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�` <br /> -�►PPLICAT'IO�f FOR ���,�„ <br /> '°.E'",°`"° CONSTRUCTIOI . e <br /> cin oF <br /> everett PERMIT <br /> DEPT. OF COMMUNITY DEVELOPMENT SERVICES . <br /> CITY HALL 259�8745 <br /> EVERETT,WA9B201 �COMBINATION �BUIL9ING ❑MECHANICAL ❑PLUMBING PERMITNO. <br /> OWNLR MAllnO0Nf55 CITv � IP PMOrvE <br /> ��//�.S /��� " /O/ ���FY��I'1�01��.�/4 CIT�v�IP PIIONE <br /> �RCMR[CT OR OFSICN[R M.VI AOORBS <br /> Br �-7 �/ hl e� Co alb.�-�- ti/.�-�w �� g�o�G 77G- �s 3s <br /> G[NERAI COMiRACi R MAIL AO�RE55^ C Y ZIP PMONE IICFNSE I <br /> M(GN�NIUI[OVIRACtOR MAIL�DDRE55 CIiY LIP PNONE IICEHSE/ <br /> PLl1���luGCOHTN�[i R-- M�ILnD�0.E55 CIiY ZIP PMOHf ll[ENSEI <br /> CLA55 OF N'00.N <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEh10LITION ❑FENCE I�SIGN GGARAGE ❑BUILDING RELOCATION <br /> YALWiIONOf WORK <br /> + 3oou <br /> OESC BE W00.K � ' <br /> �6 '' /D� D � S� � 1^ / v�/i�r�a ?��d <br /> PROPOSLDUSFOtP11lDWG I HEREBY CERTIFY THAT I HAVE Ri:D AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> lEGnlUFSCRIPtIONOFPROPEFiY15HOWNBfLOWOR�TTACNfOURCOPIE5) PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> �or eiocK_or OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITI' TO VIOLATE OR CANCEL THE PROVISIONS UF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> iIGNATUftE OF CONTftACTOR OR AUTHOXIZtD ACENT DATE <br /> IOB�ODRd�S� D� ���N �^. . X \ � ' /� Q I <br /> O �J <br /> PLUMBING MEC ANICAL <br /> NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOLIETI AIR COND.UNITS—HP.EA <br /> OATHiUB HEFRIGERATION UNITS—MP.EA <br /> LAVnTORY(WASM BA9N) BOILERS—M.P. EA <br /> SHOWER GAS FIREO AL.UNITS—TONNAGE EA <br /> � � KITCMEN SINK 6 DISP FONCFD AI't SYSTEM;—B.T U. M EA <br /> WALL HEA'E85—BS.U. M <br /> DISWASMIN <br /> UUNDRV TRAY UN�T NEATcftS—B.T.U. M <br /> CLOTHES W�SMER EVAPORATI\'E COOLERS � <br /> y WATFR HEATER CLOTHES�RYE0.f <br /> 1 � <br /> URINAL VENfIUTION F�:J <br /> DNINKINCFOUNTAIN RAhGE HOOU <br /> FLOOR ORAiN Alf� ;{nN�LING UNIT— � C.FM. <br /> VACUUM�ftEA:ERS STOVE <br /> ROOf DRAINS—RAINLEADERS MFiAL FIREPLACE 8 CHIMNEY <br /> SINK�SEftVICi—BAR.ETC 1 -. <br /> � SU!TOTAL SU�TOi1l f <br /> PERMIT f PEIIMIT s <br /> TOTAL FEF S , iOTAL iEE s <br /> , PLAN CMECK FEF <br /> SIDE YARD SFTBACK $TREFT SETDACK R[AR YAHD SETBACK PLAN CfIECK NUMBEN FEE RECEIPT NO. <br /> 4 USF ZONE l0T AREA yAUNT SRE �EES VAWA710N FEE <br /> ❑VES ❑NO <br /> TYPE OF CONST OCCUPANCY GNOUP NO Of DWEIIING UNITS <br /> BUIIDING S � <br /> 512E OF OLDC NO OF STORIkS MA% OCC IOAD <br /> PWMBING <br /> FIRF ZONf 6�SEMENT fikDH�1OMS REQUIREDKLERS MkCMANICAt <br /> ❑YES ❑NO <br /> AP�ROVAIf er DAiE 01HFR <br /> 1 ENVIftONMENTAICHECKL151 PEN��t� U.BC <br /> SEC 70J1a1 <br /> 7 BUIIDING PUNS 1� _�y� <br /> TOTAL L,�� <br /> 7 FIRE HYDR�NT <br /> / FIRE PftOTEf?ION SYSTEM ►fI1MIT VALIDA710N <br /> WHEN PROPERIY VALIDATED�IN iH15 SPACE�THIS IS VOUH PFRMIT <br /> 5 GRAOINGIf%ChVATIONBCIfARINGIL0.lItl91NG <br /> 6 DRAINAGE � �✓'�� �/� /�///� �/7 <br /> 7 ENVIRONMENTAL IMPACT STATEMENT �I��I^� ��( (/ri//I/n //L�� <br /> � KJ U�J�c.�C.Y:,(i <br /> i <br /> E HFALTH DISTRICT � �—� <br /> APPIJGTION ACC AY PUNS('HFCKI D FlY AP7R fOR ISSWNCE HY _ <br /> � <br />