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�r 1 <br /> APPLICATION FOR <br /> '�.Ewro�.� :O N ST R U CT I O N `�°'°" <br /> GITY OF <br /> everett PERMIT e <br /> DEPT. OF COMMUNRY DEVELOPMENT SERVICES <br /> CITY HALL 259�8745 <br /> EVERETT,WA98201 ��OMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> OWNER AIAIL A�ON65 �IIY ZIP p110N[ <br /> . <br /> �_ •z.�i"'.� .•-.. <br /> . <br /> . <br /> �i -. w � <br /> , ^. .._ w- <br /> '.� <br /> ......fi..f�. � . . � . i ..�. . n <br /> �� ..� ti�'.". <br /> r./: .i i _.._�!'.�..:.✓ ..�. r r� . ..+, <br /> AqCMrtECTORD[SIGNEX � M1UILA00Rf55 � CITY 21P` PHONE� <br /> L[NERAI CONiXA[TOR AIAiI AUOPESS CI1Y ZIP PHONE �ICFNS[I <br /> M[Cll�n'IUlCON1p��TOR M�IIADDNESS f17Y 21P PMON[ tICEN5F1 �n' <br /> � <br /> � PIUM1181�G CONIF�CTOR M1�AIL�OOX[55 UTY ZIP PNONE IICENSE/ <br /> C1�15 Of N'ORK <br /> ❑NEW ❑ADDITION ❑ALTERATION �REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> YALU,O.IIONOf WOXK <br /> '.���',l),' <br /> .� <br /> OlSCRIB!N00.K , <br /> � <br /> .f.r <br /> rqovotm us[o�xunoiaG I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEU THIS AP- <br /> �� <br /> i: •'� - � PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> lEGnl OFSC0.1PllON O{PNOP[RiY15NOWN BIIOW OP nTT�C11101IN COPI[5� PROVISIONS OF LAW$AND ORDINANCES COVERNING THIS TYPE <br /> � OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> ioi�-� BLOCK�"yy_Of %�' '� ! � � ^ OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> i/ ;� GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ;... , <br /> � . � <br /> '<fG. .,��•-' ..:_.- i ..._:� _.•�-...+��:� .. -: ..'=��� _.,�-•� ANY OTHER STATE OR LOGL LAW REGULATING CONSTRUCTION <br /> '� '" OR THE PERFORMANCE OF CONSTRUCTION. � <br /> ' �• / r� SIGNATURE OF CONTRACTON OR AUTMORIZED AGFNT OATE <br /> '` ,. ^ . <br /> IOB A�pRE55 . `"—' / � <br /> .....�'/' ' .� " <br /> :.� ..-,. . ..- ��j�� 3 <br /> �• .,',F': �, x _.,., �; _ ,>-. <br /> PLUMBING MECHANIGL • � ' <br /> NO. TYPE OF FI%TURE FFF NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET�TOIIETI AIR COND UNITS—H R EA <br /> BATHTUB REfRIC[RATION UNIT$—H P.EA <br /> LAVATORV pYASH BAS�N� BOLLERS—HP.EA <br /> SMOWER GAS FIRFD A.C.UNITS—TONNAGE EA <br /> KRCHFN$INR 6 DISP FONCED AI8 SVAEM$—B.i U. M EA <br /> DISWASHER WALL MfATENS—B.T.U. M <br /> UUN�RYTRAY 11NITMEATERS—BTII. M <br /> CIOTMFS WnSNER EVnPORATIVE COOLERS <br /> WA1FR MEATEH CLOTNES DRYFRS <br /> URINAL VCNTINTION FAN <br /> DRINKINGfOUNTA�N RANCF HOOD <br /> FLOOR DNAIN AIR MAN�LINC UNIT- C.i M. <br /> VANUM OREAKFR$ $TOVE <br /> ROOF DRAIN$-RAINIEADFRS AIETAL FIRfPIACE 6 CHIMNEY <br /> SINK6ERVICE-OAft.ETCI � <br /> SU�TOiAI SU�iOTAI f <br /> M ►EtMli 1 r[RMIT t <br /> 70TAlIEF f T07AlIFF f <br /> $IDE YARD 5C70AIX $TRFET$CTOACK REAR YARD SETDACK PUN CHLCA NUMdER PLAN CNECK FEF <br /> FEE RECEIPT NO. <br /> USE ZONE LOi ARFA y�CANT SIT[ <br /> OYES ❑NO iEES VALU�710N �EF <br /> TYP[OF CONST OCCUPANCY GROUP NO OF DWEILING UNITS <br /> BUILDING s Q 0 � 6 6� <br /> SIZE OF BLOG NO.OF STORIES MA%.OCC IOAD <br /> PLUMBING <br /> FIRf ZON[ BASFMENT OtD800615 FIRE SPRINKLERS � <br /> � REQU�RFD MECHANIUL <br /> - ❑YES ❑NO <br /> A►�IIOVALS �Y DATE OTMFR <br /> 1. [NVIRONMENTAL CMECK LISi �y� <br /> PENALTY SEC.IONa) � <br /> 2 BUILDINL PlANS <br /> J Fl0.[ NYDRANT TOTAI <br /> ` � FIRE PROTFCTION S�STFM ►fRMIT VAIIDATION <br /> 5 GNADING4%CAVATIONB CLIANINCILRU9flING WHFN P0.0PFRlY VALIDATFD�1N TMIS SPACf)THIS I$YOUB PFRMIT <br /> b DNAINAG[ <br /> 7. ENVIRONMENT�L IMPACT STAT[MENT <br /> E HFALTM DISTflICT <br /> APPIICATION ACC. BY PL�NS CMECNEO BY APPR.fON ISSUANCF BY <br /> 9�1•79 <br /> • � <br />