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C� )NSTRUCTION <br />��everett � pERMiT <br />DFPT. OF COMMUNITV DEVELOPMFNT SERVICFS <br />CITY HALL 259�8745 <br />evekeii,wn�azot �COMBINATtON ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />Vf\�r� <br />DISIGn'LN <br />CIiY ZII' P110Y[ <br />everetl <br />e <br />G[N[R�LCONIX�CiOp MnIIADUR(55 CITY ZIP PMONE llC[NS[N <br />�� ,0 2 0��, �.3�qo sr'oNE �uE�Yc� sEATfIE �jR'r33 .�6s- u��i2 �70�: <br />AI[OIANIUI [pNiNAC101 MNL ADOXL55 CIiY LIP PHON[ lKENSE p <br />PNh1�ING [ONTRACTOR AIAII n00NL55 CITY ;:IP PHONC IICENSE p <br />CUSS Of N'JNA <br />,�NE\V G�DDITION ❑ALTf:RATION ❑REP�IR ❑DEA10LI710N ❑FENCE ❑SIGN ❑GAR�GE ❑UUILDING RELOCATION <br />VnW.1110rvOFWORF_� � ' <br />s L��n �� <br />DESCRIOC\VONA <br />u5t of oWIOING <br />LCG�L D[SCRIPiION Of PFOPEdiY �5110\YN pELOH' ON ATTACII fOUR COPI61 <br />ior oiocK_ov <br />1011 ADORESS <br />PLUMB�NG <br />NO. TYPE Of F <br />\VATER CLOSET (TOLIET) <br />f1ATHTUI4 <br />LAVATORV�IVASH f1A51� <br />� I SHO\VER <br />KITCHEN S�NK R DISP. <br />L�UNDRV TRAY <br />CLOTHES N'ASH <br />1VATER HEATER <br />DNINKING FOUNTAIN <br />FLOON URAIN <br />VACWM1113R[AKERS <br />ROOF DRAINS—RAINLEADERS <br />SINK (SERVICC—BAR. ETC) <br />SIZE OF ULDG. <br />SUB TOTAL <br />PERMIT <br />TOTAIFEE <br />FEE <br />�� <br />REAR YARD SETI{ACK <br />LOT AREA VACANT SITE <br />❑YES C1N0 <br />OCCUPANCY GROUP NO. OF D\VELLINC UNITS <br />NO.OFSTORICS MA%.00C.tOA� <br />OASEMENT OCUHOOMS FIRF 51'NINKlLNS <br />APPROVALS <br />t. ENVIRONMENTAL CHfCK LIST <br />2. OWIOINC PLAN$ <br />3. FIR[ HyDRANT <br />a, Fia[ rrsolccrioN 5r5rrM <br />5. GFADINGI6%UVATION & CLEAHINC�GHUIIIIING <br />L. ORAINAGE <br />7.ENVIRONMENTALIMPACTSTATEM1IENT <br />B, HEALTH DISTHICT <br />APPLICATION ACC. t7Y �'6hN. CHEIXED ISY <br />-:� <br />94-79 <br />BY <br />API'j! FOR <br />�7��� <br />I HERE6Y CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLIC�TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISION$ OF LAWS AND ORDINANCES GOVERNINC THIS TYPE <br />OF WORK WILL 6E COMPLIED WITH WHETHER SPECIFIED HEREIN <br />l)R NOT. THE GRANTING OF n PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />�NY OTH[R STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORI7ED AGENT DATE �(�/�I //�0 <br />� 7 <br />MIECHANICAL <br />Np. TYPE OF EQUIPMENT <br />AIR COND. UNITS—H.P. EA <br />REFRIGERATION UNITS—H.P. EA <br />IIOILEHS—II.P. EA <br />GA$ FlRED A.0 UNITS—TONNAGE EA <br />FOHCED AIR SYSTEMS—O.T.U. M EA <br />N'nLL HCnTERS—U.T.U. M <br />UYIT HEATEHS—B.T.U. A7 <br />EVAPORATIVE COOLERS <br />CLOTHCS DRYEHS <br />�/ENTILATION FAY <br />FANGCFIOOD <br />AIR MANDLING UNIT— C.F.M. <br />MFSAL <br />PLAN CHECK <br />13UILDING <br />PLUMf71NG <br />MECIIANIUI <br />DATE I 9TH�:R <br />PEN iLTY <br />PERMIT <br />TOTAL FEE <br />PEE <br />3 <br />FEE <br />�f <br />PUN CHECK FEE <br />� RECEIPT NO. <br />VALUATION I FFE <br />U.II.C. <br />SfC. 3o71a) <br />TOTAL I I q <br />l� <br />FERMIT VALIDATION <br />�VHEN 1'ROI'ERLY Vq�IDAT[D (lu TIIIS SPACEJ THIS IS'iOUR PERMIT <br />r � � ��r �� �lz� <br />� �clJ �7�1c�� <br />