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0 <br />fMEwrpre�^ A�^PLICATION FOR_ . ��r«„ <br />°�TM°F LONSTRUCTION ' <br />everett PE RM IT � <br />DEPT. OF COMMUNITY DEVELOPMENT $ERVICES <br />CITY HALL 259�8745 <br />EVERETT, WA98201 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUNiBING PERMIT NO. <br />OWNFN MMInDON65 OTY ZIP PNONF <br />��6/f�S ro. /602 5'. ,r3no,s}pwfiY L2V7T s's'-9'93l <br />�R[MRFQ ON Dl51GrvER MML AODME55 UTY Z�p PHpNE <br />GFNERAL <br />mna nwno> u n <br />. z i enn.7 i i� i�. GYi <br />��v�a S6C4uanx� <br />ii 7'�/_ S�cP'� .' r... `r 6a <br />MtCMANIUIWNiR�C10N M�II�UpRF55 ���i LIP PNONE <br />�ZY7� <br />PIUMpIrvG CONiNACtOR MNl AOOX65 CIiY Zlp PHONF IREN$E � <br />[LA55Of WOPN <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE �,SIGN ❑GARAGE ❑BUILDING REIOCATION <br />VAIU�iION OF WORN <br />3 / Y o o,�" To :�'N d�.9st- C v sT', ST6N, <br />O{iCRIP! WORN <br />�..���� . ..�r�.._��r/ d d�.�.�i N/.- /]U/�./ .._�..��a.. �_.l <br />P0.0F05[D USF Of UNI�ING <br />ComwiG/LCS�1-�- 13'-��'/� <br />IEGA/0[SCPIPiIOv Oi P0.0P[PiY �SIIOWN 9[lOW OR �iiACH fOUR COPIk51 <br />lOt _ PLOCN �_ Of <br />IOP nOUNf 55 <br />/ So 2 S, /a /r o,q.n hr�e-Y <br />PI.UMBING <br />NO. TYPE OF FI)(TURE <br />WATER CLOSET ITOLIE7) <br />BATHTUB <br />LAVA70RY (µ'ASH BASIN� <br />SHOWER <br />KITCHEN SINK 6 DISP <br />�ISWASHER <br />LAUNURY TRAY <br />� CLUiHES WASMER <br />�� WA7ER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DHAIN <br />VACWM BftEAKEHS <br />ROOF DRAINS—RAINLEADERS <br />SINK �SENVICE—UAR, ETC ) <br />SU! TOTAL <br />PERMI� y <br />TOTAL FEF f <br />SIDE YARO SCTI7ACK STREFT SCTOACK R[AR YAR[ <br />USE ZON[ <br />7YPE OF <br />ov u�oc <br />�R�� VAUNT SIiE <br />�YES �NO <br />11PANCYGROUP NO.OFDWELLIM <br />OF STORIES M.1% OCC LOAD <br />'.MENT OLDNOOMS FIRE SPNINKLENS <br />A�/IIOVALS <br />1. ENVIRONMENTAL CMECK L15T <br />2. BVILOING PlANS <br />l FIRf NYORAN7 <br />d FIRE PHOTECTION SYSTEM <br />5 GRADINGIE%CIVATIONBCLkARINCIGRUBflING <br />6. DRAINAGE <br />7. fNVIRONMENTAI IMPACT STAiFMENi <br />E. MEALiH DISTRICT <br />APPLICATION ACC. 9Y P N HF E� Y <br />�� •:�� <br />9�1-'9 <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 GRANTINC OF A PERMIT DOES NOT PRESUME TO <br />CIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOC�1L LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIr.NATUR[ OF :ONTRACTOR OR AU7HORIZED AGENT DATE <br />X�l. <br />MECHANIUL <br />TYPE OF FQUIPMENT <br />Alft COND UNITS—HP EA <br />REFRICERATIpN UNITS—M.P. EA <br />UOILEHS—H R EA <br />GAS FIRED A.0 UNITS—TONNAGE EA <br />FOHCED nIR SYSiEMS—B.T U. M <br />N'ALL MEATERS—II T.U. <br />UNIT NFA7ERS-0.T U M <br />kVnPORATIVE COnLERS <br />CLOTHES DRYFRS <br />VENTILATION FAN <br />ftANGEHOOD <br />AIR HANOIINC UNIT— CF.M. <br />SiOVE <br />MEiAL FIREPLACE 8 CHIMNEY <br />PLAN CIICCK <br />BUILDINC <br />rwn+oiNc <br />MECHANIUL <br />!T � DATE � pTHER <br />PENALTY <br />TOTAI. <br />_ SUlTOTAI f <br />►EIIMIT f <br />TOTALFEE S <br />NUh70fR P�AN CMECK FEE <br />FEE F,ECEIPT NO. <br />FFFS � VALUA710N il <br />3��`� lv2 <br />U. B C. <br />SEC.70)(al <br />�fLLMIT VAl10�TIOH <br />WNEN PROPERLY VALIDATED (IN THIS SPACE� THIS IS YOUR PERMIT <br />.=� ���� r��� <br />�� 7��1 ►`.�L�'��,.._. <br />APPR. FOR ISSUANCE BV <br />FEE <br />a <br />