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�PPLICATION FOQ ���.�„ <br />'�.E"°ro`"° CONSTRUCTIOf� ;� <br />Cltt OF <br />everett PERMIT <br />DEPT. OF COMMUNIIY DEVEI�JPMENT SERVICES <br />CITY HALL 259�8?45 <br />EVERETT, WA �Bi01 �COMilINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBINC PERMIT NO. <br />OWrylR�•. ( C'( �.(Uvl^i��k' f{�AM11AllA.CA[55 CI11 211' PNON: <br />(/p� � J i' L . C <'�'F .t./.-C• /; i i (/ �I � 7.i�rs:�'.•,.. � '/'ci ! 7 �� (.., j �(' �` S t�C� <br />ARCMIifCI ON 0lSIGNFH MAII AODR65 CIIY 21P PHONF <br />GFNE0.Al CONIRACLO0. M�IL A00R6S ULY 21P PHpNI LICENSE I <br />MICIUNIGI CONIRACIOR MAII �D00.65 CIIY LIP PNON[ IICENS[ I <br />PIUMOINGtON1XnC10N MAllA0�RI55 iI1V ZIP PHONF IICENSf1 <br />❑NEW ❑AL`nITION <br />VAIUAIIOM1Of WONK <br />) <br />�ISC0.11i1 WONK <br />❑ALTERATION ❑REPAIH ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDWG RELOGTION <br />� �orasu; u;� oi n iio�c // : <br />/%..• `-� . �fy`�>'+t( sE,'�r S /C' � <br />l[Lnl DI SlNIP11pN Of vNOP[ RLY ISHOW N flf 1lON' OR AI tACM f OpR CO�IF /51 / <br />io� �—u�ocK �r L'�F:l 2�" �p/ar75�%''"d AY/f <br />i-7yrXj/ry T+ .SYc �/Z.:d.! a'f_ " 5c.._,.. 3yi �r/° <br />/�r `-'c��y i �cq��i�; :,rs -r�� � F "/v <f /ke <br />(7/ r.J ��°N� � c S S f'"afF /�G4Z1 c,�c.��- - L. !-z =_ <br />'/ l <br />{� - L. /j � ..SCC'f. / 3 ��t7/Lrt �- <br />ion noox[ss <br />`-j %� / �'�%C'�c�QeP2� l.J Zy� . <br />PLUMBING <br />NO TYPE OF FI <br />K'ATFR CLOSkT �IOLIEiI <br />BATIITUB <br />LAVATORV (WASH PACin <br />N SINK 8 D�SY <br />LAUVDRY THAY <br />CLOTHLS WASHER <br />URINAI <br />DR�vKIN'.: fOUNiAIN <br />FLOOR DNnIN <br />V�WUbI 6ftEAK[RS <br />SINK <br />$IpF YnRD SL Itl <br />USE ZOr:C <br />TYPE Of CONST <br />siit ue o: oc <br />(INf ZONE <br />-NAINIEADE <br />-BAR ETC I <br />I FiERE6Y CERTIFY THAT I HAVE READ AND E%AMINED THIS AP• <br />PI ICATION AND KNOW THE SAME TO BE TRIIE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TH'S TYPE <br />OF WORK WILI BE COMPLIED WITH WHFTHER SPECIFIED HEREIN <br />OR NUT. THE GR�NTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATIVG CONSTRUCTION <br />OR THE PERFORMANCE OF �ANSTRUCTION. <br />SIGNATUNf OF CONiRACiOft OR AUTHORV.ED AGENT DATE <br />/"l [� � <br />% C - G!� / �^ �('-C:� <br />v . �/ //.:..-. �t� <' � ' � <br />MECHANICAL <br />FCE NO. TYPE OF EQUIPMErv� <br />AIHCOND U417S-NP EA <br />HEFRIGENATION UNIiS-HP EA <br />I101LER5-�il' EA <br />GA$ FIR[D A C UNITS-TONNAGE EA <br />fORCfDAIdSYSiEMS-HSU MF1 <br />\YALL HkATf HS-B i U M <br />UNR HUT[NS-ft T U M <br />L\'RPORATI\9 COOLERS <br />VENi1LATION fAN _ <br />RANGEHOOD <br />AIR HANOLING UNIT- C.F M <br />5T0�'L <br />METAI fIREPUCE 8 CMIhWEY <br />SUBTO7Al i <br />PERMIT s <br />TOTAIFEf s <br />STREFT SfTIiACK ftUft YARU SETf7ACK �'LAN CHCCK NUn' <br />LOTARLA y�[ANTSIIE FLS <br />❑VES ❑NO — <br />OCCU�ANCYGROUP NO�OfDWELLINCU�'��S <br />BUIIDWG <br />NO OFSiORl6 MA% OCC IOAD _ <br />PLUMIiING <br />OASEMENT IiIl1ROOMS KFOUINEIDKfER$ p,k01nNIUl <br />APP�OV/.l5 <br />1.ENVIRONMENTALCHECKLIST <br />2. 6UIlDING PI.ANS <br />3 FINE MVORAN7 <br />d. fIRE PROTFCTION $YSTEM _ <br />5 GftADINGIF%UVATIONBCLEANING/CRUBHING <br />6. DRAINAGE <br />7 ENVIRONME`1TAl IMPACT SiATEMENT <br />B HEALTH DISiRICT <br />APPIICATION ACC. BY PL�NS CMECKED 6Y <br />q:'Y <br />BY <br />APPR.FON <br />DATE I OTIiER <br />dv <br />Pf NALTY <br />TOTAL <br />FkF. <br />SUBTOTAL � <br />PfNMIT z <br />TOTAI FEE � <br />PLAN CI'ECK FEE <br />PCE RFCEIPT NO. <br />VAlUAT10N fFF <br />S <br />LLBC <br />SEC :03fa) <br />PERMIT YAIIDATION <br />WMEN NR07FNLY VAL�DATED;IN �HIS SPACEI THIS IS YOUR PERMIT <br />