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APPLICATION FOR ,�. ��e <br />'„.Ew.°`"^ I,JNSTRUCTION <br />cirr oF <br />everett �� PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICfS . <br />CITY HALL 259�8745 <br />EVERETT,WA98201 ❑COMBINATION BUILDING ❑MECNANICAL ❑PLUMBING PERMIT <br />. _._. no PHONP .. . . <br />MAII <br />MAII <br />�n. <br />ZIP <br />PHOYE <br />I <br />1 <br />[U55 Of N'GRK <br />❑NEW ❑ADDITION ALTERATION ❑ftEPAIR ❑DEMOLITION ❑FENCE ❑SIGN CIGARAGE ❑BUILDING REIOCATION <br />V�IU�TION Of WORN <br />S /.���. � �i <br />nISCRl9E WOXK . / <br />raorosFo usr o� nuuoinc <br />LEWL �6CRIPTION OF PROPFRLY (SHOWN BLLOW OR A/MCM FOIIR COPI[51 <br />�or _ eiocK �_ oF <br />loH <br />PLUMBING <br />NO. <br />OF <br />FIRE <br />UUNORY TRAY <br />CLOTMES W�SHf <br />WATFR HEATER <br />URINAL <br />DRINKING FOU� <br />FLOOR ORAIN <br />VACUUM �REAK <br />ROOF ORAINS— <br />SINK lSEHVICE— <br />EIIMIT s <br />OTALFFE 3 <br />'.[T SCTBACK RUR YAftD S <br />AREA VACANT SITE <br />�YES ❑NO <br />tIPANCY CROUP NO OF OWEL <br />A►�ROVAIS <br />1. ENVIRONMENUI CHECK LIST <br />I BUILDING PL�NS <br />7 FIRE HYDRANT <br />� FIRE PROTFC710N SYSTEM <br />5 GNADINGIfXUVATIONbCIfARI4LICRUtlHING <br />6 00.AINAGE <br />7 (f:\'I0.0N\t[NT�L IMPACT STATFb1FNT _ <br />�r <br />UATF <br />I HEREBY 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 PERF MANCE OF CONSTRUCTION. <br />SILNATURE T 10R OR AU MO^N�ZED AGENT DATE <br />�[ i /�L/ / �/� <br />TYPE <br />AIR COND UNITS—H P <br />BOILERS—H.P. EA <br />GAS FIRFD AC. UNITS—TONNALE EA <br />FORCED AIR SYSiEMS—B.T.U. M EA <br />WALL MEATERS—B,7.U. M <br />UNIiMEAiERS—BT.U. M <br />EVAPONATI�E COOLERS <br />CLOTHES ORYERS <br />VENTILATION FAN <br />kANGEHOOD <br />AIN MANOLING UNIT— C F.M. �� <br />STOVE <br />METAI FIREPLACE d CHIMNEY <br />�FRMIT f <br />TOTAI FEF f <br />PUN CHFCK NUMBER <br />FEE <br />FEES _ <br />RECEIPT NO. <br />6UILDINC S <br />PLUMBING <br />MECMANICAL <br />OTHFR <br />U.9 C. <br />PfNALTY SEC. JO3�a1 <br />TOTAI <br />�EIIMIT VALIDATION <br />WHEN PROPERLY VAIIDATCD (�N TMIS SPACEI THIS IS YOUR PERMIT <br />