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APeLICATION FOR <br />everett C �NPE R�'TTION <br />Df.PT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY NALL 259-874> <br />EViRETT, WA98:01 �COMB�NATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />oH oEsicuca <br />G[NLR�L <br />mnu nooa[55 <br />n�ni� <br />arr nr <br />zir <br />evereit <br />e <br />" (1 7(� 7 .Z%�� <br />M[CII�MGLCONiRACtOH h1AllADORf55 CITY Llf PMurvt uurvS�P <br />PlUMf11NG CONLRACiOR AtAIL AO�RE55 CITY 21P PIIONE IICENSE p <br />CL�SS Of \1'OHA <br />.�NEW ❑�DDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑6U�LDING RELOCATION <br />VAWATION OF \I'ONK((/�yj�/ � <br />S � �% �%% � <br />T� ius-t��i <br />raoros[o usr or nunoin�c <br />L[G�L DESCRIPiION OF PROPENIY ISHOWN G[lON' OR ATT�CH IOUfl COPIC51 <br />ioT uiocn_ov __ <br />ion nooaess <br />PLUMBING <br />NO. 7YPE OF FIXTURE <br />6ATHTUO <br />LAVATORY pVASH �ASIN) <br />SHO\VER <br />KITCHEN SINK 8 OISP. <br />DISIYASHER <br />LAUNDRYTRAY <br />CIOTHES WASHER <br />URIYAL <br />ROOF DHAINS—RAWLEADERS <br />SINK 6ERVICE—�AR ETC] <br />SUB <br />70TAL FEf <br />USEZONE LOT.IREA <br />APPROVALS <br />L ENVIP,ONMENTAL f.HECK LIST <br />2. 6UILDING PLANS <br />J. FIRk HYORANT <br />i. FIRE PROTfCTION SYSTF.M <br />5. GRADINGC%CAl'AiION A CLkANIfIGIGNUBI4ING <br />4. DRAINAGE <br />7. :NVIRONMkNTAI. IMPAC� S7AT[MCN'. <br />B. HEALTI�I �ISTRIfT <br />APPLICAiION ACC. 11Y �LANS CHCCNED OY <br />��L , 7� <br />3 <br />f <br />FEE <br />I HERE(iY CERTIFY THAT I HAVE READ AND EXAMINED THIS AF- <br />PLIC�TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THI$ TYPE . <br />OF WORK WILL 6E COMPLIED WITH WHETHER SPECIfIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESU��tE TO <br />GIVE PUTNORITY TO VIOL�TE OR CANCEL THE PROVISIO�S OF � <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION , <br />OR THF PFRFORMANCE OF CONSTRUCTION. � <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE �(���e //CJ� �. <br />7 /V <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT <br />AIR COND. UNITS—H.It EA <br />RCFNIGERATION UNITS—H.P. EA <br />UOILERS—H.P. EA <br />FOHCED AIR SVSTEMS-6.T.U. <br />WALL HEATERS—O.T.U. A1 <br />� UNIT HEAfCRS—O.T.U. M <br />EVAPORATIVE COOLERS <br />VCNTILATION FAN <br />HANGCHOOD <br />METAL FIREPLACF & CHL\7NCV <br />YARD SETIfACK I PLAN CHECK NUMIICR <br />VACANT SITE <br />OYES ❑NO <br />h1A%. <br />LQUIHED <br />]YPS ❑NO <br />BY DATE <br />EA <br />SUBTOTAL S <br />PEPMIT f <br />iOTAL FEE f <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />VAlUA710N FEE <br />IiUILDING E`edn�47/ <br />lA�� <br />f'LUM6ING <br />MECHANICAL <br />OTHER <br />P[NALTY U.O.C. <br />SEC.IOI�a) <br />TOTAL <br />PERMIT VALIDATION <br />WH[N PROPCRLY VALIDATEC PN THIS SPACE) THIS IS YOUR PERh717 <br />1�• ���� ��� <br />r� <br />