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tAe Evurpreen A Q P L 1 C A T I f� N F O R <br />°�TM°` :.ONSTRUCTION `°e, <br />everett PE RM IT <br />UI:PT Of COMAIUNITY DEVELOPMENT SERVIC[5 <br />CITY HALL 259�0745 y�� <br />EVERLTT, WA9B201 �COMBINATION ❑ BUILDING ❑MECHANICAL /LJ�PLUh981NG PERMIT NO. <br />a���g� �: nuu eoaxiss air zir PIIONF <br />��.,���..,..n��o�,.��w mnnnounue uir zm ruahF <br />GIHIN�lCON1NnC10H AIAllA0�N155 �IIY ZIP PNONI �ICENS[I <br />a �/1 �/�i.��`G <br />Mlt�IeHIUIIOviR�[ION aUllnOUp[R ❑lY IP PNON[ tICENS[I � <br />��0 -,('n%� 1��p�/v� �� rc�a� ��(� l /3 P"„� (�-S _ �/�P/' 7'il/�'ad1/�37 �//1i �� � <br />1'll'+�IIinC lUa1N�UON � n��n. eooxiss arv zir r��on[ uc[ns[ � <br />CUSS Uf NORN <br />❑NEW ❑ADDITION <br />vniunuo�+or wuxr; <br />f <br />nie[Hmt\��ux�fl ! <br />ru�u�oitu�si ur nunUmc <br />TION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SICN ❑GARAGE ❑BUILUING RELOCATION <br />u cn� nt scuiruov oi rRori Hn urw���N nuoiv oa ni rno� rouu corn v <br />t01 IIlO[A__OI <br />ion eunuiss <br />PLUMBING <br />NO. TYPE OF FI%TURE <br />N'A7tR CtO5E11tOLIETI <br />[iAT117U11 <br />IA\'AIORV IN'AShI ItA514� <br />z�+o�+F H <br />RI!CMfN SINK d DISP <br />DIS h'ASMf R <br />UUNDXY TRAY <br />CLOTIILS N45MF R <br />N'ATEN HIATER <br />URINnI. <br />DNINI:Inf, fOUNTAIN <br />ILOON UHAIN <br />VACUU••1 fiRFAKEftS <br />ROOf ONAINS—HAINLfAUERS <br />SINK 6! R\9Cf —[1�H. t 1C 1 <br />SID! lARO 51 L! <br />USE ZO�k <br />TYPf Of CUNSi <br />SIZE OF FlIDC <br />SUBTOTAI <br />PERMIT <br />TOTAI IEF <br />SiRFETS[iOACK <br />L(.T nHEA <br />OCCUPAnCY GROUP <br />NO Of STORI[5 <br />OASfMENi IIIUROt)NS <br />APPROVAlS <br />1 fM1�'IRONAIE�':TAI CHECK lIST <br />2 f1UIl�ING PIAN$ <br />J IINE MYDNANT <br />� FlNF PHOiECTION SYSTEM <br />5 GNAUINC9xCn\'AIIONbCIkAHINLIGRUtlNING <br />6 DRAINAC[ <br />7 fNVINOnMFN1ALIMPACTSTATEMENT <br />B MFAUM OISiNICT <br />�S <br />N[ AH YAND $[ 711ACA <br />YAUNT S�TE <br />❑YFS ❑�'O <br />NO OI DWFILINC UI <br />MA% OCC IOAD <br />HNL SPHINKtfNS <br />REOUIR[D <br />BY I DATE <br />APPLIUTION ACC OY PUNS CHFCKED BV I APPR FOR ISSUANCE BY <br />9.7 79 <br />I HEREOY C[RTIFY THAT I HAV[ READ AND [XAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO UE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOV[RNING THIS TYPE <br />OF WORK WILL 6E COMI'LIED WITH \NHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTINC OF A PERMIT DOE$ 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 PERFORh7ANCE Of CONSTRUCTION. <br />SICNAIUNE OF CONTRACTOR Oft AUTHORRED �GENT DAiE <br />X�, ���;/� ir� //�/�3 <br />MECHANICAI <br />TYPE OF EQUIPMENT <br />AIHCONU UNITS—HP EA <br />H[fRIGCRATIONUNIiS—MP EA <br />11011[NS—HP EA <br />f,AS FlRLD AC UNITS—IONNAGE FA <br />fCRC[DAIRSVSTFM1I$—BTU M <br />\VAIlRFA7LR5—UTU M17 <br />UNITHkATCRS—fITU M <br />f\'APORAfIV[ COOLfRS <br />CLOTIIE$ DRYI NS <br />VFNiI�AT1041AN <br />NANLFHOOD <br />AIR HAM1;DI�NG UNIi— C F M <br />S70VF <br />nlfUl fIRFPUCF 8 CHIMNEY <br />PLAN CHICA NCNOIR <br />fFES <br />SUB TOTAL <br />PfRM1T <br />70TA1 fEE <br />� <br />FEE <br />S <br />S <br />RECEIPi NO. <br />fEE <br />DUILUING S <br />PlUM11171NC <br />MfCHANIUL <br />OTHEft <br />PFNALTY U 0 C <br />SEC 30Ha� <br />TOUL <br />�FPMIi VAIIDATION <br />WMEN PROPfHLV VAIIDATED (IN THIS SPACE) TMIS IS VOUR PERMIT <br />� <br />