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A�PLICATION FOR--- <br />��'"" ..ONSTRI�CTION. <br />everett PERMIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259-0715 <br />EVERETT. WA96201 ��OMBINATION <br />�� <br />e <br />❑ sUILDING ❑MECHANICAL ❑PLUMlING PERMIT NQ. <br />IE55 CITY IIP IHONf ��I �/ <br />_. � �_. L... �,�.�,n �v�o� .� y <br />��iy ZIP PNONE IICENSF 1 <br />PIUMPING CONIR�CTOR MAII �U00.F55 <br />CU55Of WORK <br />�NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE BUILDING RELOCATION <br />WWAIIONOFWORN � <br />s -Z[ed7�' <br />ntscaie[ woaa �� <br />PROPOSFD USF Of BUIl01nG <br />lE WL DFiCRIPT10N Of PROYERTY ISHOWN <br />�o, Ze�a�9aso, _ <br />� ... / i T i <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED 1HI5 AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />ONAI��CH fOUR COPIl51 PROVISIONS OF LAWS AND ORDINANCES GOVERNINC THIS TYPE <br />T �«<� A"'• � OR NOTK HE GRANTOINCLOF�A ERMIT DOES NOT PRE�SUME TO <br />ANYEOTHEROSTATE OR LOCAL L W EGULATINC CONSTRUOCTION <br />OR THE PERFORMANCE Of CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />�LUMlING <br />NO. TY�E OF FIXTU�E <br />W�TER CLOSET ITOLIET� <br />BniHTUB <br />LAVATORY(W�SM BASIN� <br />SHOWFR <br />KITCHEN $INK 8 DISP <br />DISWASMER <br />LAUNDRY TRAV <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FIOOft DRAIN <br />VACUUM BRFAKER$ <br />ROOF DRAINS—RAINLFADERS <br />SINK (SF0.VICE—B�R, ETC 1 <br />SU�10iA1 <br />►[tMIT <br />iO�AI FEE <br />SIDF YnRD SEiBACK STREET SETBA <br />USE ZONE lOi AREA <br />TYPE OF CONST OCCUPANCY 1 <br />AM�OVALS <br />1. ENVIRONMFNTAL CHECK U5T <br />]. BU�LDING Pl�NS <br />7 FIRE MYDR�NT <br />1 FIRE PROTECTION SYSTEM <br />5 GR�DINqf%CAVATION6CLEARINGICRUBflINL <br />6 DR�INAGE <br />7. ENVIRONMENTAI IMPACT STAiEMENT <br />!. HEAL7H DISTAICT <br />APPLICATION /.CC. 9Y PLANS CHEIXED BY <br />9-1�79 <br />MECHANICAL <br />NO. TY�E OF EQUI►MENT <br />AIR COND. UNIiS—MP. EA <br />REF0.ILERAiION UNIiS—H.P. EA <br />901LER5—N.P. EA <br />GAS FIRF� A.0 UNIT$—TONNAGE EA <br />FORCED AIR SYSTEMS—B T.U. M EA <br />WAII HEATERS—O.T.U. M <br />UNIT HEAiERS—B?L. M <br />EVAPORATIVE COOLERS <br />CLOTHiS DRYERS <br />yE�'7�l�YlON FAN <br />ftANLEHOOD <br />AIR HANDLING UNIT— C.F.M. <br />STOVE <br />METAL FIREPUCE 6 CMIMNEY <br />uu �mu f <br />V�CANT SITE <br />OYES ❑NO <br />�Y � DATF <br />. FOR ISSUANCE BY <br />�l � <br />PLAN <br />9UILOINC <br />PLUM9ING <br />MECHANIUL <br />OTHER <br />PENALIY <br />PLAN CHECK FEE <br />FEE � , `3 I RECF�N' <br />�ld. � <br />U B C. <br />SEC IOH+I <br />TOtAI I � I <br />►FRMIT VAlIDA710N <br />WMEN PAOPENLY VALIDA7FD (IN THIS SPACE) 7HI5 IS YOU0. PERMIT <br />