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fMEwrprNn AP`�LICATION FOR � � <br />"TM°° CONSTRUCTION <br />everett PERMlT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />❑TY HALL 259�8715 <br />EVERETT, WA98201 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />' 21l <br />GINER�I[OMpAt'10R -- � �� – — � •-�" �' �L" <br />M Il �OORtII tltv ZIP PHONF IICE E I <br />MI[H�NIUI [ONiRACtOR M�II ApDRESS tllY LIP PNONi tICFNf[ I <br />PID��qi�f, [Y)NLR��tOR M�R �DOPlSS tltY ZIP PMONF IICENSE I <br />everen <br />e <br />t I �fX U{ NDRK <br />❑NEW ❑ADDITION <br />t�u�+noN oYf7Y� <br />� <br />❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILnING RELOCATION <br />�cw�- �� C�T�v_ <br />rqi�ros�o uti o� nwiuwr, ��� <br />1FLU ptSCRIPtION Of PNOPFPIv �SNOWN PllOw OR �IieCH fOIIR COYII51 <br />l01 �� BLO[R � Of <br />'� inx�one�ss � I� � <br />Z v �{�a�--=� `� <br />rwMeiNc <br />NO. TY►E OF fl%TURE FEE <br />WATER ClOSET �TpL1ET1 <br />BATHTUB <br />LAVATORV�WASM BASIN) <br />SMOwER <br />KITCHEN SINK 8 DISP <br />DISWASMFR <br />LAUNDRYTR�Y <br />CLOTHfS WASMFR ' <br />WATFR HFATFR <br />URIN�: <br />DRINKINC fOUNTAIN <br />fLOGR ORAIN <br />VACUUM BREAKERS � <br />ROOf DRAIN$–RAIN�EADERS <br />SINK�SFRVICf-9AR, ETC� <br />fU� TOTAt <br />/ERMIT s <br />TOiAI iFE f <br />$IDF YARD $CiBACK STRFFT SCT9ACK RUN YA0.D SFTBA <br />USF ZONE <br />TYPE Of CONST <br />SIZF OF BLOG <br />l0T ARfA y���NT $ITE <br />C�ES GNO <br />OCCUPANCY GROUP NO OF DWEI <br />NO OF STONIFS MA% Of< <p <br />AMIIpyAlS <br />1 FNVIRONMFNTAL CHECK LIST <br />2 BUILOING PLANS <br />7 fIRE HVORANT <br />� f10.E PROTFCTION SVSTEM <br />5 GRADINC�f%CAVAiIONdCttARINQGRUHHINC <br />6 DRAINAGF <br />7 FNVIRpNMENTAIIMPACTSTATEMENT <br />E MFALTN DISTRIrT <br />er <br />APPLIGTIO� ACC flY P�ANS CHECKED flY I APPN FOR <br />1 HEREBY CERTIFY THAT I HAVE READ AND EX�MINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. T'IE GRANTINI; OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUThORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATINC CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURF OF CO R OR AUTMOR�ZED AGENT ( DATF <br />x ���� � Zz- �a <br />TYPE OF EQUIPMI <br />AIR COND UNITS-M P EA <br />REFRILFRATIONUNIT$-MP EA <br />BOILFRS-H P EA <br />GASfINFDAC UNIT$-TONNA( <br />FORCED AIR SVSTEMS-B T U <br />WAIL HEATER$-0 T U M <br />UNIT MEATERS-B T U M <br />fVAPORATNECOOLERS <br />CLOTHFS DRYERS <br />RANGFMOOD <br />AIR HANOLING UNR- <br />STOVE <br />MFTAI FBEPUCF 8 C! <br />SU! TOTAI <br />►E�MIT <br />TOTAI FFE <br />CN PUN CM[CK NUMBtR <br />FEf <br />iFES y� <br />UNITS <br />DAiE <br />flY <br />f <br />f <br />RECEIPT NO. <br />BUILDINC 3 Q2f/'� CC� <br />�zcr <br />PIURtHING <br />MCCHANIUL <br />GTHFR <br />PE NAUY U.B C <br />SEC. 307�a) <br />TOTAI <br />. /ERMIi VALIDATION <br />�'�HEN PROPERtY VALIDATfD pN THIS SPACF) THIS IS VOUR PERMIT <br />s''�'S-�o� <br />I �lZsl�����- <br />� <br />