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APPLICATION FOR— <br />"TM�"""' .;ONSTRUCTION <br />everett PERMIT <br />DEPT. OF COMMUNI7Y DEVELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVERETi, WA 9Bi01 ��OMBINATION <br />euaoiNc <br />❑ MECNANICAL <br />❑PLUMeiNc PERMIT NO. <br />�w,.�, _._- - <br />No2snd� W�.�-,..a� 5�3} WiWnUrc-;cra� y, t-tiuZL-.�C `Ibwb <br />e0.CNrtKT OR 0[SIGNErt MAIL ADORFSS CIiY ZIP VNONE <br />N� <br />GINtMLiONIqeCIOR MMlA00NF5S CITx ZIP PNONE 4CFNSFI <br />col-ls'�I�F-ti'�a� vYt�c..�c�t-s P.o, � �c(al- "�1�C�1�3-L qtbl� � cySil <br />_.._ no ownwo IICFN5F1 <br />• �' 6 =ip PNONF IICFMSF / <br />PWMBIVLCONiRAC10R MAIL�O�NFSS UTY <br />Wb <br />CIeSS Of wORK <br />❑NEW ❑ADDITION �ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE BUILDINGRELOCATION <br />VAWAl10NOf WO0.K <br />t � �� � <br />06C0.1B[ WONN <br />GWUL+C M6kCy�tL=. Y•C� To 7N.v�s�u RLG= <br />PROVOS[DUSF Of BWIDInG I HEREBY CERTIFY THAT I HAVE REA� AND E%AMINED THIS AP• <br />,�„.,.�, „_ _ o,��„� PLIUTION AND KNOW THE SAME TO 8E TRUE AND CORRECT ALL <br />THIS TYPE <br />IEUI DlSCPIPiION Of PMOVE0.LY ISMOWN BFIOW OR AiiMH IOU6 COPIE31 <br />lpt �BIOCK� <br />ov 'Cl�l_. S�a ux� 'Fi [�F �� <br />6r-,u -c1-x�c wenv�� c,� w[ �1� n�ve�� <br />���� T�CCS DIVIStoi� 'a <br />IqOB�ODRf55 <br />I�JZ.r_J �� V � ��I �JA . <br />PLUMlING <br />Np. TY�E Of FI%TURE FE4 <br />WATER CLOSFT ITOLIETI <br />BATHTUB <br />LAVATORY (WASH BASIN� <br />SHOWER <br />KITCMEN $INK 8 DISP <br />DISW�SMER <br />L�UNDRYTNAY <br />CLOTHES WASHE2 <br />WATER HEATfR <br />URINAL <br />D8INKINC iOUNTAIN <br />fLOOR OR��N <br />VACUUM BRfAKERS �_ <br />ROOi DRAINS-NAINLEADERS <br />SINK ISERVICE-BAR. fiC 1 <br />SU� TOTAL <br />�E�MIT f <br />70T�lfEE S <br />SIDE Y�RO 5[TBACK STREET SCT9ACK RUR YARO SETI <br />USE ZONE t0T ANEA yACAN[;IiE <br />OYES �,[��7 <br />CONST <br />�� _ <br />Z --� <br />i[c MA% OCC. IO�D <br />ANROVAlS <br />1. ENVIRONMENTAL CHECK LIST <br />2 BNLDING PL�N$ <br />J FIRF HYDPANT <br />�. FIRE PROTFCTION SYST[M <br />5 GRAOINGIF%GVATIONbCLEARINGICRU9flING <br />fi DNAINALE <br />7.ENVIRONMFNTALIMPACTST�TEMENT <br />E. NEALTH OISTRICT <br />APPUCATION ACC. BY PUNS CMECKEC <br />I/ �- <br />9.1-79 <br />�r <br />BY I APPR <br />D�TE <br />ISSUANCE <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING <br />OF WORK WILL BE 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 REGULATINC CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SILNATURE O CONTNACIOR OR AU HORIZfD ACENT DATE <br />�� inn „ � q•2`� •�� <br />MFCHANIUL <br />NO. TY�E OF FQUI�MI <br />AI0. f.ONO UNITS-H.P. EA <br />REFRIGFRATION UNITS-NP. EI <br />BOIlERS-H.P. EA <br />CAS FI0.ED A C. UNITS-TONNM <br />F00.CE0 AIR SVSTEMS-B T.0 <br />W��� HfAiERS-B.T.U. M <br />uNRHFATERS-BT.U. M <br />MECK NUMBER <br />�/r'/07�0 <br />BUILDING <br />PWMBING <br />MECNANICAL <br />OTHER <br />PENALTY <br />FEE�O <br />s <br />U.B.C. <br />s[c wx+� <br />RECEIPT NO. <br />TOTAL I I <br />(H�MIT V�IIDAiION <br />WHEN PNOPENLY VALIDATE�(IN THIS SPACFI TH1515 YOUR PERMIT <br />