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��PpLICATION FOR <br />evere�t cotvPERM�TT�o�. <br />DEPT. OF COMMUNITY DEVELUNMENT SERVICES <br />CITY HALL 259-8745 t�, <br />EVERETT,WA96201 �COMBINATION /LxBUILDING ❑MECHANICAL ❑PLUMBING PERMITNO. <br />M1IAII AtlUNI�J <br />r-, P.✓99�,.7- a133�� <br />n�na nooerss <br />urv <br />f--rt� ;�t� � vr?', <br />everetl <br />e <br />GENERAL CONiFAC10R MAII ADDRE55 lI1Y LP PHONE LICENSE M <br />/.�E�RRr( ac/Eu,� ,5.��,� �,^� >,�:;- u �-..��� LvNai. �_:fd 9�0.�6 77C 88ss 6-Jd <br />A4CHANtUI CONiRAC10R �1AIL n�ORE55 CRY , LIP PHOuf LICENSE p <br />PLVA1pING COkLPACIOR M�II AO�RE55 CIIY ZIP PHONE IICENSE k <br />CU55 OL N'Of K <br />❑NEW ❑AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE <br />VAWATIfjN OI N'ORK <br />S %.S� � �- <br />DESCRIOE \YORK <br />ER,?c ; S z6rel � S <br />PROPOS[D USF O( I1l1tLDING <br />�;�w,p+�-rvcZ/1 L <br />I f GAl 06CBIPiIOrv OF PROPERIY ISMON'N OClO\V ON nTTACN fOUft COPIF51 <br />LOT OLO.K�OF <br />�oU nOORE55 <br />� <br />PLUMBING <br />NO. � <br />=VU�V/�✓�r� W�'3'V <br />TVPE OF FIXTURE <br />BATHTU6 <br />LAVATORY IWASH 6ASIN) <br />SHfpYfR <br />KITCHEN SINK 8 DISP. <br />DISWASHEP. <br />LAUND°1'TRAY <br />CLOTHE� WASHER <br />WATEft HEAiER <br />URINAL <br />DRINKING fOUNTAIN <br />FLOON DRAIN <br />VAC W h1 IiREAK ER$ <br />ROOF DRAINS—RAINLEADERS <br />OLDG. <br />FlRE ZONE <br />SUBTOTAL <br />PERMIT <br />TOTAL FfE <br />STREE7 SETfiA� <br />f <br />FEE <br />ICN ❑GARAGE ❑OUILDING RELOCATION <br />f�N. ��-: .✓ 6s <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 />PROVISIONS OF LAWS AND ORDI�IANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE CRANTING OF A PERMIT DOES NOT PRESUME TO <br />GiVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUftE 07 CQ>j�RACTOR OR AUTHORIZEU AGENT DATE <br />� <br />MECHANICAL � <br />NO. TYPE OF EQUIPMENT <br />AIR COND. UNITS—HP. EA <br />REFRIGERATION UNITS—H.P. EA <br />OOILERS—H.P. FA <br />GA$ PINED AL. UNIT$—TONNAGE EA <br />FONCED AIR S�STHnS-13.T.U. M AA <br />WALIHEATERS—OT.U. M <br />UNI� HFATERS—IiT.U. A1 <br />EV4PORATIVE COOLERS <br />CLOTHES ORYENS <br />VENTILATION FAN <br />RANGE IIOOD <br />AIR IIANDLING UNIT— CF.M. <br />STOVF. <br />A1FTnL FlREPLnCE & CHIAWEY <br />YARD SETIlACK � PLAN <br />lOT AREA VACnNi SITE <br />❑YE$ ❑NO <br />OCCUPAN�V GROUP NO. OF DWRL <br />NO OF STORI[5 MA%. OCC. LO, <br />OASEMENT IfkUH00��15 FlRk SPRINKLI <br />R[QUIRED <br />❑YES ❑NO <br />APPROVALS BY <br />L ENVIRONMENTAL CHECK LIST <br />2. UNLOING PLANS <br />l. FIRE HYDftANT <br />J. h�IRE PROiECTION SYS�EM <br />5. GHnOINGIE%CAVATION S CLMRING!GNUIIUWG <br />6. DRAINAGE <br />DAiE <br />Sl�e TOTAL S <br />PERMIT f <br />TO7AL FEE S <br />PLAN CHECK F'E <br />iEE RKEIPTNO. <br />VAlUA710N FI <br />6UILDING 5 ����v <br />PLUMIIING - <br />M[CHANICAL <br />OTHEH <br />PENALTV U.O.C. <br />SEC. 307(al <br />70TAL <br />PERMIT VAIIDATION <br />�VHEN PROPERLY VALIDATLD (IN THIS SPACE� T�"t IS YOUR YEHMIT <br />� U.S i�. Z.T � F • <br />.—,�r-.� .� <br />