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9 <br /> ,�„E»,,,,h:=_-- _.. APPLICATIOf� FOR <br /> �ONSTRUCTION °"�":" <br /> COT OF <br /> everett PE RM IT � <br /> DEPT. OF COMMUNITY DEVFLOPMENT SERVICES <br /> CITY HALL 25487�5 � <br /> EVERET7, W�98201 �COMBIknT10N �I BUILDING ❑MECHANICAL ❑PLUMSING PERhC1T NO. <br /> own,q mui eoou[ss <br /> CItY ZIP PMON� <br /> �GoC�r{�T W. Lunlpc�u�5r P.o. 8an23`�; EVEREf'r WA 45�.�'S 35�i ••'f4�2 <br /> �NCNtt[[T OR 061CN[0. M�IL ADDRF55 CITY 21P PNOHF <br /> G[N[R.11 CONIqn�I011 M�II AO�RE55 CIIY 21P PHOH[ ��(FNSF� <br /> aw k�.,z <br /> .M[OUNIUt[pN1R�CfOR MAII nDOX[SS CIiY 11P PMONF ���FNS[� <br /> PIUnIpINGCOViqACtOR M�IlAODR[55 CIIY i'P PNONF U[EHSEI <br /> C1A51 OI tiONK <br /> �NRV ❑ADDIT�ON ❑ALTERATION ❑REPAIN ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING REIOCATION <br /> \'�LVAiION O!WONK �/ U <br /> � �,'oao ¢ /(i�- � <br /> o�scAiei woaa <br /> kEw 29R tZAr�r��CR <br /> reoroaous[or nmiowc I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS AP- <br /> R�Stqf H cr PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> IFGAIOESCNIPiIONOFPROP[R1Y�SIIONNB[lON'ORAii�CNfOURCOVIlSI PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> ior�_eiocK_=or 1-A1 nF EJE C7REFIJ (F_� OF WORK WILL BE C0�IPLIED WITH WHETHER SPECIFIED HEREIN <br /> OR NOT. THE GRnNTIhr, OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIUL�TE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOC�L LAW REGULnTING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> S — I�Ii' �i�j—�. SICNATURE OF CONTAACTOR OR AUTHORIZED AGENT DATF <br /> IOP�DDRlSS <br /> Qi121 E. GLFk 1)2, O./C X/ .✓.tf <br /> PWMEING MECHANIGL <br /> NO. TY�E OF FI%1URE FEE NO. TY�E OF EQUItMFNT FFF <br /> WATtHCLOSET�TOLIET� 00 AIRCOND UYITS–MP EA <br /> BATHTUB UU REfRIGERATION UNITS–H P EA <br /> U\'ATONY�WASNOASIN� (pdp OOIi[RS–HPEA <br /> SMOK'ER WS RNCD AC UNITS–TONNACE EA <br /> KITCH[N$INK 6 DISP V' p lONCED AIR SYSTEM$- 8 T U M EA <br /> DIS\YASN[R L�� N'ALL MEATERS-0 T U M <br /> IFUNORv TRAY Uvli HEATE85—�1 U M <br /> � CLO7HF5 wASHER C'l['J EYAPONATIV[COOlERS <br /> WAIFR MEATFR 'J 1 ClO1Nk5 DFtiERS <br /> URINAL yENTIU110N fAN <br /> DRINKIr:G FOUNTAIN � RANGE HOOD <br /> fIOOR ORAIN � <br /> AIBHANDLINLUNI�— CFM <br /> VACUUM NNFAKERS STOVE <br /> ROOF DRAINS—RAIN�FA�ENS M[TAL FlREPIACE d CHIMNFY <br /> SINK ISFRVICE—BAR.ETC) <br /> 1 <br /> SU�TOiAL � (Xj SU�TOUL f <br /> rc�M�r ! 2 v <br /> ►[lMIT � <br /> TOTAI iE[ f TOTAI I[f f � <br /> SID! YARD 5lTIIACK S7R[[i 5[TOACK RUR YA`N�SROACK PLAN CN(CK NUMBFH fLAN CNECK FEE <br /> .20 � M��y 45 1 J q� �//�/l�� FEF � 7,/ 0.FCF�NO. <br /> USf ZONF l0T ANFA �Ur+i SITE � <br /> �7, � �6eooSq�1" '�� ;�5 ❑NO FE[5 VAIUATION i[�Go <br /> IYPE `� OCNPAN�Y_C�RpUP NO Oi OW�LLING UNIfS <br /> � � BUII.DINf. 3�/��.�� �� <br /> 512[Oi flLDC NO Of STORIFS MAX OCC IOAU y{l.LLCJ• ' 2S�o �f� <br /> � �� PlUM111NC ^ �U <br /> FIR[ ZON[ BASfMENT IIlUHOO��R HN[ SPRINKIlRS �� <br /> �0 � R[QUBED M[CHANIUL <br /> r]YFS O 2( Q(J <br /> A�►ROVAIf �t DAT[ p7��[p <br /> 1 (NV10.0NM[N1Al CH[CK LIST <br /> PINAIiY U 8 C <br /> 7 OUILDINL PUNS 5[C klN+) <br /> ] fIN[ MYDRANi TOTAL ?„l <br /> ..Jf-J <br /> 1 FIRf PROTlCT10N SYSTEM ►(IIMIT VALIDATION <br /> WNEN PqOPl0.LY VAl10ATFD�IN TNI$SPA�E THI515 YOUR PENMIi <br /> 5 GNADING!ICCAVA710NbCtkARINC(G0.UBNINL �/ 4 <br /> 6 ORAINAGE �1 � /' /,�'� �j�� l l�Q"� ����C� <br /> 7 ENVINONnIFNTM IMPACT STATFMFNT `S// L ✓j � � • <br /> 0 HEALTII D�STRICT <br /> APPIIC�.IION ACC BY PLANS CHECKFD BY APPN fOR ISSUAN�E flY <br /> U. c . <br /> n� 7n <br />