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t�\PP��CATION FO/"-'• everett <br />' CONSTRUCTIOh e <br />everett PE RM IT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-87J5 <br />EV[RETT, WA96201 �COMBINATION .� BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />owrvix .��nnnuuu�ss an� zir r�+ont <br />1'�'1 R. c.�,�t`6NT �Y 33S czEr. 6R�en.� �„�9-Y � v77' ?-7� S"o 3 a <br />AHCHI FCT OR UESIGNfR AUIL AOCNI55 CIiY ZIP PIION[ <br />CINLR�LCONiNACTOH AtAILAU0Ff5S CIi1 JIP PIIONE IICENSCN <br />_f�E=�P2Y Neo,�/ .5.76n/ rr� 2/a27 6/St�.�, LYNN ig'G*36 7?6 884�s ���,uz�' <br />MfCHA41Ul CONi0.AQOR AIAIL AOON65 CIiY LIP PHONE llC[NSE p <br />PWMOINGCONIftAQOR h1AILA0DRCS5 ❑iY <br />CLASS O( N'ORA <br />❑NEN' ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLIT�ON ❑FENCE <br />VAWATtO.V OF \4'ORN <br />S � � 6Q ! � d <br />UES I�F N'ORK <br />�'/?�'� T <br />raoros[o use o� i�unoinc <br />G�oap�N <br />LEG�L UFSCHIPiION OF PROPlHiY �SHOWrv UkIOW OR ATTACH FOUR COPIESI <br />ior otocr._o� <br />: j r.�,; � <br />100 AOORF55 <br />e'ri 6Y2 �'ti1 G�i <br />PLUMPINf <br />NO. TYPE OF <br />\VnTER CLOSCTlTOLIE <br />SHO\vER <br />KRCHkN SINK 8 DISP. <br />DISWnSHEF <br />UUNDRY TRAY <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DNAIN <br />VANUM BREAKERS <br />SINK ISERVICE—(iAR. ETCI <br />SUB TOTAL <br />PENMIT 5 <br />TOTAL FEf S <br />2EET SETI3ACK R[AR YARD <br />LOT AREA <br />SIZE OF ULDQ � NO. <br />FIRE <br />VACANT SITE <br />❑YES ❑NO <br />GROUP NO. OF DWELLING UNITS <br />APPROVALS <br />t ENVIRONMENTAL CHKK LIST <br />2. IlUILDING NLANS <br />3. FlRE HYDRANI <br />4. FIRE PROTECTION SYSTEM <br />5. GRAUMGIEXCAVATION 8 CLf.\RINGIGRUilll W G <br />4. DNAINAGE <br />Z ENVIRONMENTAL Ih1PACT $TATEMENT <br />8. HEALTH DISTHICT <br />APPLIGTION ACC. f1Y PL 5 sHEC D 13Y <br />'��� ^ <br />'L� <br />(�/��L: �1._/ <br />,- , — <br />RFQUIRED <br />❑YFS ❑NO <br />C� DA7E <br />PIIONt IICEN$E X <br />❑GARAGE ❑BUILDING RELOCATION <br />sT�+Zvc�vle� /,�S PG R /'7RA-w2�✓G <br />I HERE�Y CERTIFY THAT I HAVE READ AND EXr1MINED THIS AP- <br />PLICATION AND KNOW THE SAME TO 6E TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORD:�JANCES GOVERNING THIS TYPE <br />OF WORK WILL DE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. TtiE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE �UTHOF:TY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUNE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />11 <br />PLAN <br />atca� <br />TYPE OF fQU1PMENT <br />AIR COtiD. UNITS—H.P. F.A <br />RfFRIGERATION UNITS—H.P. EA <br />f101LER5—HP. EA <br />GA$ Fl2FD AS. UNITS—TONNAGE EA <br />FORCkU Alft S1SiEM5-6.T.U. M <br />\VALL HhATEftS-07.U. h7 <br />UNIT HEATERS—Ii.T.U. h1 <br />EVAPORATIVE COOLEftS <br />CLOTHE$ DRYF.RS <br />VENTILATION FAN <br />ftANGEHOOD <br />AIR H:INDLING UNIT— CF.nt. <br />STJVE <br />,NETAL FIREPIACE & CHIMNEY <br />FEE <br />SUB TOTAL S <br />PERMIT f <br />TOTALFEE S <br />PLAN CHECK FEE <br />FEE RKEIPT NO. <br />VALl1ATION FEE <br />OUILDING b <br />1'LUMI7INC <br />MECIIANICAL <br />OiIIER <br />PENnLTV U.II.C. <br />$FC.703(a) <br />TOTAL <br />PfRMIT VALIDATION <br />WHCN PROPERLV VALIDATED pN iH15 SPACE) THIS IS VOUR PERMIT <br />��"C-: IL/C..'� c_.� L7/l� /"�.'�,�i�`-iI <br />j�� � �Gfm �loTts <br />