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APQLiCATION �OR - <br /> �TME�""'� CJNSTRUCTION �e <br /> everett PERMIT <br /> DEP7.OF COMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 2548745 <br /> EVERETT,WA98201 ��QMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> �OW{NfR M�IIADONF55 UTY ZIP PHONf <br /> +\yy�.��'�{�nG �n�in�Na, �1�1� � f'OcrS� �'f �iU�rf�t� �'or�.03 <br /> A0. MC ITECT UR�F�IGNER MAIt ADDRESS CItY ZIY PNONF <br /> GFNFRALCONTRACiOR M�I1�000.E5S CITY ZIP YHONF 4CFNSFI <br /> S�- <br /> MFCHANIUI CONiRACIOR MML�DD0.FS5 CITY LIP VHON[ IICFNSE� <br /> PWMqNf.CONLRACiOR MMl�OONFSS CIiY ZIP PHONF I�CFNSE� <br /> C,-1�,5/$0�WONK <br /> MNEW ❑ADDITION .❑ALTERATION ❑REPAIR ❑DEMOLI710N ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> V�IUATIONOf WON[ <br /> S <br /> OESCflIBF H'ORKj <br /> �� �11��c, ��nVQ <br /> � PNOPOS[DUSF Of PUIl01NG I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> ' lfWl D6CRIPiION Of PNOPERIY�SNOWN BFLOW OP�TT�CH iOUR COPIFSI PROVISIONS OF UWS AND ORDINANCES GOVERNING THIS TYPE <br /> � OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> im_eioca_ov OR NO? THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATUR`F,�OF CONTR^AC,TO� R Oft AU O0.1ZED AGFNT DATE <br /> IOB� DR[55 ^ — � `� � V� �_��� <br /> ,UY X <br /> ' PWM�ING MECHANICAL � <br /> NO. TYrE OF il%TURE fEE NO. TY�E OF EQUI�MENT FEf <br /> WATEB CLOSET(TOLIETI ��R CONO UNITS—M.P.EA <br /> 9ATHTUB REFRICERATION 11N1T5—H.P.EA <br /> UVATORY IWASH 6ASIN) BOILERS—H P.EA <br /> SHOWfR GAS FlBEDA.C.UNITS—TONNACE EA <br /> KITCHCN SINK 6 OISP fORCED AIN SYSTEMS—B.T.U. M EA <br /> . OISWASHER WALL HEATE0.5—B.T.U. M <br /> �' <br /> UUNDNYTRAY UNITHEATERS—BTU. M <br /> CLOTHES W�SHER EVAPOR�TIVE COOLERS <br /> j� � WATER HEATER CLOiHES DRYERS � <br /> , URINAL VFNTILATION FAN <br /> �,'1 D8INKINC FOIINTAIN NANGE MOOD <br /> ! <br /> , FLOON ORAIN AIR HANDLINC UNIT— C.F M. <br /> � V�CUUM BREAKERS STOVE <br /> �� ROOF DPAINS—RAINIE�DfRS MFTAL FBEPLACE 8 C MNEY <br /> i SINK 6FRVICE—BAR.ETC 1 <br /> .� <br /> � SU�70TAL SU�TOTAI f <br /> �ERMIT 3 rE�Mli i �O <br /> ' TOTAI FEF f 10U1 fEE f <br /> SIDE YARD SETBAGK STREET SETBACK REAR YARD SfTB�CK PLAN CMECK NUM6ER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA y��ANT SIIE <br /> ❑YES CNO fEES � VAIU�TION iEE <br /> TYPE Of CONST OCCUPANCY GROUP NO OF OWEIIING UNIiS <br /> ' BUIIDING 3 <br /> SIZE OF 9lDG NO.Of STONIFS MA% OCC LOAD <br /> � PWMtlING <br /> RRE 20N[ BASEMENT HLDRWMS FlNE SPRINKLERS <br /> REQUIRFU MECHANICAI SO <br /> ❑YES ❑NO <br /> AH�OVALS �1' D�TE OTMEN <br /> 1. ENVINONM[NTALC14fCKU57 pENALTY U.BC. <br /> � SEC.JOAa� <br /> z. euaoiNc r�nNs <br /> 3. FIR�HYDRANT 70TA1 / S(� <br /> �. FIRE PROTECTION SYSTFM tEI1M1T VALIDATION <br /> WMEN PROPENLY VAIIDATED(�N THIS SPACE�THI515 YOUR PERMIT <br /> 5 GR�DINGIE%CAVATIONBCLfARINGICRUBflING <br /> fi. ORAINAGE <br /> L ENVINONMENTAL IMPACT STATEMENT <br /> !. HEALTH DISTRICT <br /> APPLIUTION ACC 9Y iLAni CHEIXED BY APPN.iOR ISSUAN�E BY <br /> 41-7Y <br />