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,�,E�„a,e,� P PPLICATION FOR <br />°��°F �.ONSTRUCTION <br />everett PER�tIT <br />DEPT. OF �OMMUNITY DEVELOPMENT $ERVICE5 <br />CITY HALL 259�8745 <br />EVERETT,WA98201 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />CONI0.ACION <br />SG\II <br />ss <br />everen <br />e <br />ZIP PHONE IICENSE 1 <br />Y"u/>n7.. 7/�NI 7� �e��F .>�.c�� ��� J"lP-luNFa�vn �nFti� ��.7J`�zoJ �uF+('�J( "/1s7� <br />nIfCNANIUI COMN�CLOR M�II AO�PE55 CIiY LIP PHpNf UCENSF I <br />PWmOWCCONIHnCiOR mAILADDRE55 CITY ZIP pMpNE IICENSEN <br />C1A55 O� wORA <br />❑NEW ❑ADDITION . ❑ALTERATIO,1 ❑REPAIR ❑DEMOLITION ❑FENCE �GN ❑GARAGE ❑BUILDING RELOCATION <br />VAWAiION Oi WORK <br />s / /�a <br />uiscT[ woax <br />rKoroitu use or xmioi�:e <br />IFGM UESCMIPiION Of PROPERTY �SHOWN BELOW 00. nTTACH iObR COPIE51 <br />lOi � BIOC[ _ Of <br />PIUMBING <br />NO. TYPE OF FI%TURE <br />BATHTUB <br />UVATORY �WASH BASINj <br />SHOWER <br />NITCHEN SINK 8 DISP <br />DISW�SHkR <br />tnUNDRYTRAY <br />CLOTHES WnSHER <br />\\'A7ER MEATER <br />URINAL <br />DNINKINCfOUNTAIN <br />FIOOR DRAIN <br />VANUM OREAKERS <br />NOOF ORAIN$—RAINLEAO <br />SINK ISERVICE—BAH. ETC 1 <br />70TA1 FEf <br />SIDE VANO SCTEIACK STBfET SETBA <br />USE ZONE LOT AREA <br />TYPF OF CONST <br />SIZE Of dl�G <br />i1RE ZONE <br />S <br />VACANT SITE <br />❑YES CNO <br />NO OF STORIES MA% <br />OASEMENT OLUHOOMS fIHE <br />APPROVALS <br />1. ENVIFONMENTAL CMECK LIST <br />1. tlUILDIRG PLANS <br />7 FlNE HYDRANT <br />4 FIRE 7ROTECTION SVSTEM <br />5 GHAUINGf%CAVATI0�6ClEARINGlGRUN171NG <br />6 DRAINACC <br />L ENVIRONMENTAL IMPACT STATEMENT <br />B. MEALTM DISTRICT <br />BY <br />APPLIUTION ACC. BY PLANS CHECKED BV I APPR. FOR <br />91 79 <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 />PROV�SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL �[ COMPLIED WITH WHETHER SPEC'FIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT 1'RESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATINC CONSTRUCTION <br />OR� F PERFORMANCE OF CONSTRUCTION. <br />5}CNA�RE OF CONTRACTOR�OKA.UipIf�RIZED ACENT DATE <br />FEE NO. ' TYPE OF EQUIPMENT <br />AIR COND UNITS-H P. EA <br />REFRIGERATION UNRS-HP. EA <br />�OILERS-H.P EA <br />GAS FIRED AC UNITS-TONNACE EA <br />FORCED AIR SYAEMS-� T.U. M EA <br />WALLMEATERS-OT.0 M <br />UNIT HEATFRS-OT U. M <br />DATE <br />VENiIIATION FAN <br />NANGiMOOD <br />AIH MANDLINC UNIT— C f.M. <br />STOVE <br />METAL FBEPUCE 6 CHIMNEV <br />fEFS <br />SUB TOTAL <br />PERMIT <br />�S�� <br />'I <br />PLAN CMECK FEE <br />FEE I NECEIPTNO. <br />VA W ATION <br />OUILDING S <br />v�ur.unNc <br />AIECHANKAL <br />OTHEN <br />PENALTY U.BL. <br />SEC. J03(a) <br />TOTAL <br />PFRMIT VAtIDATION <br />WHEN PROPERLY VALIDATE� �IN THIS SPACEI THIS IS YOUR PENMIT <br />vY M1.:" �.rw�i'..{'. . . <br />