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fMEwryrwn � `PLICATION FOR <br />ceverett CONPERMIT� iON <br />DEPi. OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 35487I5 <br />EVERETT, WA 98201 �COMBINATION ❑ lUILDING ❑MECNANICAL ❑PLUMlINC <br />�M' p MUl �OOM65 [ITY 21P <br />PERMIT NO. <br />PNONE <br />1 !�^%'�vtt��i F �Y ya/9 ���cra j f�ve �'rc:r�`f gb'�u� �59�—�.5 /.�- <br />neuuRt OROESILNIR MMIeDDRE55 CI1Y ZIP PMCNE <br />GEN[R�l [ONipACiOR MAII �UD0.F55 UTY ilP PHONE UCFNSE I <br />ererctl <br />e <br />C1�55 O{ M'ORR �- <br />�NE�J ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />V'.IUAIIONOf WOPk <br />S <br />OUCNI6F WORK <br />Ji1�3�'a // �a oo� S%a ✓� . <br />PROVOSFO IISF Of flUIL01NG <br />IEG�I DESCP PtIOM Of FROPENTY ISHOWN BEIOW OR AIT�CH {OUR COPIESI <br />LOi �BIOCK_Oi � <br />IOP �ODRf�f .0 l 9/`� �� f a��✓� <br />nuMeiNc <br />NO. TY►E OF FII(TURE FEE <br />W�TER CLOSET �TOLIET� <br />BATMTUB � <br />IAVATORY �WASH BASIN) <br />SHOWER <br />KITCMEN SINK 8 DISP <br />DISWASHEft <br />UUNDRY TBAY <br />CIOTMES WASMFR <br />WATFR MFATER <br />URINAI <br />DRINKING FOUNTAIN <br />FLOOR �RAIN <br />VACUUM BREAKER$ <br />ROOF DNAINS—RAINLEADERS <br />SINK (SERVICE—BAR, ETC 1 <br />3U�iOTAI <br />rF�MIT f <br />LOT AREA <br />OF BLDG. <br />CROUP <br />AhlOVAlf <br />1. ENVIRONMENTAI CHECK LIST <br />3. BUILDINL PUNS <br />I�fIRE HYDRANT <br />/. FIRE PROTfCTION SYSTFM <br />5 GRADINGE%CAVATIONBQEARINGGRUBBING <br />6. DRAINAGE <br />7. [NVIRnNMENTAL IMP�CT STATEMEHT <br />!. MFALTH DISTRICT <br />VACANT SITE <br />OYES ❑NO <br />VO. OF �WELUNG t <br />MA%.00C LOAD <br />FIRE SPRINKLERS <br />REQUIRED <br />�YES ❑ND <br />�1' DATE <br />APPUUTION ACC BY PlANS CHECKED BY � APPR. fOR <br />41�79 <br />I IIEREBY CERTIfY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES COVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE CRANTINC OF A PERMIT DOES NOT PRESUME TO <br />CIVE AUTI 7RITY TO VIOLATE OR CANCEI THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW RECULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR ON AUTHORIZE� AGENT DATE <br />x _ U_�4-S/-K � .a��.-.��(%�-, ��-� , 8i <br />�li <br />fpND <br />BOILERS—M.P. EA <br />GA$ FIRFD A C. UNITS—TONNAGE EA <br />FORCED AIR SYSTEMS—B.TL M <br />WAII MEATERS—B.TL. M <br />UNR MEATERS—B.T.U. M <br />RANGEHOOD <br />AIR HAN�LING UNIT— <br />MEUL FIREPUCE 6 <br />NUMBFR <br />MIT { <br />AL iFE � <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />VALUATION il <br />BUIl01NC f <br />PWMBINC <br />MECN�NIUL <br />OTHFR <br />PENAtTV U$C. <br />SEC. J031a1 <br />iOTAI <br />rEI1MIT VALIDATION <br />WHEN PROPERLY VAIIpATED (IN TNIS SPACE� THIS IS YOUR PERMIT <br />