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a <br />APPL�CATION FOR e�e <br />� `':`��°`��":�" COI�STRUCTION <br />� � �., :.� <br />� everett PERMIT <br />� �EPT. OF COMMUNITY DEVELOPMENT SERVICES <br />i CITYHALL259-8745 ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />EVERETT, WA9020'I �]�OMBINATION ❑ BUILDING <br />� urv zir ruor+e <br />� OWNER MAIIAp�HE55 � <br />! � / , wi1.� /` .,_ _ � .n. �'1!! L� �� A�r- �t t�il�. �iRQ"�1-i N� - %�_. <br />� <br />.....,.,._. .,.......... _.. <br />�� UIV ZII' PNO4E UCENSE N <br />�I GENERALCONiRACTOR � MAllnppF.E55 <br />i � <br />��j,�Ar �y.'"� ���_ ��TY L�p PMON[ LICENSE M <br />MECHANIGLCONTR�QOR MAII.AD�NE55 <br />��ty Z�p PIION[ LICENSE M <br />' PIUMBINQ CONTX�CTOR A1AIL AOIJN[55 <br />:1A55Oi WORK <br />C�IEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION CFENCE ❑SIGN ❑GARAGE �UILDING RELOCATICN <br />V�WATION OF WOFK <br />S �.O - <br />DESCRIBE WORK � / 30 � G/� • <br />o use or nuuou+c <br />LECAI DESCRIPTION OF PftOPE RTY ISHOW �' <br />l0T BLOCK�O� � <br />12— �u— � <br />�OB A�ORESS <br />PLUMBING <br />NO. TYPE OF FIXTURE <br />i ensir+l <br />DISP. <br />TRA1' <br />URINAI. <br />DRINKIN_ � F� <br />FLOOR DRAIN <br />VACUUM OREAKEftS <br />SIDE VARD <br />USE ZONE <br />TYPE OF C1 <br />SIZE OF BL <br />FIRE ZONE <br />�_ I HERE6Y CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />oa nrTncn voua coriesl PROVISIONS OF LAWS AND URDINANCES GOVERNING THIS TYPE <br />OF WORK WILL B[ COMPLIED WITH WHETHER SPECIFIED HEREIN <br />��/ � OR NOT. THE GPANTING OF A PERM�T DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIJNS OF <br />� ANY OTHER STATE OR LOC�L LAW REGULATING CONSTRUCTION <br />OR THE PERFOIj�AANC�E OF CON�C�TI`ON. <br />SIGNATURE OFyPINTRACT OR AU1H01 ENT DATE <br />FEE <br />TC� <br />SUBTOTAL <br />PERMIT s <br />TOTAL FEE S <br />ocvt ccTItACK RkAH YARU 5�� <br />LOT ARU <br />APPROVALS <br />1. ENVIRONMENTAL CHLCK LIST <br />2. RUII DING PlANS <br />l. FlRE HYDRANT <br />4. FIRE PROTECTION 51'SiEM <br />5 GRAUINGILXCAVATIO�Rf,L1ANINGIGRUBI:ING <br />6. �RAINAGE <br />L ENVIRONMENTALIMPACiSTATLMENT <br />B. HEALTH DISTRICI <br />VACAM SI71: <br />pY[5 ❑NO <br />NO Of DWEI.I.WG UNITS <br />OCC <br />LQUIRFD <br />TiLS ❑NO <br />BY DATE <br />APPLIUTION ACC. flY PLANS CHECKfU OY AI'PR. fON ISSU�NCk I11' <br />NO. TYPE OF EQUIPMENT <br />niH coNo uuirs-t{ r. En <br />kEruwEaniiou uNiis-ri r. cn <br />nou[es-�+r en <br />GAS FlNED A C UNR$—TONNAGE EA <br />FORCED �IH SYSTE.b15-6 T U. ht EA <br />\VALL Hh1TEH5—Ii.T.U. M <br />UNI7 HkATfRS—�T.U. �� <br />f\'�I'ORnTIVE COOLCRS <br />ClOili[5 DNYP.RS <br />VEUTILA710N FAN <br />RANGC H00=_ <br />Alft f1ANDLING UNIT— C.EM. <br />STOVF. <br />MEiTL FIRCPLACf R CHIh1NEY <br />FEE <br />SUB TOTAL s <br />PERMIT f <br />70TALFEE 3 <br />PLAN GFIFIX NUMf1FR PLAN CHECK FEF <br />� � � �"'/ Ff E —� RECEIPT NO. <br />d <br />FEcS VAIUATION FEE <br />11UILOING s <br />I'I.UMf11NG <br />M[CIIANIUL <br />p�HfR _ <br />UfIG <br />PI hALT1' SEC. 1031a1 <br />TOTAI <br />PERMR VALIDAiION <br />NMEN PBOPLRLY \'AI IUATLD (IN 1H15 SPACE) TNI$ IS YOUR PERMIT <br />,� -. , - ���G \� �, ��. <br />��): .� �. ,_ , � <br />OCT 4 1979 <br />� r•'Cq r� �VIFRE� <br />