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�MEwrprN^ A� P L 1 CAT I O N F O R��� ���,�„ <br />��r�F CONSTRtJCTION e <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259•8745 � <br />EVERETT, WA98201 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBINC PERMIT NO. <br />owH �u .00�yss crtv zir f y� ���"' G% ��`�—, j^.SXL <br />x�i�ti �i�..,cs ��e�b� S yoy�-'s,h/��� �e r✓c or�� � <br />ARCHIIICT ON D[SIGMN MMl �0�59s— ❑LY 21P PNONE <br />GfHFR�I [ONiR�('lOR M�II �DDR65 CItY 21P PNONF LICENSE 1 <br />X <br />CI �ff OF HOPK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION �CJFENCE ❑SIGN ❑GARA�E ❑BUILDING RELOCATION <br />r�w+rinn or woea <br />5 <br />p�SCNlqh M'OMN <br />rxovo5m i�si o� pmiuiac <br />lf G�l OI S[NIPIiOv Of PNOPENiv ISHOWN PFIOW OR �ti�CM fOUN fOPi151 <br />lUl fllOCx_OF <br />ian ennatss <br />PLUMlING <br />�l✓ <br />TY►E <br />BATMTUB <br />UVATORY (WASH BASIN� <br />SHON'FR <br />KITCHEN SINK 8 DISP <br />OISWASMFR <br />UUNDRV TRAY <br />CLOTHFS WASXFR <br />wATFR MEATFR <br />URINAL <br />DRINKING FOl'NTAIN <br />FIOON DR�IN <br />VACUUM BkFAKENS <br />ROOF DN�INS—RAINLEADE <br />uur rc[evlrt _P�R Rf 1 <br />ZONE <br />Of <br />FIRF <br />SU�70TAL <br />rEI1M1T <br />TOTAL fEE <br />STRFFT SCTflACK <br />lOT AREA <br />OCCUPANCV CROUP <br />NO Of STORIES <br />flASEMENT HfUNOUMS <br />AMR��AL{ <br />1 ENVIRONMFNTAL CMECK LI57 <br />7 BUIIGIrvG PLnr+S <br />7 F�RF HYORAnT <br />� fINE PROTEGTION SVSTFM <br />5 CRA�INQf%(AVATIONBCIkAR�NCIGRUARING <br />6 ORAINAGE <br />7 ENV�NONMFNTAL IMPACT STATEMENT <br />8 HUITHD15TRICT <br />FEE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED Tf115 AP• <br />PIICATION 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. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STP.TE OR LOCAL LAW RCGULATING CONSTRUCTION <br />OR'�HE PERFORMANCE OF CONSTRUCTION. <br />SICNATURE OF CONiRACTOR OR AUTHORIZED AGENT DATE <br />MECHANICAL <br />TYPE OF EQUIPMEN� <br />AIR COND UNITS—H P. EA <br />RFFRIGERITION UNITS—M P. FA <br />flOILERS—MP EA <br />CAS FIRfD AC UNITS—TONNAGE FA <br />FORCfDAIRSYSTFMS—BlU. N <br />N'ALl HEATER$-8 T U. M <br />UNITNfATfRS—BTU M <br />VENTIUTION FAN <br />RANGEMOOD <br />AIR HAN�IINC U� <br />FIRE <br />RUq YARD 5[iB�CK PLAN CM[CK NUM <br />VACANT SIiE FfES <br />❑YFS CNO <br />NO OF OWFIIINC UNIT$ <br />�� 1 DAiE <br />— CFM <br />FEE <br />[U�iOTAI s <br />►ELLMIT s <br />TOTAI iEF f <br />PLAN CHECK fEE <br />FEE RECEIPT NO. <br />VAlUA710N FEF <br />BUILDING f <br />PIUMflING' — <br />MECMANIUI <br />OTMER <br />PENAITY U.B C <br />SEC. JOJ(a) <br />70TAL <br />PERMIT VALIDATION <br />WNEN VROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR P[0.MIT <br />