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I�e Eveipreen A P; � 1 C A T 1 O N F O R everett <br />arroF CONSTRUCTI�f� � <br />everett PERI�IIT <br />DEPT. OF COMMUNITV DEVELOPMENT SERVICES <br />CITY HAII. 259�8745 <br />EVERETT,t4A9B:01 �COM8INATION ❑ BUILDI��:, ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNfR nIMtA0UN155 ❑iY 21P PHONE <br />%.�%/U %1/ %/'/E. 902/ L'6��/1G/1 �,!i��ly !�/l_l-/1�T1— . � S � —�S F�/9 <br />NKCbKR'f0lm'11E:atlt h1AllADORf55 CIIY ZIP PNONC <br />Lft�lR�ICONtNA[fOR AIAll�00RE55 ❑TY 21P PHONE LICtrv>t1 <br />$'!GN- D-L/r� /�0�30 .flu,�. S���y LYN.lr�1l, �i�ajh -- z�-o<-sLqs, <br />�OIYM9Nfwfk'lkFKAtIdR MAII AOON65 � ��TY LIP PNON[ LICENSC 1 <br />��'. S.� ` �1(,l/O <br />1'll'>tpM1t{ IUNiR1[IOR M�II AO�N65 CIIY 21P� PNONf UCENSE / <br />111>\ Uf NUXK <br />❑NLIV ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ��GN ❑GARAGE ❑DUILDING REIOCATION <br />�.io��nnH o/v w1oen <br />' (JQG��— <br />I)IKNllif \1'ORA <br />r� � _.� � ♦. i. . _.� _ . . r-/. i � / A � i . . .% �_ <br />f� <br />i'NUPU1lD VSI O{ IINIUING <br />l lf.�l Of SCRIPiIOu Of PROPERI1151/0KN PFIOW OR AIiACM fOUR COPIf51 <br />,,,�iY � „,o��_o, 13f_-=i�C�PCY G.•lk,�CN T <br />/��v#i i.0 Ev,=�,�rr ��N�. �c <br />� %� i <br />iun nunxiss <br />-�//�z/ El.�� �/��F.v i,>/1Y <br />UMBING <br />N. TYPE OF FIXTURE FEE <br />' TERCLOSET�TOLIfTI <br />OA7 UB <br />U\'ATO 'I��ASHEIA5IN) <br />SHON'FR <br />KI7CMF�+SINKa ISP <br />DIRYASHER <br />UUNDRV THAY <br />ClO7ME5 w�SH[�t <br />1vAT[R MFATER <br />URINAL <br />DRINKI�G FOUNTAIN <br />fLOOR ORAIV <br />VnCUU�.� BRf AK[RS <br />NOUF DRAINS—RAINLEADFRS <br />$INK (SE RVICL —AAR. E TC � <br />SUBTOTAL <br />PERMIT S <br />iOiAL iEE S <br />SID[ VARD SCiOnCK STRFFi SCTOACK RUR YARD SET9ACK <br />USF ZO"+E <br />TYPE OF <br />lOT ANEA <br />OCCUPANCY GHOUP <br />AVPROVALS <br />1 ENVI0.0NMENTAL CHECK 115T <br />7 BVILDINGPUN$ <br />) fIRF HYORANT <br />I FIRf PFOffCTION SVSTEM <br />S CRADINGII%CAy�710N8CIkAFINGIGRUNBING <br />6 DRAINACE <br />7 ENVIROYMFNTALIMPACTSTATFMENT <br />8 HFAITM DISTeICT <br />APPLIUTION ACC. BY PLANS CHECKEp BY <br />9 7-79 <br />VAUNi SIT[ <br />�vFS GNO <br />VO OF DWFLLING UNITS <br />MA% OCC LOAD <br />FIRf SPHINKLERS <br />REQUIRED <br />(7YE5 ❑NO <br />BY DATE <br />,t�i,ci.�r,Er� �si� ni •- QoJc� � r,ur <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THI$ AP- <br />PLICATION AND KNOW THE SAME TO OE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNINC THIS TYPE <br />OF WORK WILL DE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW RECULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE Of CONiRACTOR OR AUTHORIZED AGENT DATE <br />x (v/'�G7a //i�lt/!!/ <br />� <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />� AI 04� 11NIT5—H P. EA <br />UOILER$ iP EA <br />GAS FIRED A UNITS—TONNAGE EA <br />{ORCFD AIR SYS MS—B TL. M EA <br />1YALL HE/,TERS—B M <br />UNITHfATERS—BTU M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYEF$ <br />VfNTILATION FAN <br />RANGFHOOD <br />AIR HANDUNG UNIT— C F M. <br />METAL FlHEPLACE 6 CMIMNEY <br />SUB70TAL S <br />PERMIT f <br />PUN CH[CK NUb1BER � PLAN CMECK FEE <br />FEE � RECEIPT NO. <br />iEES I VAIUATION I iFE <br />BUILDING I 3�W'=/' � I S <br />PLUMflING <br />MECHANIGL <br />OTHFR <br />PENAITY U.BI. <br />SEC.307(a) <br />TOTAL <br />PEIIMIT VALIDATION <br />WMEN PROPEHLY VAIIDATED (IN TMIS SPACE) TMIS IS YOUR PERAIIT <br />�o- l� 6-�v �ce (� <br />{�c..U,S ��Z2lGJ L <br />�{OR ISSUANCE BY ^ .I�� _ � <br />C.LJ l �)A /%n /� . <br />5tcu� Co �,o�l.li o.v �i�luao�E�28J�� <br />