK <br />SIOE YAftD <br />- � � <br />CONST <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMi�JED THIS AP- <br />PIICATION A�D KNOW THE SAME TO 8E TRUE AND CORRECT ALL <br />i�1�CH fOVR COPIl51 PRO\'ISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />�-1 �I � OF WURK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />1 OR NOT. THE GRANTING OF A PERMIT DOE$ NOT PRESUME TO <br />1 GIVE AUTI10RIlY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />¢/. C[ � ANY OTHER $TATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFOj,MANCE OF CONSTRUCTION. <br />/ � $IGNATURE OF�N�NA'TOR OR AUTHORIFED AGENT DATE <br />PEIIMIT 3 <br />TOTALfFF 3 <br />STREE15Rf1ACK RUN YARD 5 <br />LOT AREA y���NT SIiE <br />,jTfS ❑NO <br />OCCUPANCYGNOUP NO OF �WEL <br />NO OF STORIF. MA% OCC LC <br />FlRF ZONE / OASFMENT OtOX <br />AP�ROVALS <br />1 fNVIRONMFNTAL CMFCK L15T <br />i OUILDING PLANS <br />) flRf HYDRAN7 <br />� fIHL PHOTfCTION $YSTEM <br />5 GR�DINGIE%UVAiIONbCIfARINGICRUtlflING <br />b DNAINAGE <br />L ENVIRONMENTALIMPACTSTAifMENT <br />E HFAITN OISTRICT <br />�T <br />APPLICATION ACC BY PL NS ECKED BY APPft FOR <br />��,�'�.� <br />97J9 <br />FEE <br />OAT[ <br />BY <br />TYPE <br />REFRIG[RATION UNITS—NP EA <br />OOILERS—M P EA <br />W$ FlRED A C. UNIT$—TONNA( <br />fORCFD AIR SYSTEMS—tl TD. <br />N'ALIHEATEHS—BT.0 M <br />UNITHEATENS-9TU. M <br />EVAPORATIVE COOLCRS <br />CLOTHES ORYERS <br />VENTILATION FAN <br />C.F M <br />S70VE <br />METAL <br />sue <br />CH[CK NUM1ll1ER <br />PLAN CHECK Ffi <br />FfE � RECfIPI NO. <br />DUIL�INC s <br />PWMOINC <br />MECHANIUL <br />OTHFR <br />vFNnLTY UBC <br />SEC.IOI�at <br />TOTAI <br />�[IIMIT VAIIDAiION <br />WHEN PROPENLY VAlIOATED �1N THIS SPACE) THIS li YOUH Pf kM1T <br />�� - �� � ��- <br />i�/��� D�����'G'�� <br />