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fMEwryMn APPLICATION FOR .. . <br />��f.� - LJNSTRUCTION <br />everett PERMIT <br />DEPT. OF COMMUNITV DEVELOPMENT SERVICES , <br />CITY HALL i59�B715 � <br />EVERETT, WA9E701 iip,��u■�w�r�nN I7 sU1LDING ❑MECHANICAL ❑PLUMlING PERMIT NO. <br />LENFMI[OMR�CIOR MAILADDIIESS CIiY 2V PHONE LICFNSEI <br />S� �1L L <br />MECN�NICAI CONTp�CTOR M�II �UOIIESS CITY LIP PNONE IICENSE / <br />PWMpING[ONTR�CTOM MMIA�DRF55 CIiY ZIP PHONE IICENSE� <br />C�NEWWop�❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />vnW�iloNoiwo0.lt OG <br />�+ �y;6�o— <br />OESCRIBF VIORK <br />_ � — ` . � ♦ / s-� / <br />PNDVOSf D USF Of BUIIDI�+G - <br />IEWI OFSCNIPiION Of PROPFRIY ISMOWH Bfi <br />�o,2a�«K2�o� � <br />N .�� ln�'� <br />L - 3o-i <br />ioe�ooacss � <br />331a <br />►LUMlING <br />NO. TY�E OF FI%TUR <br />WATER CLOSET (TOLIETI <br />BATHTUB <br />LAVATORYlWASH 9ASIN) <br />SHOWER <br />� KITCMEN SINK 8 DISP <br />DISWASHER <br />UUNDRY TR�Y <br />CLOTHES WASHER <br />WATER HEATER <br />URIN�L <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />V�CUUM BREAKERS <br />NOOF DRAINS—RAINLEADERS <br />SINK ISERVICF—B�R. ETC 1 <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 />' OR �LiACN {OUM COPIE51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />fc �% �� � OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE CRANTINC OF A PERMIT �OES 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 CONSTRUC?ION. <br />��t� SILNATUftE OF CONTRACTOR OR �UTHORIZED AGENT DATE <br />X � �3 � <br />MECHANIGI <br />FEE NO. TY►E OF EQUI�MENT fEE <br />AIR CON�. UNITS—H.P. EA <br />�� REfRICERATION UNITS—H.P. EA <br />UO 801LER5—HP. EA <br />WS FBED A.C. UNITS—TONNAGE EA <br />(�J FONCEO AIR SYSTEMS—B.T.U. M EA <br />�0 WALL HEATERS—B.T.U. M <br />UNIT HE�iERS-9.TL. M <br />(XJ EVAPORATIVE COOlERS <br />(,J / CLO7HE5 DRYFRS <br />VENTILATION fAN <br />RANGEMOOD <br />AIR MANDLINC UN�T— C.FM. <br />STOVE <br />I METAL FIREPLACE 6 CHIMNFY <br />70TALiEE s <br />SIDF YARD SETBAGK STREfT SETBACK REAR YARD SETBACK PLAN CNECK NUM <br />Co� 2E�� 20�- `71 �I <br />USF ZONE LOT AREA CANT SITE <br />�l7�� �YFS ❑NO FFES <br />F <br />TYPE NS OCCl1PANCY LROU NO.OF DWELLINL UNI15 <br />�i2D.i o _ � 1 <br />SIZE y BLOG. � <br />� ksa <br />F1RE ZONF <br />AM�OVALS <br />1. ENVIRONMENTAL CHEIX L15T <br />7. OUIIDING PUN$ <br />7 i1RE HVDRANT <br />1 FIRE PROTECTION SVSTFM <br />5 GRADINGIF%GVATION6CLtARINGIGRUBAIt+G <br />6 DRAINAGE <br />7. ENVIRONMENTAL IMPACT STA7EMENT <br />!. NEALTH D157RICT <br />AFVLIUTION ACC. BV VLANS CHECKED BY <br />V � � <br />/f I DATF <br />APPR. FOR ISSU�NCE BY <br />BUILDING <br />PLUMAING <br />MECHANIGL <br />OTHFR <br />PENALTY <br />►F�MIT <br />f <br />� <br />fEE � <br />PUN CNECK FEE <br />RECEIPT NO. <br />'S f 7g �/ Co2 <br />VALUATIOM fEE <br />U.B C. <br />SEC. HINa) <br />70TA1 I I � <br />R�MIi VALIDA710N <br />WMEN PROPFRLY VAlIOAiED (IN THIS SPACEI THI515 YOUR PERMIT <br />r� <br />