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P'-'PLICATfON FOR _ ���,�n <br />�TM��'� LONSTRUCTION ' e <br />everett P�RMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES . <br />CITY HALL 259-B7a5 <br />EVERETT, WA98?61 ''�]�OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBINC PERMIT NO. <br />OWNFR M�IL ��OM65 CPY ZIP VMONE <br />._Mrs�a-_r f0. �'6 0255 S�. C3/f0�i7WIYY uT��lf zir •�0 5—�i93i _ <br />r)I,U, <br />PIUMIIING CO4iRAC10R MAII ADOP65 CITY Z�P PNONF IICENSE 1 <br />[USS Oi W OPK <br />❑NEW ❑A�DITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE �IGN ❑GARAGE ❑BUILDING RELOCATI�)N <br />W W A I IUN OF W ORN <br />s / Y o o�" Ta :F%'N bv�u C. t7 ST ST6�/� <br />oiscxia� woaK <br />r_ nwa�r �_.�.,da�i�lmb�ri/ .9� 8"�X I 2� i�/ F` /�TiLOr� !^2GVr�9?Yb JI; 6�, <br />vRovos�o usF or emiov+c <br />L[G�l D[SCRIPiION Of P0.0P[RtY ISIIOWH B[lOW OR AIinCH FOU0. COPILS� <br />l01 _ BIOCK _� Of <br />ion nooa[ss <br />PLUMBING <br />NO. TYPE OF FI%TURE <br />WATER CLOS[T �TOLIET) <br />BAIHTUB <br />LAVATORY(WASM BAS�N� <br />KITCHEN SINK 8 OISP <br />DISW�SHER <br />LAUNDN'! TRAY <br />CLOTHES WASHfR <br />\VATER HEATfR <br />URINAL <br />DRINKING FOUNTAI� <br />FIOOR �RAIN <br />VACUUM BRFnKEAS <br />ROOF �RAINS—RAI� <br />SINK �SCRVICI—OAR, <br />USE ZONF <br />iYPE OF CONST <br />sue Tor�,i <br />►f11MIT <br />TOTALfEE <br />STREETSCTDACK <br />LOT AREA <br />OCCUPANCY LftC <br />NO OF STCftIES <br />NASEA7ENT ��E <br />A►�ROVALS <br />L ENVIflONMEN7AL CHECK LIST <br />I. OUILDING PLANS <br />] (IRE HYDRANT <br />�. FlRE PROTKTION SYSTEM <br />S GRAOINGf%GVA71ONbQFARINGG1:l1tlNING <br />b. DRAINAGE <br />7.ENV10.0NMENiALIMPACTSTATEMENT <br />e. HEALTH DISTRICT <br />APPLIUTION ACC BY P}j��fIHESKED�Y <br />// // / <br />/I �CaT, f.cc/'.' <br />g-1-79 <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AM1IINED THI$ AP- <br />PI�ICATION AND KNOW THE SAME Tv 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 PERMIY CQE± NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISlONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PEfiFORMANCE OF CONSTRUCTION. <br />SICNATURE OF COYTRACTOR OR AU1110RIZED AGENT DATE <br />�`l.�.• ����-i �r/M-r— / ' �7 ' D � <br />MECHANICAL <br />iEE NO. TYPE OF EQUIPMENT <br />AIR CONO UNITS—H.P. EA <br />REFRIGENATION UNITS—H.P. EA <br />EfORERS—HP EA <br />GA$ FIRED A.C. UNITS—TONNAGE FA <br />FORCED AIN SYSiEMS—tl.T U. M <br />WALL HEATEHS—d.T.U. M <br />UNIT HEATERS—O.T.U. M <br />s� � <br />R[AR YAR� SET9ACI <br />VACANT SITE <br />❑YES ❑NO <br />Np.OF DWELLINC l <br />h1A% OCC LOAD <br />FIRE SPN�NKLEHS <br />REQUIREO <br />❑YFS ❑NO <br />!Y DATE <br />APPR. FOR ISSUANCE BY <br />VENTILATION FAN <br />RANGEMOOD <br />AIR HANDLING UNIT— <br />STOVE <br />METAI FIREPLACE 6 CI <br />PLAN CHECK <br />FEES <br />FEE <br />s <br />AL FFE � 1 <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />v�WAiION FfF <br />OUIIDING s ( C�(�) t"V <br />PLU�191NC <br />MECHANIUL <br />OTHfR <br />PENAITY UB.C. <br />1 EC. 30)IaI <br />TOTAI <br />�FRMIT VALIOATION <br />WHEN PROP[RLY VALIDATED pN THIS SPACE) THIS IS YOUR PERMIT <br />:� (��� ��� <br />d�� 7��r �C'��'�- <br />� <br />