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4PPLICATION FOp <br />f�e EwrD�^ CO N ST R U CT I Q Iv <br />GITY OF <br />everett PE RM IT <br />DEPT. OF COMMUNITY DfVELOPMENT SERl9CE5 <br />CI71� HALL 259•8745 <br />EVERETT, WA98201 ��OMBINATit)N C BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />— � � <br />�noxiss <br />ziv <br />cverett <br />e <br />GfNFMALCONINACIOR MMIADDRE55 CIlY ZIP • PHONE IICFN5E1 <br />)d '' �F � is_�n. 9�z�i 258�77 3.�:;�5 <br />o L. <br />.��+n F S�t ' r��t Z= i�="'Z � �- <br />'' A1ICNANIUI CONIR�CTOd MAII ADDR[SS CIiY LIP PMONE LICENSF � <br />PIU.NflInL CONIRACIOR m�il AOONF55 ❑!Y ZIP PNONE IICENSE � <br />`I7A�� ��,'7e•�..M�S � — <br />CL�SS Oi wORc <br />❑NEW ❑ADDITION �ALTERATION ❑REPAIR ❑DEMOLITION iJFFNCE ❑SIGN ❑GARAf,E ❑BUILDING RELOC�TION <br />"M.U�IION OCf W/O�RK <br />� '. JV�O.� _ � � <br />,, rwiH w00.K . 1 . <br />�d'�.onG�c i �o `7e�k�,K 4 .9u. <br />vxurosm uv oi emiu��+c <br />E', 5 i,.J ��\ 2e y\ o-� S�' _. <br />t[CALU6CN�VIIUNO OPERIYISHOWN9FlOWORe1LACHfOUXCOPIE51 <br />io� �eioa�_rn /7 l�i t'i O.t i�� <br />ioe <br />�. <br />PlUM81NG <br />NO. TYPE OF <br />WnTER C:OSEi (TOLIE <br />BATMTUB <br />L�VATO�:Y (WASH BA! <br />SHOWFrt <br />KITCHEN SINK 6 DISP <br />DISWASHFR <br />LAUNDRY TRAY <br />CIOTHES WASHER <br />USE <br />FlRF <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />VACUUM BREAKEHS <br />ROOF URAINS—RAIN <br />SINK ISERVICE—BAR. <br />- i ��57Fl�.t ��Ue r'esT(�oo�. ,_ <br />I HEREBY CERTI�Y THAT I H.4VE BEAD AND EXAMiNED THIS A.P- <br />PLIGITION AND KNOW TI'E SAME `O 8E TRUE ANU CORRECT /.LL <br />PROv1510�5 OF LAWS AND ORDINANCFS GOVENNING THIS TYPE <br />OF WORK WILL !3f fOMPLIFD `.N!TH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRACJTINV OF A PkRMIT UOFS NOT PRESUME TO <br />GIVE AUTHORITY TO VIOI ATk OF CANfEL THE PROVISIONS OF <br />ANY OTHER � fATF� OH IOC�i� :�\:'% �F.Ci!LATING CONSTRU�TION <br />OR 7HE PERFORib1/.�('c Ut i.C;i:;TRJC1lCN. G <br />SIGNnTUR[ OF CONIFAC7G.<O� �C7NUBIZED ALEMT �„`DATE ��• D� <br />FEE NO' � fYPE Of EQUIPMENT <br />� AIRCOND UNITS—HP.EA <br />REfRILEftATIUN UNITS—HP. FA <br />a POM1ERS—HP EA <br />GAS fIRED A C. UNITS-70NNAGE EA <br />FORCED AIR $YSTEMS—BT.U. �' <br />WAIL HEATERS—B.T.U. M <br />UNII HEATERS—BSL. M <br />SU! 70TA1 ' <br />�ERMIT f <br />TOTALiFE f <br />D SE7BACK STREFT SETSAIX RUN YAND'ET . <br />�� 2:.)'' O <br />E LOT AR:� VACANT SITF <br />Z 70l( !70 ovEs �¢+o <br />CONST OCGUCA4CY GROUP NO OF DWELLINi <br />�M � � <br />3lOG NO. OF $TOBIF$ MAX OCC LOAD <br />SoG � �Z <br />�r BASFidFNT IIIUNOOMS FlRE SPRINKLEN7 <br />M►tOVAlS <br />'I. ENVIRONMFNTA: CMECK L151 <br />2. BWLDING PL�NS <br />) FIRf HVDNANT �� <br />I. FIRE PROTECTION SYSTFM <br />5 GRAOINGfAUVATION6ClEARINGIGRUBAING <br />6 �R�INIGE <br />•.ENVI0.0NMENTALIMPACTSTATEMFNT <br />B. HEALTII OISTRICT <br />APPLIGTION ACC. 9Y PLANS CHEIXED <br />� 1i.:' <br />91-i° <br />tY � D�iE <br />BY I APPR. fOR ISSUANCE BY <br />� _ ��i <br />VENTILATION FAN <br />RANGFHOOD <br />AIR MANDLING UNIT— Cf <br />STOVE <br />METAL FIREPLACE b CHIMNEV <br />►EAMIT f <br />iOTALfFE s <br />V CHCCK NUMBER P��N « <br />FEE ?�� R <br />�3 a 3 � <br />iEES VALUATION <br />HUILDING 3 <br />PWMOING <br />MECENNIUL <br />OTMF0. <br />U. B C. <br />PENALTI' SK.30Ha) <br />TOTAL <br />►ERMIT VALIDATION <br />WMEN PNOPE0.LY VALIDATED (IN TMIS $PACE) THIS IS YOUR PERMIT <br />♦• <br />.. <br />