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. , - • <br /> -1 .-, <br /> ,ME„ro�.� AF LICATION FOR ���,�„ <br /> ����F CONSTRUCTION e <br /> eVeY'ett PERMIT <br /> DEP7. OF COMMUPllTV DEVELOPMEM SERVICES <br /> CITY HALL 259�8715 <br /> EVERETT,WA9B201 ��OM8INATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. � <br /> OWNER m�ll�UDMf55 CILY ZIP ' PMONE <br /> c P�D ccsnnvuto2�s�uu—S D�v, to��'(�. F�uy �jh 5� �� , , <br /> �N[HITICTOROf51GnIN MnIIADDR155 ❑LY 21P PHONE � <br /> G/fNER�I'CONtAAC�i/Ofl ` /�,/�/f MAIInU,�DlRfS$ CIIY 21V VHONE 4CENSFI �J <br /> .�11f1M•rvl[�LC�iUJ�JR W"1 • Z / I��AOD F5� CJ CiiY ���YC ����_UO� PNOS��`_GS —`�Z�ZPJ <br /> Pll!�:PItiC CONfR�Rp0. M�II nDDRfSS UtY 21P PNONE 4CENSE� . <br /> l'I�15 pf N'ONK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE I�SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> \'Sl1��11f1M1(1f M'ORK <br /> S✓U/ <br /> I)HCRiflf wORk �� , <br /> 1 <br /> rxnaoseovti o�xm�uwc I HERE9Y CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO 8E TRUF AND CORRECT ALL <br /> IEL�I pFSCRII`TION Of PNOVFRLY�SNOWN flf:OW OR A1i�CH fOURCOPIf51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> � OF WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> io� _eiocx_a• OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIULATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW RECUUTING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. � <br /> � SIGNATURE OF CO TRACTOR OR AUiHORIZED AGENT DATE � / <br /> ion+nnaiss i � I�6 <br /> X <br /> � ' PIUMlING M CHANICAL <br /> � NO. TY�E OF FISTUIIE (EE NO. TYPf OF EQUIPMENT iEE <br /> WATFR CLOSET(TOLIET� AB WN� 11NIT5—M P EA <br /> BATNIUB REFRIGERATION UNITS—H P. FA _ <br /> �, LAVATORY(WASM BASIN� flOILERS—H P EA <br /> SHOWFR CAS fIRED AC UNITS—TONNAGE EA <br /> KITCMEN SINK 6 OISP fORCED AIR SVSTEMS-6.T U M EA <br /> OISWASHFN WALL HEATEHS—B T U M <br /> C <br /> LAUNDRV TP.AY UNIi MEATERS—BT U M <br /> � ' CL07HE5 W�SMfN (VAPORAiIVF COOlERS <br /> WATER HEATfR CIOTHFS DRYER$ <br /> URIN�L VENTIIATION FAN <br /> DRINKING FOUNTAIN RANGF MOOD <br /> FLOOR DRAIN AIR MANOLINL UNIT— C.F.M. <br /> VACUUM BREANERS S70Vf <br /> ROOF DRAINS—NAINLEADERS METAL FIRFPLACE b CHIMNEY <br /> SINN�SFRVICF—BAF. ETC 1 <br /> � SUt70TAl SU�TOiAt L <br /> ►FIIMIi f ►ERMIT f <br /> TOTAL F[E f 70iA1 FFE f <br /> � SrDF YAND SCTAACK STRf FT SETA�CN RUR YARD SF TB�CK PUN CH[CK NUMBER PLAN CHEIX FEE I <br /> FEE RECEIPT NO. <br /> � USF ZONE LOT ABEA yAGNi SITE �EfS �ALUA710N FFF <br /> ❑YES CNO <br /> TYPE O� CONST OCNP�NCY LBOUP NO O� DWFILING UNIiS <br /> BUILOINC s <br /> 512E OF BIpG NO OF STORIES MA% OCC LOAO <br /> PWMflINC <br /> FBf ZONF BASEMENT OIDROOMS REQUI0.EOKLERS MECHAMUI <br /> �]YFS C7N0 <br /> A►►�OVALS �Y OATF OTHFN <br /> 1 fNVIRONMENTALCMECKLIST PFNALTY U.BC. <br /> SE� 3oNa1 <br /> I BUILUING PLANS <br /> TOTAL <br /> 7 FIRF HYDRANT <br /> � iIRE PROTF:fION 5Y5TEM ►EIIMIi VAlIDA710N <br /> WHFN PROPEHLY VAL�DATED(IN THI$SPACf)THI$IS YOUN P[RMIT <br /> S GRADINf,R%UV�TIONBCLMRINGGRUNBING <br /> b DRAINAGf �� v� �� <br /> 7 ENV�RONMENTALIMP�CTSTATEMENT <br /> E MFAITM D�STRICT <br />